I had some nerve damage on my forehead from a head injury, am I safe to get Botox still?

It is safe to get botox after a nerve injury to the forehead. It sounds as if it was a sensory injury and Botox has little to no impact on sensory nerves. Botox blocks the release of acetylcholine which attaches to the muscle site responsible for movement so it only affects the motor nerves in the forehead. That being said the needle stick can irritate the sensory nerve and cause some altered sensations which should be temporary. Good luck with your treatments.

Only on the basis of in person evaluation and discussion about goals and options, an experienced board certified plastic surgeon could help you with decision. Do not go to some "injector" since these professionals have no good knowledge about variations in forehead anatomy, in particular after trauma and scarring. Good luck.

I have some patients that have had previous head injuries that do wonderfully with Botox injections. There can be long term numbness or altered sensations in any area where trauma has occurred in the past. The Botox is working locally at the junction between the nerve and muscle which interferes with the conduction of the nerve impulse that tells the muscle to contract. There are nerve endings in the forehead which can cause bizarre sensations when triggered. I think this is what you are experiencing. Some people will sneeze when the Glabella (area between the brows) is injected. Other areas might feel like the hair is being “pulled” at the top of the head. I would consider seeing if there is an area on your forehead that reproduces the feelings you had after the Botox. You may try a gentle tap on the forehead with your finger to isolate the area. If you find a spot that is sensitive you can avoid injecting in that area.

It should you be fine for you to proceed with Botox treatments even though you have prior nerve damage. Botox works by affecting the ability of the injected muscle to contract. Having prior nerve damage should not interfere with this treatment.

Hello,
Nerve damage that causes loss of sensation is from damage to a sensory nerve. The kind of nerves that are used to feel things, like touch, heat, cold etc... It sounds like that is the kind of nerve you injured, and why your forehead feels numb. Botox/neurotoxins are used to relax muscles. These muscles are controlled by motor nerves. These are the kind of nerves that we use to activate muscles to do something, like lifting your forehead up to wrinkle it. In theory, botox should not affect sensory nerves and you should be safe to receive additional injections. However, I would discuss your previous experience with your current injector so they can perform a physical exam and evaluate your motor and sensory nerve function. Hope this helps! All the best, Tom

Hello and thank you for your question. We always recommend a face-to-face consultation for advice- it's impossible say how this might effect you- as you describe before itthe same could happen again. It's a risk with the nerve damage in your head so a balance of whether the risk is worth the benefit.
I hope that helps, please always a seek a qualified and experienced practitioner for any cosmetic treatment, best wishes