Is Botox in scar tissue dangerous? (Photo)

In a recent February, 2016 issue of the medical journal, Practical Dermatology, there was in fact a discussion of the use of neuromodulators (i.e. Botox, Dysport, or Xeomin) for treating scars. It is well known that underlying muscular movement below excision sites can lead to overlying stretch scar formation, simply from the repetitive movement of the muscle. It was therefore reasoned that diminishing this underlying muscular movement will allow for more undisturbed laying down of new collagen and elastic fibers with resultant improved healing and narrower scars.I have been personally using this approach for treating surgical sites on the body and on the face. I have certainly used it with good results when performing procedures for improving acne and chicken pox scars.So, the short answer to your question is that there is no problem in getting Botox near the scar. One word of caution, however. The scar on your forehead appears pretty close to the eyebrow area. I would be concerned if Botox were to be placed there, so close to the eyebrow, as this can lead to brow and lid ptosis. There should not be a problem, on the other hand, if the Botox is intended to be injected at the tail of the eyebrow.Make sure that you seek treatment by a board certified aesthetic physician with experience and expertise in injecting neuromodulators. Good luck to you.

Hello,There is no direct risk to you if Botox if injected into scar tissue.  Botox is effective because it is injected into muscle and weakens its movement.  As this area is scar tissue there would be no reason to directly inject the scar.  I recommend seeing a physician injector who is familiar with the mechanism of Botox and the safe areas of the face for injection in order to avoid any complications.Best of Luck!Dr. Rednam

Thank you for sharing the interesting question. There is no problem getting Botox injected near your scar, but the location above the eyebrow can change the level of your brow.I hope this helps.

Thank you for your question and for sharing your photograph.  Botox in and around the area of scarring will not be compromised and can be successfully used.  Be sure to use a board certified plastic surgeon as your injector.  

No botox is not dangerous around a scar.  What concerns me is that you physician would not know that botox is used around scars and during skin cancer surgery to help the scar improve. Please see an expert. Best, Dr. Emer.

This should not be a problem in the hands of an experienced injector. You can have filler injected into the scar to improve its appearance. Best wishes.

There is no increased danger when injecting scar tissue with Botox. Botox in scar tissue is inactive. To optimize cosmetic results, it is important to consider the scar's location and how deep it goes. Scars that go down to bone and scars adjacent to facial landmarks (eyebrow, eyelid, hairline) can tether or pull against the muscles of the face. This can be seen as dimpling of the skin. By relaxing the muscles around the scar evenly, the dimpling caused by muscles should be less.Lastly, relaxing the tissue around a scar with Botox may potentially relieve any pulling tension that would widen the scar.  

There is no concern in using botulinum toxin such as botox in or around a scar. In fact, we now sometimes use botox in and around a scar after surgery to minimize movement in that area to optimize the scar.

There is no problem injecting Botox in and around a scar. In fact, Botox is sometimes used to improve the appearance of scars.

Hello Sunshine154 - thank you for your question. I would not hesitate with Botox. It is safe and given this location the scar should not interfere with the administration of Botox. If there is some scarring down to the level of the bone, it may affect the way Botox spreads in the area, but again most experienced injectors would not be injecting right around that area anyways. Find someone with experience.