I have Graves' disease with the eye involvement - can I still use Botox or dysport in my glabelar region?

The Botox will cause no problems related to your Graves Disease, but could make it harder to evaluate your condition. Often the eyelids are effected by Graves, so if you Botox this region and the Botox migrates to the eyelid it will be difficult to monitor. Often the eyelid is too high in Graves patients, but is lower following Botox injections. 

there is no reason this should affect your graves disease, but I would speak to your physician prior to treatment.  Best, Dr. Emer.

Thank you for your question. There is no contraindication regarding Graves' disease and Botox. Enjoy your treatment.

Botox in your glabella should not cause you any issues as long as you see an experienced physician injector who understands the implications of Graves. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Yours is a very common question. Often times, with mild graves disease (thyroid eye disease), people suffer more from the cosmetic affects of the disease then the medical ones. Injectable treatment such as Botox are something I recommend very commonly for my patients with graves disease. There is no increased risk with Botox injection in your current situation. I also commonly use filler as an in office aesthetic solution for patients with graves disease, however people with recent information and activity should likely avoid filler treatment until their disease is stable. And even then, there may be some increased swelling with filler. 

Hi. There is no contraindication to having Botox with Graves disease. If you have active inflammation and swelling, it is potentially more likely that the Botox could migrate. Botox can be used to lower a retracted upper eyelid as well. Hope this helps. Best regards, Ira Vidor, M.D.

Hello Pam1042,You should be just fine to receive Botox with a history of Graves' disease. I would recommend you go to an experienced injector to minimize your risk of complications such as a droopy eyebrow or eyelid but your risk isn't higher than anyone else. One thing to keep in mind is that if you have double vision from Graves' disease and the Botox moved to a muscle that moves the eye (very rare) it could make that problem worse. Again the risk of this is no greater on you compared to someone without Graves'. As far as the inflammation it should not be worsened with Botox and the doses used with cosmetic Botox almost never produce antibodies. If you were to develop antibodies it still wouldn't worsen your swelling of the tissues around the eye. I hope this helps and good luck. 

I think you should be fine to do botox in the glabellar region as long as you use a reputable and experienced injector. I would recommend using a lower dose in case of migration but I wouldn't be concerned about inflammation from the botox itself. There is a 2% risk of eyelid and eyebrow ptosis to keep in mind in case your vision is affected already."This answer has been
solicited without seeing this patient and cannot be held as true medical
advice, but only opinion. Seek in-person treatment with a trained dermatologist
for appropriate care."