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Would Botox Affect Melasma?
Can Botox worsen skin pigmentation issues like melasma?
Botox and Melasma
Thanks for your question - Botox will not change melasma. Botox directly interferes with the neuromuscluar junction. Melasma is characterized by hyperpigmentation. The pharmocologic action of Botox is completely unrelated to hyperpigmentation. /n I hope this helps.

