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Can Botox That is Injected Between Eyebrows Go into Sinuses and Drain Down Throat ?

Can Botox That is Injected Between Eyebrows Go into Sinuses and Drain Down Throat ?

Doctor Answers 12

No, Botox is extremely unlikely to be able to get into the sinuses and drain down the throat.

This is an unusual question that makes me wonder why you ask it, but the sinuses are hollows inside the bone of your skull, so a needle would have to pierce the bone in order to inject Botox into your sinus cavities. This is extremely unlikely to have happened to you, and would even be extremely difficult to do with the tiny needles used for injection, but it is possible that local swelling from the procedure could cause some fluid buildup in the general area temporarily. Some people do report a temporary local headache from treatment, and some report relief of headaches. If you are noticing a post-nasal drip after your treatment, it is likely not the actual Botox fluid you are feeling, don't worry.

New York Dermatologic Surgeon
4.5 out of 5 stars 41 reviews

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Botox and sinuses

I don't see a connection to the sinuses from botox injections, although theoretically if someone were to inject near the corner of the eyelids, deeply, so that the fluid would get in the tear duct (I have never heard of this!) then it could drain down the throat. I can't imagine the latter occurring, nor the possibility of drainage into the sinuses.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Botox going deep into body

The likelihood of botox going into sinuses would be incredibly rare (e.g. 1 in a million if not less). This concern or any other related to side effects would be minimized by making sure to be treated by an expert injector such as a dermatologist.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

Highly unlikely

It would be highly unlikely that Botox injected between the eyebrows would migrate to the sinus cavities.  

Mennen T. Gallas, MD
Katy Plastic Surgeon
5.0 out of 5 stars 9 reviews

Botox is a local medicine

Unless you had a previous fracture or dehiscence of your frontal sinus bone, and unless your doctor injected the Botox through the fracture edges or fibrous union into the frontal sinus, Botox cannot get in your frontal sinuses.  This scenario would be so exceedingly unlikely that it should not concern you.  Botox, however, can affect swallowing if used in extremely high doses (overdose situations), which are not used in cosmetic situations.  To avoid unexpected results from Botox, make sure that your doctor is highly experienced in facial anatomy and in Botox administration and titration.

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

Botox injected into your forehead will not enter your paranasal sinuses and drain into your throat unless... have a personal history of a facial fracture, frontal sinus fracture, or frontal sinus surgery. In any of these scenarios, you could theoretically have a dehiscence or absence of the bony wall of your frontal sinus. This could make it anatomically possible for a 30 guage needle to penetrate your frontal sinus, and allow Botox to drain into your throat.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 302 reviews

Migrating Botox

No this cannot happen.  Botox cannot get into the sinuses when it is injected in between the eyebrows.

Robert Kearney, MD, FACS
La Jolla Plastic Surgeon
5.0 out of 5 stars 10 reviews

Sinuses are inside skull

Botox injected into the muscles of the forehead will not have any access to the sinuses. You need not be concerned.

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Botox to eyebrows

Botox injected in the middle of the eyebrows is injected into the muscles of animation and should not be able to enter the nasal sinuses or the throat.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Botox extremely safe

Botox is taken up very quickly and directly into the neuromuscular junction in the area in which it was injected - so in the brow area it goes right into the muscle-nerve connection in those muscles that pull down on the brow. It does not travel far away from the needle injection site and it does not get into bone, sinus, bloodstream or throat. This predictability and consistency is what makes botox such a nice and super safe cosmetic procedure!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.