Other Reported Side Effects Other side effects reported with botulinum toxin treatments are: - Dry mouth
- Change in voice (platysmal/neck injections)
- Diplopia/blurred vision
- Ectropion
- Dry eyes
- Lymphedema
- Cheek ptosis
- Rash
- Abnormalities of cardiovascular reflexes
- Generalized weakness
- Muscle jitters [35, 36] (no clinical relevance)
- Ecchymosis, headache, muscle soreness–general areas, especially with glabella and forehead injections Upper eyelid to ptosis– glabellar injections
- Perioral dysfunction–perioral lines
- Potentiation of neurological disease
- Unresponsiveness to botulinum natural purified protein
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