hopefulbutt, oh dear, you seem so frustrated, let the botox work and leave the area alone until it feels better.
How long the second round is been? if is just recently you need to give time.
Then if you still having problems and pain, go for the surgery, is not reason why having to suffer any longer.
Remember that most doctors will not do surgery until Botox wears off.
I am so sorry you are having soo much problems.