Is it safe to have botox if I have chronic urticaria not caused by botox? (Photos)

Question

Have had botox eyes and forehead for 9 yrs. Last botox July 2015. On 12/8/15 hives appeared and have continued to this date. Under control (pop 2 or 3 on scalp under hair every day) since prescribed Allegra 180 mg BID and levocetirizine 5 mg at night. Photos show that hives were severe in my opinion. Is it safe to introduce the foreign protein of botox? I do not like the lines I am seeing. Is there a topical wrinkle relaxer on the horizon?

Hardik Soni, MD · Answer

It is unusual to see an allergic reaction after Botox administration. Having performed thousands of injections, I have seen possibly 1 reaction.  While it is possible to develop an allergy to any antigen or protein, a true Botox allergy is rare.  Also based on your information, the last botox administration prior to the onset of urticaria was 5 months prior and therefore unlikely to be the causeThere are some options.  First is to put a small amount as a test spot to see if it elicits any reaction. THe other option is to try an alternative such as Dysport and Xeomin which have slightly different protein composition.  There is a topical wrinkle reducer on the horizon, but it may be several years before it becomes commercially available.  In addition, it would still be applied at the doctors office. All the bestDr Soni

Is it safe to have botox if I have chronic urticaria not caused by botox? (Photos)

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Is it safe to have botox if I have chronic urticaria not caused by botox? (Photos)

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