The Same Goes for Fillers
As top dermatologist David Colbert, M.D. is quick to note, however, too much Botox and filler distorts the face and as a result will make you appear older.
Does Botox cause pigmentation?
In 1996, permanent periocular cutaneous depigmentation was reported in three white patients after repeated Botox injections, suggesting that loss or alteration of melanin pigment might be a permanent side effect of long-term Botox injections.
Can Botox cause facial drooping?
The most common negative reaction to injections to your face is a droopy eyelid, also called ptosis or blepharoptosis. Most people don't have this problem. Around 5% of people who get Botox will have problems with eyelid droop. This number falls to less than 1% if a skilled doctor does the injection.