Botox Q&A
64%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers
that stated the procedure was "Worth It" or not.
See more RealSelf Worth It Ratings
or Add Your Review

View Before and Afters
Average Botox Cost: $425
Learn about Botox
3,016 people and 923 doctors are talking about Botox
Get Free Email Updates
How Does Botox Dissipate Inside Our Body?
asked 3 years ago by yny in Singapore
Latest answer by Christopher L. Hess, MD
Question viewed 5,359 times
I believed that Botox is toxic. How does our body dispose it.?Does it affect our organ such as liver and kidney?
6 answers to How Does Botox Dissipate Inside Our Body?
+2
Botox very safe in doses used clinically
You are right that Botox, (generically called Botulunum toxin type A) is in theory harmful because it is the same thing that causes botulism poisoning. However, it would take many many times the doses used in practice to do any harm, and I can think of few things that have a better safety record than Botox, which has been in clinical use for 20 years on millions of patients.
To be more specific, the molecule is a protein which is fairly rapidly broken down before it leaves the area into...
more
+1
An Excellent Question!
Botox is the most toxic substance known to man. Therefore, only very small amounts are necessary for therapeutic effects. The toxin is a protein that prevents the release of a neuromuscular transmitter or the chemical from a nerve that goes to the muscle to tell it to contract.
Because the nerve shuts down but continues to get signals from the brain that the muscle should work it sprouts new nerve endings. These don't have the Botox in them and as they hook up with the muscle the muscle...
more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
Fairfax Plastic Surgeon
+1
Botox travels through the body
Dr. Chen has provided a concise review. I would also add that in addition to traveling through the bloodstream, a recent animal study showed that Botox can travel backwards through the nerve to the Central Nervous System. The effect and consequences of this were unknown.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Botox is not toxic
As stated, the doses are very small and not considered to be in a "toxic range." We typically use Botox for various non-cosmetic indications and use a much larger dose than when we do lines and wrinkles. In fact, Botox was first used for non-cosmetic reasons for over a hundred years, before being used for cosmetic purposes. It has a remarkable safety profile and as far as I am aware, there are no toxicity concerns for cosmetic use.
The protein is broken down into its components...
more
Sirish Maddali, MD
Portland Plastic Surgeon
Portland Plastic Surgeon
+1
Botox and toxicity
When Botox is injected into the skin, it may migrate up to 3 cm from where it was injected. Even if some molecules were to go into the bloodstream and travel to distant sites in the body, the cosmetic doses (typically less than 100 units) used are significantly lower than the toxic dose that would be harmful systemically (2500-3000 units. Once the protein stops functioning at the neuromuscular junction, it is broken down into its harmless break-down components (amino acids) and either...
more
Bryan K. Chen, MD
San Diego Dermatologist
San Diego Dermatologist
+1
The small doses of BOTOX are very well tolerated.
Dear YNY
The doses of BOTOX injected for cosmetic purposed are extremely small. They have no effect on the liver or kidneys. In fact very little of the BOTOX circulates in the body. This is because the dose used for cosmetic purposes is so small most of it is locally absorbed by the muscle where it is injected.
When BOTOX is used for medical reasons, higher dose are used and these may be associated with systemic effects. However, this dose is orders of magnitude higher than cosmetic...
more
