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Thank you for the question. There should be no specific interaction between the asthma/COPD and the Botox, though some of the accessory muscles of breathing attach to the upper back and cervical spine. These muscles raise your rib cage when you take a deep breath. There is a theoretical risk of affecting these, though I don't see a problem overall if your medical conditions are well treated. Good luck!
There should be no problems using cosmetic Botox in those with asthma. Interesting, the use of botulinum toxin in asthma was considered several times in the past. One of the studies I am aware of subjected patients with asthma to treatment with Botox. Although Botox was very beneficial in improving asthma-related vocal cord dysfunction, there was no improvement with the objective measurements of lung function.
