Why is Botox too risky with multiple sclerosis?

Question

I was just sent home from an appointment. I have Multiple Sclerosis. I am aging quickly and wanted wrinkle relaxers. I attended a group class. Firstly I was on a budget which was announced among strangers. Secondly I was told that I can only have relaxers if I attended 1 on 1 appointment which was much more expensive. I was told that Botox was too risky with Multiple Sclerosis. My question is how when it is used in many ways as treatment with MS?

Monica Boen, MD · Answer

Thank you for your question and I’m sorry you had that experience. Botox is actually used to treat MS, as you have indicated, so this condition is not a contraindication for Botox treatments. I recommend you schedule a consultation with a board-certified dermatologist so you can discuss your medical history and your aesthetic goals. With an expert provider who will take one-on-one time with you, you are likely to achieve the results you want.

Kimberly Butterwick, MD · Answer

Thank you for your question. MS is not necessarily a contraindication for Botox injections; in fact, this treatment is often recommended for MS patients to address various symptoms of the condition. I encourage you to make an appointment with a board-certified physician who is an expert in Botox. Discuss your concerns and your aesthetic goals to determine whether Botox is the appropriate treatment for you. In addition to ensuring a safe procedure, this experienced professional will also be able to produce the best possible results for you.

Neel Bector, MD · Answer

Hi, thank you for the question. MS is progressive autoimmune disorder that attack nerve cells and botox is widely used to treat complications of it. There are no risks involved. I would recommend you to consult a reputable injector. 
Best Regards,
Dr.Neel Bector

Joshua Wall, MBBS · Answer

Hi Naomi, 
Thanks for sharing your enquiry. Sounds like you had an awful experience. 
Multiple sclerosis is not a contraindication to facial botox treatments. I would respectfully recommend you seek out a doctor with significant experience in cosmetic injectables.

Warmest regards,

Dr Josh Wall (Medical Director, Contour Clinics, Sydney)

Maria Milone, MBBS · Answer

I would have no concern treating you as MS is not a contraindication to botox treatment. I would encourage a consultation and treatment with  a doctor and do not believe there is a place for group treatments regardless .

Camille Cash, MD · Answer

It is possible for you to have Botox treatments.  I encourage you to see an experienced board certified plastic surgeon who is aware of your health history for your injections.

Jacqueline Calkin, MD · Answer

I treat several patients with Botox Cosmetic who have MS. As you correctly stated, it is also sometimes used to treat the symptoms of MS. I would respectfully recommend you find a reputable doctor. Look for a board certified dermatologist, facial plastic surgeon, plastic surgeon or oculoplastic surgeon. Botox is not something that should be done in a “group” setting and if it is it should not be cheaper.

Alain Michon, MD · Answer

Thank you for your question. Botox is often used to treat spasticity, overactive bladder or other complications of multiple sclerosis. It is most commonly used for cosmetic reasons. I have many patients with MS that does Botox to treat their 11's/frown, forehead lines and crows feet. The only issue is that it may mask facial flare up of MS while on Botox. Botox last on average 3-4 months. I recommend discussing your concerns with your neurologist. I hope this help. All the best, Dr.Michon

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Why is Botox too risky with multiple sclerosis?

Answers (8)

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