Let Botox wear off before upper lid Blepharoplasty

Brooke R. Seckel, MD answers: Upper Blepharoplasty after Botox?

I get Botox to treat my crows feet every 3 to 4 months (for the past year). I would like to have upper eyelid Blepharoplasty to reduce baggy skin in my upper eyelids. I have heard that treating crows feet with Botox can create a temporary brow lift and reduce some of the redundant skin in the upper eyelid, and therefore it is best to have all the Botox worn off before doing an upper Blepharoplasty.

On the other hand, I have heard that having the Botox in the eye area prior to upper Blepharoplasty can be positive, since it reduces movement during healing and can help improve scar appearance. When is the best time to have an upper Blepharoplasty following Botox for crows feet? If it is best to let the Botox wear off, is 4 months sufficient time for the effects of Botox on lifting the brow to wear off, or should I wait 6 months before undergoing Blepharoplasty surgery?


Brooke R. Seckel, MD
8 months ago

I agree that it is best to let the Botox wear off before Blepharoplasty, so that the brow position is normal and not reducing upper lid skin for removal. Surgery does lessen the effect of Botox, so I would wait 6 weeks after surgery for your next Botox treatemnt.

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