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The doses used for cosmetic Botox are tiny and affect only the muscles that are injected. No cases of affects on the heart or any other organs have been documented with Botox Cosmetic.
Botox should not have any effect on the heart. Even with massive production of botulinum toxin characteristic of botulism it is the respiratory failure that is a problem, not cardiovascular.
Botox injected into the facial musculature for cosmetic purposes will not have any effect on the heart. It is injected directly into the muscle, and while it will diffuse within the muscle to a certain extent, it will not reach the heart.
Thank you for your question. The amount of Botox that we use for cosmetic indications stays localized to the muscles that we inject it in. It requires a very small amount to relax the muscles that we are treating and get the results that we are looking for. At the low doses that we use, it will not travel to or affect the heart. Jeff Rockmore
Botox stays localized to the area it is injected and will not spread to any other areas of the body. Be sure to choose a specialist to perform your injections. Preferably a board certified plastic surgeon, facial plastic surgeon, or dermatologist. I hope this helps, and best of luck to you.