Rosacea triggered after botox?

In the realm of anything can happen in medicine and that there is always a first time for everything, I suppose that perhaps the stress alone of receiving the Botox treatment might engender a flare of rosacea in someone who has the tendency for it. However, I have personally successfully used appropriate concentrations of Botox (and other neuromodulators, such as Dysport and Xeomin) to treat the persistent flush (redness, erythema) of rosacea and even the inflammation of psoriatic plaques. More likely other factors may have been responsible for the flare that you describe and this should be explored with your dermatologist.

Although rosacea is not a common side effect of Botox, it is a possibility you are experiencing a side effect from your treatment. Contact your dermatologist for assessment and appropriate treatment. If your symptoms are from Botox they will diminish in approx. 3 months.  

It is possible that the prep used to clean the skin prior to the injections flared your rosacea.  People with rosacea find they do best using mild products for cleaning and moisturizing their skin.  When prepping the skin for injections, stronger more irritating cleaners are used.

I frequently use botox to treat rosacea and have never seen botox cause rosacea to worsen.  Best, Dr. Emer.

While it is possible to have a reaction to botox, the greater likelihood is that you had a reaction to the cleaning agent prior to the injection or even had a response due to a new situation, Consult with your injector and your dermatologist for possibilities.

Sorry for your discomfort. It is possible to have a reaction to either the cleansing agent used before the injection or even ointments or creams after. Botox itself very rarely causes reactions and flares but anything is possible. Return to your physician, he may be able to give you some medications to comfort and subdue the flare. All the best. Dr Bair Ghazi

Since Botox does not change vascular tone or induce inflammation, your rosacea may have flared due to the one or more of the many, many triggers for rosacea activity. Perhaps an irritating prep was used for the Botox? Or you have started a new cleanser, cream or foundation? Or you ate one of the foods that can make you flush?In my experience, a patient with a history of rosacea who is not using Metrogel 1% and/or applying a strong green tea cream on a faily basis will always flare eventually, and complications are more likely to develop.You can have laser treatment, and apply Metrogel on a regular basis.  Your dermatologist may prescribe a mild topical antiinflammatory to help you to calm your skin down, and review all the products you are using.  In addition, your diet can be examined and supplements considered to reduce systemic inflammation, which will reduce inflammation in your skin.  At minimum, you may want to check out the Meditteranean diet with low gluten and low dairy.