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The most concerning complications involve muscle weakness beyond intended areas creating eyelid drooping (ptosis, 1-3% incidence), eyebrow asymmetry from uneven muscle relaxation, or frozen appearance from excessive dosing or poor injection technique, though these typically resolve as Botox wears off over 2-4 months requiring patience and potentially corrective procedures

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doi: 10.1016/0304-3835(95)03942-P