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The botulinum toxin can spread to other body areas beyond where it was injected. This has caused serious life-threatening side effects in some people receiving botulism toxin injections, even for cosmetic purposes.

Botox injections should be given only by a trained medical professional, even when used for cosmetic purposes.

Using this medication more often than prescribed will not make it more effective and may result in serious side effects.

Call your doctor at once if you have a hoarse voice, drooping eyelids, vision problems, severe muscle weakness, loss of bladder control, or trouble breathing, talking, or swallowing. Some of these effects can occur up to several weeks after a Botox injection.

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