I am a 2 time liver transplant recipient and wondering if its safe to get botox?

You should be fine since Botox works superficially. However, I would definitely discuss first with your doctor just to be sure. Best, Dr. Nazarian

Your concerns are understandable, but I think you
should be fine receiving BOTOX. BOTOX works by paralyzing facial muscles and
has little effect on the other organ systems in your body. Having received two
liver transplants, it’s important that you review every medical decision you
make in person with your doctor. While there may be no immediately apparent
issues with receiving an injectable cosmetic treatment, you don’t want to take
chances with your health. Make sure you go to a qualified surgeon for your
Botox instead of using a DIY method, and speak with him or her about your
medical concerns.

Thanks for your BOTOX® question. As far as injections and
your transplanted organ, BOTOX® injections shouldn’t have any adverse effects
caused by your liver. Fortunately, BOTOX® is not broken down by the liver, but
rather it dissipates and breaks down into amino acids that are then either
recycled for use in other proteins or are excreted by the kidneys. That said,
if your liver is a concern, it’s always best to discuss with this with your
provider during a consultation. He or she will be able to give you personalized
information and answer any questions you might have regarding BOTOX®
injections.