Diagnosed with Lyme disease, can I still get Botox/fillers?

Question

I've had Botox and fillers done for years with no issues. However now I have Lyme Disease and wonder if it is unsafe to continue?

Kevin Haney, MD · Answer

Some patients diagnosed with Lyme disease experience some neurological issues with this disease, and since Botox is a neuromodulator and affects nerves and muscles in the injected areas, the patient should first check with their physician monitoring the Lyme disease before proceeding with treatment. To answer your question, there is no contradiction that I am aware of. Having said this, you can be sure that there have been no "formal studies" conducted on Botox cosmetic use in persons with chronic Lyme disease. It will also depend on what symptoms you have from the Lyme disease.

Kenneth D. Steinsapir, MD · Answer

Lyme disease is caused by the transmission of B. burgdorferi and other ixodes species.  This occurs from a tick bite.  The treatment is usually in the form of doxycycline. Acute treatment is generally for about 14 days and chronic infection is treated for a longer period of time. Other antibiotic may be indicated depending on clinical circumstances. This is best done by a physicians with training the management of Lyme disease or by infectious diseases specialists. There is also a more complicated and controversial subject of "chronic lyme disease."  Unforunately, there are individuals with chronic fatigue who get diagnosed and taken advantage of by quacks offering unsubstantiated treatments for individuals who self identify as having "chronic lyme disease."  The subject is complicated.  Assuming you have recent lyme disease diagnosed by legitimate physicians, complete your treatment before having botox again.

Monika Soni, MD · Answer

Thank you for your question. Lyme
disease is not a contraindication to receiving Botox treatments. I recommend having a consultation with an
expert to discuss your concerns and to determine the best treatment plan for
you. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. Lyme
disease is not a contraindication to receiving Botox treatments. I recommend having a consultation with an
expert to discuss your concerns and to determine the best treatment plan for
you. Best of Luck!

Robert Whitfield, MD · Answer

Based on the situation you described I would be comfortable with treating you with Botox after reviewing you medical history.

Christian N. Ford, MD · Answer

Thank you for your question.  You can proceed with Botox and fillers even though you have Lyme Disease.  Please seek appropriate medical care for your Lyme Disease.  Please be sure to see an expert injector for an in-person consultation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Alex Eshaghian, MD, PhD · Answer

Thank you for your question huntwc. Botox is a purified protein used to address wrinkles associated with
facial expression. Lyme disease is not a contraindication to receiving Botox treatments. Contraindications include conditions such as Lambert-Eaton syndrome. Please consult with a doctor for specific recommendations. Good luck!

Keith Denkler, MD · Answer

Your Lyme disease will be treated.Botox will make you look and feel better during your recovery.No contraindication to Botox or fillers.

Melvin Elson, MD · Answer

There should be no problem getting either or both Botox and filler despite the Lyme disease. Bymee sure to let your injecting doctor know about the Lyme

Samuel Siddiqui, MD · Answer

Lyme's disease can have a myriad of effects in the body and can affect joints, nervous system and muscles.  The patient should be treated promptly with antibiotics.  Since Lyme's disease can cause a paralysis of the 7th nerve to make it look like having Bell's palsy, I personally would not want to treat any patient with recent and active Lyme's disease, as the effects of Botox can mimic the 7th nerve paralysis.  The patient should see their PCP or an Infectious disease specialist.

Diagnosed with Lyme disease, can I still get Botox/fillers?

Answers (10)

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