Can botox cause acne?

I have had several treatments of low dose accutane as a teenager. Recently, at the age of 23, I received botox injections in my forehead for migraines and brow treatment. I have never broken out on my forehead before (even as a teenager). Where I received the injections, I am developing puss like papules and painful cysts. I have been using retin-a to see if this will help with the forehead breakouts and nothing seems to work.

I called the reps for botox and they do believe that there is now a correlation between botox and acne - could it be that it is expedited by those have undergone accutane treatments? Or could this be due to the fact that I no longer can sweat out of those pores so they become plugged with toxins? Please help. I have talked to several other people who are experiancing the same symptoms.

3 answers to “Can botox cause acne?”

A: Botox does not cause acne.

Patricia Farris, MD

 I have never seen a patient who has developed pimples as a result of Botox injections.  If you really have developed cysts and inflammatory acne, go back to the physician who injected you. You might need an antibiotic to treat this problem.

A: Botox and Acne

Otto Joseph Placik, MD

Botox is not generally known to cause Acne. In fact there are some reports that Botox can actually improve the Acne. The mechanism of this effect on the sebaceous glands is not known but maybe similar to the effect Botox has on the sweat glands

A: Acne breakout after Botox injection

Michael A. Persky, MD

Hi NYC, Of the hundreds of patients that I have injected with Botox, I have not seen any have acne flare ups related to the treatment.  I have seen a handful of patients who have a "pimple" or two at the site of injection.  In those patients we now give them prophylactic acne treatment... more

Comments

Dr. Sachit Shah
52 posts
6 Oct 2008

In over thousands of botox treatments I have never seen Botox related acne. I know there is some documentation about it and i have always wondered if the skin was cleaned properly pre treatment?   Hope that helps.

tried but failed
339 posts
24 Jul 2009

I am surprised that you would give a tetracycline antibiotic to someone who is receiving Botox. Tetracyclines interact with Botox and potentiate the effects (and side effects). This interaction is noted in all the information sheets as 'theoretical' only because there has been no clinical testing done. The interaction happened to me and a very small amount of botox took on the effect of a very large amount of botox. The side effects of Botox were magnified also. I have reported this to both Allergan and the FDA but because Allergan is not prepared to dose people up with antibiotics just to see what will happen to the Botox, it will remain a 'theoretical' interaction, but I assure you it is real.

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