I am 45 and am 12 weeks post-op from a "bad" Botox outcome which caused ptosis in my left eyebrow. I am also 28 days post-op from an "open" Brow lift and lower Blepharoplasty.
The right side is fine, but the left side is not. I have malar swelling and the left brow is far lower than the right.
I was told that I didn't need to wait for the Botox to completely wear off before having surgery.
Is it possible to actually damage muscle that has been treated with Botox during surgery? Do you think this will get better?
If the asymmetry is do to your botox injections, it may still improve. Although I tell my patients that botox lasts about 3 months, I have seen it last months longer in some patients.
You are only 1 month after the browlift operation. If the asymmetry is due to temorary, transient weakness following surgery, it could take several months to resolve. Unfortunately, at this time you will have to be patient.
You do not mention if you have weakness or paralysis of the brow muscle from Botox or the surgery. In any case, you should wait a significant amount of time before assessing your situation. This could be months since muscle or nerve weakness from surgical trauma might take that long to recovery. As far as doing surgery while Botox is still in effect, it is too late to change that but generally speaking it is better to wait since you don't know what the normal anatomy of the brow is with Botox in effect. Your surgeon might be able to temper your asymmetry by judicious use of Botox on the over-active side, but this will, of course, delay and confuse the appearance of your normal state.
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