Can you treat cystic acne with Botox injections in teens? Of label indication of course

Botox is not recognised as a treatment for acne and may not be a sole solution, however, it does have the ability to stop the oil glands from secreting so patients often find that their skin clears up after Botox. For cystic acne, I would also recommend Isolaz or skin peels and prescription topical treatments such as Roaccutane - for this you should see a Dermatologist who may provide the prescription but it is not always suitable for everyone as it can have severe side effects.

No, Botox is not used in this setting. Either topical retinoic acid or oral medications plus or minus antibiotics as necessary are the mainstays of treatment.
Best of luck.

Hi Denise,     Botox is not a traditional treatment for acne at all. However, it can be used off label as it blocks some of the nerve endings that causes sebaceous glands to secrete oil. Personally, I would rather see you visit a board certified dermatologist for more conventional acne treatments such as topical medications, oral medications, chemical peels and laser. Good luck,Dr. Downie