Is is safe to have Botox injected with autoimmune condition?

Question

I was diagnosed with Hashimoto's thyroiditis last July. Since then, I have been on Plaquenil with good results. I have Juvederm and Restylane in my face, but I would like to add some Botox, just for crows feet. Is this considered safe with the recent autoimmune diagnosis? Thank you

William Groff, DO · Answer

Autoimmune diseases such as Hashimoto’s are generally not a contraindication to having Botox done. You should be fine, just make sure to tell your provider about your medical history and medications and be sure to visit a board-certified dermatologist for your treatment.

Nelson Castillo, MD · Answer

Thank you for your question.  Botox can be injected in cases of autoimmune conditions such as Hashimoto's. Be sure to see an ASPS board certified plastic surgeon for your treatment.

Toral Patel, MD, MS · Answer

Botox should be safe for patients with Hashimoto's, but if you have any concerns I recommend discussing the treatment with both your injecting provider and the provider who is treating your Hashimoto's before making a decision.

Sean Doherty, MD, FACS · Answer

Thanks for your question. In general, patients with autoimmune injections should be cautious with all facial injections. Hashimoto's Thyroiditis is typically not associated with neurological symptoms. For that reason, Botox should not be a problem. It sounds like you have good results with previous facial injections. I recommend you see a Board Certified Plastic Surgeon with experience in facial injections to discuss this with and make a safe plan. I hope this was helpful. All the best.

William Marshall Guy, MD · Answer

Hello Carissa86695,When it comes to Botox and autoimmune diseases it is not recommended if you have a neurological condition (such as myasthenia gravis or multiple sclerosis).  The reason is because these conditions affect your muscles and nervous system, and Botox is designed to weaken muscles.  For other autoimmune conditions, such as Hashimoto's, there should be no problem.  I'd recommend you discuss all of your medical conditions with your injector prior to injecting, but I would have no concern treating my patient with Hashimoto's.I hope this helps and good luck.

Richard Ort, MD · Answer

In general, it is safe to do Botox treatments in patients with autoimmune conditions such as Hashimoto's thyroiditis.  There are some neurological conditions such as myasthenia gravis in which Botox treatment is not recommended.  If you have any concerns, discuss with your doctor ahead of time.

Jill C. Fichtel, MD · Answer

It is safe for patients with Hashimoto's thyroiditis to get Botox treatments.  Generally speaking, Botox is a very safe cosmetic procedure and is safe for the vast majority of patients out there.

Hratch Karamanoukian, MD, FACS · Answer

Botox is safe in patients with Hashimoto's thyroiditis.BestDr Karamanoukian#RealSelf100 Member

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