Can I Get Botox While on Dialysis?

i want to get botox but i am a dialysis patient and i am worried that i will waste my money because it might dialize out.

Doctor Answers 11

Botox and dialysis

Botox for facial rhytids only and bruising is more common because of mild coagulopathies Assoc with dialysis

Houston Plastic Surgeon
5.0 out of 5 stars 2 reviews

Botox while on Dialysis?

Hi Daisy.  We do not know of any problems associated with getting Botox while on dialysis.  

With any cosmetic treatment, we defer to the physician in charge of the more pressing health concern (dialysis) before providing the procedure.  If he/she cleared you, then we would be fine proceeding.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Botox While on Dialysis

Most likely but please check with the nephrologist FIRST! I have found no contraindication in the medical literature concerning this issue. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Botox and dialysis

While the botox should not dialyze "out," I would touch base with your nephrologist first before considering it.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Botox should be ok while on dialysis

Your concerns about dialyzing out should not keep you from having Botox. Generally and practically speaking the amount of botulinum toxin that reaches your systemic circulation should be minimal as its primary mode of action is locally.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Botox and dialysis

Check with your nephrologist but Botox should not present a problem unless you are taking aminoglycoside medication (which I doubt as that can be very bad for the kidney).

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Dialysis and botox

Botox works where it is injected localy. You should not have any problems with getting the neurotoxin while undergoing dialysis. Bruising may be an issue however, but should resolve with time.

Purvisha Patel, MD
Germantown Dermatologist
5.0 out of 5 stars 4 reviews

Should be ok but ask your nephrologist.

Hi Daisy

I have several patients who get cosmetic BOTOX who are on dialysis.  The BOTOX is locally absorbed and that process is not subject to dialysis.  However, you kidney doctor is the ultimately responsible for your care.  As an injector, I would want to know that your nephrologist had no concerns.  WIth that approval, I would not have reservations treating you for cosmetic indications.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Botox and Kidney Dialysis Treatments

Regarding: "Can I Get Botox While on Dialysis?
i want to get botox but i am a dialysis patient and i am worried that i will waste my money because it might dialize out

There is no reason why chronic kidney failure, by itself and without other neuromuscular disorders, would preclude you from having Botox treatments.

The only precaution I would suggest is the timing. Renal failure is associated with blood thinning and bruising. I would time the Botox treatment after dialysis treatments.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 109 reviews

Botox while on dialysis

It is probably ok to have Botox while on dialysis. Botox acts locally in the muscle and is not distributed. I would make sure that you ask your nephrologist if it is ok with him.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 117 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.