Will Having Botox Worsen Existing Sinus Problems?

Question

I would really love to try Botox but am feeling rather apprehensive because I have had for a number of years chronic sinus problems. I have also  been on a steroid nasal spray for number of years and basically now accept the fact I will always be plagued with sinus problems. So with regards to my medical history, would Botox worsen this condition?

Scott Trimas, MD · Answer

There is no contraindication or reason against getting Botox even if you have a sinus condition. It will not worsen or ameliorate the condition. However, there is some evidence that botox injections may actually make the headaches less severe as they are currently undergoing clinical trials with migraine sufferers. Some people with migraines have headaches triggered by sinus conditions. The only problems that I have ever encountered with Botox and sinusitis is that sometimes patients complain that the needlesticks hurt a little more due to increased sensitivity in those areas. I hope this information helps.

Harold J. Kaplan, MD · Answer

There's no reason to worry about using Botox with your condition.  There is no link or contraindication with Botox and sinus conditions and it would not worsen your condition.

Ron Shelton, MD · Answer

You haven't mentioned where you want Botox injected. Regardless of the forehead, glabella (area between the eyebrows), crow's feet there should not be a reason that the sinus problems would be worsened by the Botox treatment.

Michael A. Persky, MD · Answer

Hi Geraldine,
No worries, Botox is not associated with sinus problems. There have not been any reports of this, nor have I or my colleagues seen any patients where Botox has either caused or worsened sinusitis symptoms. 
Good luck and be well.
Dr. P

Steven Wallach, MD · Answer

Botox should have no effect on your sinus problems. Botox only works on the muscle that it is injected. Those muscle will become paralyzed or weakened.

Darryl J. Blinski, MD · Answer

I doubt it but ; never say never. Remember Botox at best only lasts 3 to 6 months. So if your sinus issues get worse after Botox (again I doubt) it is self limiting to time.

Eugene Mandrea, MD (retired) · Answer

Botox works un the facial muscles.

	Sinus problems are caused by vasomotor or allergic factors working on your mucous membranes.

	There is no connection.

	The only problem I can see would be injecting Botox too close to your nostrils and paralyzing them (unlikely event). . This may cause some problemswith breathing.

	Make sure that you are treated by an experienced, Board Certified Dermatologist or Plastic Surgeon.

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