Can I Have Botox in Frown Line if I Have Multiple Scelrosis?

I have asked my neurologist 3years ago if it was ok and she said yes. I like the results from the Botox ,but i feel pulling in my eyes at night. Since this occurred the first time I did it, the next time I used only 8ccs to be on the safe side. I still feel pulling but only for a couple of days. Is this normal to feel pulling and can the Botox move to my neck from my forehead because I have multiple sclerosis

Doctor Answers 9

Frown line options

Thank you for your question. The frown lines between the brows can be address two different ways:
1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest. The effects typically last 3-4 months depending on the dose. I generally use between 15-40 units of Botox (30-120 units of Dysport) in the frown area depending on the strength of the muscle and the degree of frown reduction we are trying to achieve.
2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression. This can last for a year or more when used in conjuction with Botox.
For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together.
I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.
With the history of Multiple Sclerosis,you may want to proceed with your neurologists guidance.

Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Botox Likely OK in this Case

The short answer is, most likely, yes although this is not the official infomration provided in the drug monograph, which indicates that individuals with neurologic conditions should not have Botox. None the less I think most clinicians would probably feel that it is often safe in patiients with MS. Multiple sclerosis is a disease of the central nervous system. When we inject Botox, we effect the communication between the muscles and peripheral, not central, nerves . The likelihood, therefore, of Botox causing any probems with your MS is low. As a precaution, it is of course always wise to make sure your current neurologist knows your plans and is still in agreement that Botox would be safe at the present stage of your disease.

Botox and multiple sclerosis

It is good you got your approval from your neurologist three years ago but continue to ask her as the years progress. You might have meant 8 units, not 8 ccs. It is normal to feel different sensations in the forehead or crows feet after Botox treatment for a few days after treatment.

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

Botox in multiple sclerosis

There does not appear to be any problems injecting multiple sclerosis patients with Botox. I would get approval from your neurologist, & I would start with a small area such as the frown lines to see how you like it and how you react to it. Botox can diffuse about 1cm, it wouldn't travel from your forehead to your neck.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

Botox and MS

It is safe to have Botox injected to the glabella region with a diagnosis of MS. It's difficult to say what the pulling sensation you are feeling is but it won't migrate from your forehead to your neck.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox and neurological disease

Botox is not contraindicated in neurological diseases such as MS but every case is different.  I would check with your treating neurologist before getting Botox.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Yes, Botox Cosmetic is safe to use in patients with MS

Yes, Botox Cosmetic is safe in the frown area even with a diagnosis of multiple sclerosis.  The product is localized to the treatment area and does not migrate. 

Mary E. Hurley, MD
Dallas Dermatologist
4.2 out of 5 stars 5 reviews

Multiple sclerosis will not cause Botox to migrate

The effects of Botox are localized and it will not migrate.  Of course, you should have any treatment subject to the approval of your neurologist but I do not see any ill effects.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Botox for forehead lines

You can feel absolutely safe using Botox Cosmetic for facial muscles.  The small amounts used to relax those muscles will not migrate so relax and enjoy the effects of this product.

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 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.