Should you get botox to the forehead after a stroke?

Question

Is it ok to have forehead botox after a stroke, there is no residual weakness however when fatigued I notice a slight drooping

Justin C. Cohen, MD, FACS · Answer

There is no inherent problem with using Botox after a stroke. However, depending on the status of the muscles in your forehead and the nerves controlling them your dose and location of injections would need to be customized accordingly. I would recommend starting with a low dose at first. Botox can also help improve asymmetry after a stroke if any is present.  Good luck!

Michael I. Echavez, MD · Answer

I would not see a problem with having a Botox treatment to the forehead after having had a stroke, but it is possible that Botox could cause some drooping of the brows.  The placement and dose of the Botox used would influence if there was some brow drooping or not.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question stanley102. Botox is a great treatment for wrinkles on the face. Since Botox affects the nerves it is not recommended with certain neurological conditions such as Lambert-Eaton syndrome, amyotrophic lateral sclerosis (Lou Gherig's disease), or myasthenia gravis. I have never treated a patient who has had a stroke with Botox. I recommend consulting with your cosmetic doctor and neurologist for specific advice. Good luck!

J. Brad Turner, MD · Answer

There are no rules against using Botox after a stroke.  You may be at slightly higher risk for subtle symmetry differences due to the resting muscle tone of the muscle that was involved.  An physician injector are much more likely to have experience with patients in your situation and be comfortable treating you.  Best be evaluated by an experienced MD injector.Best of luck

Shaun Patel, MD · Answer

I see no reason why you should not get Botox injection to the forehead after a stroke. Actually, we often use Botox in patients with facial paralysis to improve facial symmetry. I would, however, recommend an in-person consultation with an experienced injector. It is very important that your face be evaluated at rest and with expression prior to injection.

Keith Denkler, MD · Answer

Botox can help.Generally it would be placed into the stronger side to balance the weakness after the stroke.Small doses by and experienced injector would be necessary.

Edwin Ishoo, MD · Answer

Unless you are completely recovered without any residual neuropathy and the event was at least 6 months ago, I would advise against it.

Should you get botox to the forehead after a stroke?

Answers (7)

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