I am a 2 time liver transplant recipient and wondering if its safe to get botox?

Question

I had my first transplant 2 weeks after I turned 21 and my second 6 years ago. I take low doses of Program, 1 mg twice a day and Rapimune, 1 mg once a day.

Sheila S. Nazarian, MD · Answer

You should be fine since Botox works superficially. However, I would definitely discuss first with your doctor just to be sure. Best, Dr. Nazarian

Anh-Tuan Truong, MD, FACS · Answer

Your concerns are understandable, but I think you
should be fine receiving BOTOX. BOTOX works by paralyzing facial muscles and
has little effect on the other organ systems in your body. Having received two
liver transplants, it’s important that you review every medical decision you
make in person with your doctor. While there may be no immediately apparent
issues with receiving an injectable cosmetic treatment, you don’t want to take
chances with your health. Make sure you go to a qualified surgeon for your
Botox instead of using a DIY method, and speak with him or her about your
medical concerns.

Joseph J. Castellano, MD · Answer

Thanks for your BOTOX® question. As far as injections and
your transplanted organ, BOTOX® injections shouldn’t have any adverse effects
caused by your liver. Fortunately, BOTOX® is not broken down by the liver, but
rather it dissipates and breaks down into amino acids that are then either
recycled for use in other proteins or are excreted by the kidneys. That said,
if your liver is a concern, it’s always best to discuss with this with your
provider during a consultation. He or she will be able to give you personalized
information and answer any questions you might have regarding BOTOX®
injections.

Martin Jugenburg, MD · Answer

Thank you for your question. There are no contraindications regarding liver transplants and Botox. It is always a good idea to discuss your previous medical history with your injector. All the best,

Manish H. Shah, MD, FACS · Answer

Hello Linds5280,Thanks for your question.It should be safe for you to get Botox.  Extra precautions in preparing your skin prior to injection must be taken to reduce your chance of localized infections.  If you have any questions, though, please speak with your transplant medicine team.Warmest regards,Dr. Shah

Jason Emer, MD · Answer

Botox is fine in transplant patients. I suggest speaking to your transplant physician if you are concerned.  Best, Dr. Emer.

Dean P. Kane, MD, FACS · Answer

Dear Linds5280:I am unaware of any contra-indication to the injection of Botox for cosmetic use in a transplant patients taking anti-rejection medications if you are in optimal and stable health.I would recommend discussing this with your immunologist and transplant doctors. If you choose to proceed, make sure proper antiseptic techniques are used to minimize infection. I wish you the best!

S. Teri McGillis, MD · Answer

I know of no known contraindications to having botox ( or the like)  with your transplant or the medications you are taking. However, I trust you do see a dermatologist as having a transplant increases your risk for skin cancers!

William Marshall Guy, MD · Answer

Hello Linds5280,Botox is not broken down by the liver.  I've also never seen a study saying those drugs you are on affect the results of Botox.  You are at a greater risk for an infection with the injections but as long as appropriate techniques are employed during the Botox injection you should be fine.  I would recommend you discuss your concerns with your transplant surgeon, but I would have no problem injecting my patient if he or she had a transplant.  I hope this helps and good luck.

Stephen Weber MD, FACS · Answer

This should not be an issue but given the severity of your medical issues you should discuss with your transplant doc first.

I am a 2 time liver transplant recipient and wondering if its safe to get botox?

Answers (12)

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