Can I Have Botox Injections for Wrinkle Therapy with a Pacemaker Fitted?

Thanks for the question -
Botox works at the neuromuscular junction locally and should cause absolutely no issues with your pacemaker. 
I hope this helps!

This is not known to effect the electrical conduciton of the AV node and so it is highly unlikely that Botox could alter cardiac function.
 

You will be fine, Botox will not affect the pacemaker. Botox works by paralyzing the underlying muscles which helps reduce the dynamic wrinkles of the overlying skin. There is no effect on the pacemaker or your heart tissue.

I currently have patients in my practice with pacemakers whom I administer Botox to without reservation. I think Botox is one of the best things since sliced bread and get it myself in between my eyebrows.

Dear Chris,
BOTOX and Fillers are great options and are perfectly safe for individuals with a pacemaker. No electricity is involved in the application of these products. It is prudent to make sure that your injector is aware that you have a pacemaker.
You should be aware if your cardiac rhythm is dependent on the operation of your pacemaker as this places you at higher risk if the pacemaker malfunctions. Under these circumstances it is highly recommended that you are completely familiar with the guidelines of the manufacturer of your pacemaker and you adhere to these recommendations.
Pacemakers are generally very robust. However, prudent precautions are recommended, ie keeping 18 inches or more away from operating microwave ovens, radio transmitting equipment, etc. Newer pacemakers are increasingly resistant to these types of environmental factors. The operation of pacemakers do vary by the manufacturer. If you have specific questions about safe activities with you particular unit, your doctor should be able to answer most of these questions. These companies have technical representative who can answer any specific questions that can't be addressed by you physician.
A pacemaker does not preclude you from having surgery. However, generally an individual needing surgery, even minor surgery that will require electrocautery, needs to have surgery in an environment were the pacemaker can be reprogrammed if necessary. Larger surgery centers or outpatient surgery centers associated with a medical centers have the ability to take care of patients with pacemakers.