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

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

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.

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