Can an old untreated orbital floor fracture cause Botox to seep into my nasal cavities and cause breathing difficulties?

Botox might be more deeply inserted by some providers than necessary. In the olden days when Botox began some doctors touched the bone and backed up until they were in the muscle and then injected. This never made sense to me and especially around the crows feet of the outer eyelid muscles, a very superficial injection is needed, not even down to the muscle. With such technique there should be absolutely no concern of the Botox leaking into the sinuses because of a blow-out fracture.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

Botox might be more deeply inserted by some providers than necessary. In the olden days when Botox began some doctors touched the bone and backed up until they were in the muscle and then injected. This never made sense to me and especially around the crows feet of the outer eyelid muscles, a very superficial injection is needed, not even down to the muscle. With such technique there should be absolutely no concern of the Botox leaking into the sinuses because of a blow-out fracture. The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

There is no reason for concern or correlation. Botox injected into the crow's feet will not spread all the way to sinuses. Area of diffusion is small and is only injected into the muscle plane. Hope this helps. 

Hello
Many thanks for your question. Your fracture should have healed well by now so I don’t think there is any cause for concern. Also the spread for Botox is only small so wouldn’t spread all the way into the sinuses or affect the breathing muscles.  
I would go and see an injector and explain your concerns and medical history so they can elvaluate your situation and reassure you as necessary.


 

Your are not at higher risk of Botox complications or side effects because of your previous orbital floor fracture. Crow's feet injections are superficial and far away form the orbital floor. Breathing muscle paralysis may happen with certain pre-existing muscle or nervous system illnesses.

There is no reason for concern. Botox injected into the crow's foot area will not spread all the way into the sinuses - its extent of diffusion is very small. Additionally,  the muscles involved with breathing are nowhere near the sinuses.

You shouldn't have any issues with your Botox treatment as your old orbital fracture has already been healed quite well I'm sure. Good luck from New York City

Thanks for your question. Its important that you let your practitioner know about your medical history but there is no reason that well-placed injections for your crow's feet should cause you any problem - diffusion from the site of injection is quite limited.Best wishes.

Hello thanks for your question. The best course of action would be to have a consultation with your injector however it is very unlikely you will have any diffusion of the toxin that far. The amounts used is minimal and the toxin is placed in to the muscle itself. Always seek a qualified and experienced injector