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For the most part concerns about infection and reanal clearance and nephrotoxicity are paramount in an individual with a kidney transplant, However, I generally do not see a contra-indication if acceptable to your transplant surgeon and nephrologist.
As long as your kidney transplant surgeon and internist agree, there should be no issue with Botox provided that the standard aseptic technique is used (the physician disinfects the skin, sterile needles, etc.).
BOTOX is a purified protein that is used to adjust the muscles of facial expression. There is no live bacteria in the product. There are no contraindications to having BOTOX simply because you are immune suppressed for your kidney transplant. Having said that, given your medical condition, it is always best to check with your internist or nephrologist who is following you and get their advise regarding any treatment you may be considering.
I have treated kidney transplant patients in the past, but you should clear it with your kidney doctor first. It may be a bit premature to do so.
I'd talk to your oncologist and internist to get their clearance. A lot of it depends on how immunosuppressed you are and what other medical issues you have. I would not proceed until you have discussed it with them. Once they clear you for the treatment, it is of utmost importance that your Botox injector is extremely careful to keep everything as sterile as possible so you don't get an infection. Dr. Cat Begovic M.D.