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
854 Reviews
Botoxbefore & after photos
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

Can I Have Botox Injections for Wrinkle Therapy with a Pacemaker Fitted?

asked 3 years ago by chrisb in uk
Latest answer by Stephen A. Goldstein, MD
Question viewed 920 times

12 answers to Can I Have Botox Injections for Wrinkle Therapy with a Pacemaker Fitted?

+2

Botox with a pacemaker

Thanks for the question - Botox works at the neuromuscular junction locally and should cause absolutely no issues with your pacemaker.  I hope this helps!
Steven H. Williams, MD

San Francisco Plastic Surgeon
+2

Yes.

Thanks for your question. The nature of Botox, the amounts used, and the injection locations restrict its action to only the local muscles for wrinkle therapy. You should have no problem getting Botox if you have a pacemaker and I truly would not worry. Definitely let your physician know that you have a pacemaker as that is a valuable part of your past medical history, but in regards to Botox, there is no known risk of pacemaker malfunction or heart rhythm disruption through cosmetic use... more
Don Mehrabi, MD

Beverly Hills Dermatologist
+1

Safe to receive Botox, but discuss it with your cardiologist

There should be no problems receiving Botox with a pacemaker in place. To be absolutely safe, I would advise you to discuss this with your cardiologist. I hope you find this helpful.
Stephen A. Goldstein, MD

Englewood Plastic Surgeon
+1

Botox is not known to effect cardiac electrical conduction

This is not known to effect the electrical conduciton of the AV node and so it is highly unlikely that Botox could alter cardiac function.  
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Safe to get Botox

I agree with the others. Botox's effect is at the neuro-muscular junction and should not interfere with the electrical impulse of the pacemaker. In addition Botox's effects are local to the muscle(s) it is injected into. I agree with Dr. Kasdan, that it would be wise to tell your plastic surgeon that you have a pacemaker before the procedure (or any procedure). Good luck.
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist
+1

Absolutely can have Botox

Botox is an excellent way to safely reduce wrinkles without surgery. As you know Botox is a protein that softens wrinkles by blocking the movement of the muscles that cause the wrinkles in the first place. It has no impact on your pacemaker. As long as your medical doctor deems it safe for you to undergo an injection, then it would be safe for you to get Botox. Always inform your plastic surgeon of all your medical conditions prior to undergoing any treatment. Good luck with your... more
A. Peter Salas, MD

Manhattan Plastic Surgeon
+1

Be still my heart?

Chris, Botox works locally only and will have absolutely no effect on, or interaction with your pacemaker.  You may proceed with impunity to correct your wrinkles.  Good luck!
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Botox will not affect the pacemaker

You will be fine, Botox will not affect the pacemaker. Botox works by paralyzing the underlying muscles which helps reduce the dynamic wrinkles of the overlying skin. There is no effect on the pacemaker or your heart tissue.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

OK to have Botox with pacemaker fitted

I currently have patients in my practice with pacemakers whom I administer Botox to without reservation. I think Botox is one of the best things since sliced bread and get it myself in between my eyebrows.
Darrick E. Antell, MD

Manhattan Plastic Surgeon
+1

Should be fine.

I am not aware that a pacemaker is a contraindication to this procedure.  I would advise your plastic surgeon, and tell him about your cardiac history completely, and I am sure it should be fine.   sek www.drkasden.us scottkinfw@msn.com
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

No problem with Botox while on pacemaker

Dear Chris, BOTOX and Fillers are great options and are perfectly safe for individuals with a pacemaker. No electricity is involved in the application of these products. It is prudent to make sure that your injector is aware that you have a pacemaker. You should be aware if your cardiac rhythm is dependent on the operation of your pacemaker as this places you at higher risk if the pacemaker malfunctions. Under these circumstances it is highly recommended that you are completely familiar... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Botox is safe

The reason Botox injections are performed millions of times each year is because of its consistent results and incredible safety. Botox can be done when patients have serious heart trouble and often gives them a confidence boost when they'd like to look better and the risks of surgery are too extreme for their medical problems.
Mary Lupo, MD

New Orleans Dermatologist

Ask a question