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Side effects to Botox and other brands of botulinum toxin are rare, but can include:
Degree of lip incompetency (difficulty blowing balloons and sucking on a straw)
Slight numbness in the upper lip
Swelling
Allergic reaction
The most dangerous complications are double vision and difficulty breathing, but these are thankfully extremely rare.
If you experience any side effects or complications, contact your practitioner immediately.