Why should someone with an autoimmune or muscle disorder not get Botox or Dysport in the forehead?

Question

I keep reading if you have a muscle disorder or autoimmune disease you should not get Botox or Dysport. Can someone explain to me why? If it stays local in the muscle being treated, how could it or would it interact with any underlying condition? Does this mean it spreads beyond injection site?

Jason Emer, MD · Answer

Thank you for your question, Neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) and soft tissue fillers like Belotero can improve the appearance of the forehead by reducing lines, wrinkles and folds. Deeper lines and wrinkles need a combination approach with Botox, fillers, lasers, and microneedling/PRP. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

Nirmal Nathan, MD · Answer

Dear 3502anon,In certain neuromuscular and autoimmune disorders you can develop eyelid weakness, causing problems with opening the eyes. Treatment of the forehead can worsen this effect. Good luck,Nirmal R. Nathan, M.D.
  
Certified, American Board of Plastic Surgery
  Member, American Society of Plastic Surgeons
  Fellowship-trained Craniofacial Surgeon

Camille Cash, MD · Answer

Those with autoimmune or muscular disorders may have an increased tendency to have less than optimal outcomes from Botox injected in the forehead.  I encourage you to discuss your situation as well as any medications you take with your injector.

Cristyn Watkins, MD · Answer

Botulinum toxin is used to reduce fine lines and wrinkles by paralyzing the underlying muscles temporarily.  This prevents the targeted muscles from contracting.  If you have certain auto-immune or muscle disorders, it isn't recommended unless your physician has approved it based on your specific diagnosis.

Val Alexander Daniyar, DMD · Answer

Usage of Botulinum Toxins for aesthetic treatment in patients with autoimmune or genetic muscular disorders is not contraindicated for it is the "dose that makes a poison" . The problem is rather with relatively unpredictable results and sometimes undesirable outcomes. But once again a prudent and cautious usage may be beneficial. Hope this helped, Dr. Daniyar

Adeline Coleman, MD - Account Suspended · Answer

People who have autoimmune disorders have an underlying tendency to mount a response to foreign substance and sometimes even perceive normal cells and tissue to be foreign so there is always a chance of developing a response and causing the autoimmune disease to flare up.  It is important to check in with a your doctor or a rheumatologist if you suspect you may have an autoimmune disorder.

Why should someone with an autoimmune or muscle disorder not get Botox or Dysport in the forehead?

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