Fast facts

Botox 

What it is: Cosmetic injection to relax wrinkle-forming facial muscles intended to reduce fine lines and wrinkles. Botox injections typically last up to 4 months.

What it addresses:

- Lines between eyebrows
- Furrows on forehead
- Crow's feet
- Smile lines
- Neck wrinkles
- Bell's Palsy
- Facial Asymmetry
- Excessive sweating

 
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Question

Can I still get Botox after a stroke?

I had a Stroke in 2004, which affected the right side of my face for eight months. Now that I'm fine, I was wondering if it's possible to get Botox on my face? Thank you.

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Asked by: boogie
leicester, england

Answers (2)

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1
October 16, 2008

Treatment of stroke and facial paralysis

Shepherd Pryor, MD
Shepherd Pryor, MD
Board Certified
Facial Plastic Surgeon

boogie,

I agree that it is always wise to have clearance from your physician that you are medically stable to undergo any medical procedure.  With that being said, I have treated a large number of patients who have suffered facial paralysis for any number of reasons, including stroke.  With long term paralysis, greater than 2 years, treatment with Botox is a nice option to provide improved symmetry.  Some patients can suffer synkinesis, or abnormal muscular tics or contractions, and Botox may serve a wonderful purpose to provide relaxation or decrease overaction of the unaffected side that has compensated.  Ultimately, it is a nice adjunctive treatment to other options including physical therapy, neurologic biofeedback, and surgery to improve facial symmetry.

Be Well

Dr. Pryor

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2
September 16, 2008
Michael A. Persky, MD
Michael A. Persky, MD
Board Certified
Facial Plastic Surgeon

Hi Boogie,

I would speak with your neurologist before having anything done.  Most likely it would be fine to have Botox in your face 4 years after a stroke that you have recovered from, but still get clearence from your  "stroke" doctor first.  Good luck and be well.

Dr. P

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