Botox on facial flushing. Could another approach make a difference?

Question

I have a mild persistent erythema and facial flushing (rosacea). I tried botox with a dermatologist who used botox on facial flushing for the first time (one session, 27 units in both cheeks, no microdoplets). Results: no improvement. I also read that dilution and dosing may have an effect on the outcome. Some sucess case reports talk about very dilute concentration, superficially injections... wich was not the case at my first try. Could another approach make a difference?

Thuy-Van Tina Ho, MD · Answer

Dear thomas54,
Thank you for your question. Botox can be a very beneficial treatment for rosacea or flushing. It is typically injected in small amounts very superficially. I recommend you seek re-evaluation with your injector to see if they felt confident in their technique and would agree your skin was not responsive to the Botox and would recommend trying other treatment options or whether they would consider another repeat treatment with modified technique.

Robert W. Sheffield, MD · Answer

Botox is not the only treatment to treat rosacea; it can be used and useful, but it is not usually recommended at first. The number of units used should be enough to improve your condition; however, maybe the technique used wasn’t the right one. You can treat your condition with a combination of laser and topical treatments; however, your condition should be evaluated entirely by a professional to decide which one will be better for you. Go for a consultation with a board-certified dermatologist with previous experience treating rosacea with botox if you want to try it again or ask for further recommendations.

Monika Soni, MD · Answer

Thank you for your question. Botox can be a very beneficial treatment for rosacea or flushing. It is typically injected in small amounts very superficially. I recommend you seek re-evaluation with your injector to see if they felt confident in their technique and would agree your skin was not responsive to the Botox and would recommend trying other treatment options or whether they would consider another repeat treatment with modified technique.

Samir Shureih, MD · Answer

Botox is not a treatment for anything that is difficult to treat.Botox work on muscles only and wrinkles of the skin caused by the muscle action.Botox is not a treatment for erythema

Carmen A. Traywick, MD, FAAD · Answer

Everyone has unique expressions. We move our facial muscles in a repetitive way and over time those repetitive movements cause wrinkles and fine lines. When you start to experience the signs of aging, Botox, Dysport, and Xeomin are available to diminish unwanted wrinkles and creases in your face.Botox, Dysport, and Xeomin lock the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox, Dysport, and Xeomin essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-7 days with results that can last anywhere from 3-4 months.
Sorry to hear that you did not have any luck with the redness. A good treatment to address the redness is BBL (Broad Band Light), it is a laser treatment. Next step for you is to see a board certified dermatologist to discuss your questions or concerns. Hope this helps.

Botox on facial flushing. Could another approach make a difference?

Answers (6)

Answer: Botox

Answer: Botox

Answer: Botox on facial flushing. Could another approach make a difference?

Answer: Botox on facial flushing. Could another approach make a difference?

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.

Botox on facial flushing. Could another approach make a difference?

Answers (6)

Answer: Botox

Answer: Botox

Answer: Botox on facial flushing. Could another approach make a difference?

Answer: Botox on facial flushing. Could another approach make a difference?

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.