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Botox After Blepharoplasty?

Is there a waiting period recommended for getting Botox after Blepharoplasty? I am only 3 weeks post op, but I'm anxious to get started.

Asked 35 months ago by Bama Chick in Alabama

Botox after blepharoplasty

Usually there is no reason not to do Botox after blepharoplasty. However after lower blepharoplasty, particularly when the canthus has been tightened or a cheeklift has been performed, it is best to wait 3+ months. The reason for this is that some lower eyelid surgeries performed through the lower eyelid, or cheeklift procedures can weaken the lower fibers of the orbicularis muscle. Botox could further weaken the orbicularis fibers, causing a lag in the lower eyelid and drooping. It is... more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Botox after eyelid surgery: It depends.

Use of Botox® is like many other procedures, many things go into a decision of when and how to use it properly. In your case, it depends on what was done at the time of the blepharoplasty and where you want to use it. You should not need it in the “crow’s feet” area, as the blepharoplasty should have taken care of this area. If you wish to lift the corner of the eye, or reduce the wrinkles between the eyebrows, and nothing was done in these areas, then you could, if... more

Robert T. Buchanan, MD

Highlands Plastic Surgeon

ASAPS ASPS

No standards on Botox use after blepharoplasty

First, it may depend on where you are getting the injection. For example, forehead and corrogators, likely no problem. If your eyelid function is completely normal, maybe ok. I would just be very careful around the eyelids because they may be just compensating after surgery, and the Botox may cause them to not work well. Have your PS really evaluate your eyelid status. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Not strictly speaking

Although there is no formal recommendations regarding Botox after blepharoplasty it's up to your surgeon. Depending on what lids were operated on and how much work was done will determine when you can get Botox. With that said I would recommend waiting 4-6 weeks after surgery.

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

It's probably alright now

Jen-Jen, Three weeks after your blepharoplasty it is probably alright to proceed with Botox treatments. By now, most of the major swelling has subsided and your periocular muscles are probably regaining their activity anyway after being traumatized by the surgery. So, you will need to reinstitute your Botox soon. It may even serve to enhance or prolong the results of your blepharoplasty. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Botox can often be administered at the time of Blepharoplasty

Dear Jen-Jen-67, Many patients undergo Botox treatment while they are still under anesthesia in order to avoid feeling the injections. There are many procedures that are all labeled Blepharoplasty. The timing and areas of your Botox treatment depend on the type of Blepharoplasty you received. With most Blepharoplasty techniques, Botox can be used immediately in the forehead, between the eyebrows, bunny lines on the nose, lips, and neck. Here is a partial list of Blepharoplasty... more

A. Peter Salas, MD

Manhattan Plastic Surgeon

Wait 2 - 3 months

I typically wait 2 - 3 months for a botox injection following eyelid surgery. This gives the tissues a chance to heal and will allow for a more predictable treatment with botox. I would be concerned about the botox spreading too far in the early post operative period.

Jeffrey Zwiren, MD

Atlanta Plastic Surgeon

ASPS

You are good to go with Botox

Dear Jen, You have waited long enough for the BOTOX. Typically, with Microdroplet BOTOX, I find that most people can have BOTOX about a week after surgery. However, it really helps if your injector knows what they are doing. However, we have found that BOTOX done at the time of surgery or even a few days prior to surgery, can be subjected to abnormal spreading of the BOTOX when it is done in the immediate surgical area. This can lead to some unpleasant surprises. So waiting like you have is... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Wait 4-6 weeks for Botox after Blepharoplasty

It depends on which area you are getting injected. In general, I would wait for 4-6 weeks until all the swelling and bruising is gone. Forehead injection could be injected sooner, but I would wait for the crow's feet.

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Wait another week.

To jen-jen-67, Hi! After a month, you should see 90% at least of the result of your blepharoplasty. So I think it is OK to go ahead with Botox around the eyes at that point.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Botox near the time of surgery?

That is a very good question and there are no definitive guidelines, only opinions based upon individual experiencea. There is no doubt that injection techniques will have an impact on the outcome. The primary concern is that if it is injected at or soon after surgery, the botox may spread far beyond its intended target due to the surgical disruption of the tissues.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Wait 6 weeks before Botox injections after Blepharoplasty

I have found that the inflammation caused by blepharoplasty lessens the duration of the effects of Botox. It won't hurt you to have Botox sooner after Blepharoplasty but I feel the duration of the effect will be lessened. See before and after pictures: Set 1 and Set 2

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Depending on the extent of your Blepharoplasty

Your surgeon may choose to administer Botox at the time of surgery, if it is in a location that is distant from the surgical site, like neck bands for example. However, if your question pertains to the crows feet area for example, depending on the extent of your blepharoplasty, your surgeon may choose to wait, or may choose to administer it at any other appropriate time, including the time of the surgery. Three weeks post op seems sufficient to me, but there are very few "absolute"... more

Darrick E. Antell, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Make sure all swelling and bruising from Blepharoplasty is gone

In general, we recommend patients wait about 4 weeks after blepharoplasty to begin Botox. We want to make sure all bruising and swelling is gone and we want to be able to evaluate the new anatomy to know exactly where the Botox will be most effective. Discuss your concerns with your doctor and make sure you are sufficiently reovered from the blepharoplasty. Good luck.

Francisco Canales, MD

Santa Rosa Plastic Surgeon

ASAPS ASPS

Botox post-op

It is probably okay for you to have botox 3 weeks after surgery. Check with your doctor first to see if it is okay with him.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Okay to have botox

It is acceptable to have Botox injections three weeks post blepharoplasty surgery. Injections of Botox will have no effect on the results of your blepharoplasty.

William Portuese, MD

Seattle Facial Plastic Surgeon

4-6wks

Allow some time for your tissues to heal from surgery before getting botox. Typically 4-6wks is sufficient for that. If you get botox before that, you may not get the full benefit due to the swelling and injury that resulted from surgery.