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How Will Botox Affect Blepharoplasty Result?

I had an upper Blepharoplasty. I would like to know how long after I can evaluate the results? My concern is that I had the surgery 4 months after having Botox for crow's feet.

I told the surgeon about the timing, and he was not concerned (he did not administer the Botox). I have since been reading on the site the fact that the Botox can affect the results, and that it can take up to 6 months to wear off.

Should I be concerned if it had not completely worn off? Does it wear off gradually or suddenly? Should most of the effects be gone at 4 months?

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16 Doctor Answers | Asked by Canada in Montreal

Doctor Answers (16)
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Botox will not harm and can improve Blepharoplasty results

I recommend Botox injections for all of my blepharoplasty patients because Botox reduces the crows feet which can mar an otherwise beautiful blepharoplasty result. I wait until after the blepharoplasty to administer Botox only because I have found that the surgery can reduce the duration of the Botox result-thus I am trying to save the patient the expense of additional Botox treatments. Having Botox several months before a Blepharoplasty should have no negative effect on your... more

Botox and blepharoplasty

Botox should not interfere with upper eyelid surgery per se. However when judging eyelid position and brow position it is best not to have Botox on board. Also, Botox can diminish orbicularis function and should be used with caution after lower eyelid surgery or cheeklift procedures.

Botox and blepharoplasty

The short of it is that in 4 months the botox should have minimally affected your blepharoplasty results. It is almost completely worn off and shouldnt affect the outcome.

Botox affecting blepharoplasty results?

While I would do the Botox after eyelid surgery rather than before, I really doubt that your treatment sequence had any effect on the result from your bleph.

Botox; Before or After an Upper lid Job (Blepharoplasty)

Depending on the person, if she has been getting Botox or this is her first treatment and the freshness and the amount of units of the Botox given - treatment of the Crow's feet areas results in smoothing from 4 to 6 months. Theoretically, the surgeon may want to see the extent of the crow's feet IF they are associated with a large amount of upper lid skin because the surgical scar is designed to fall into one of the crow's feet wrinkles. Practically, such wrinkles leave a faint mark which... more

OK to have blepharoplasty 4 months after Botox.

Hi. 1) The results of Botox injections wear off at 4 months. 2) The Botox will have no effect on your blepharoplasty. 3) You see most of the result of a blepharoplasty in one month, except that the scars continue to improve.

It has no effect

The only time that Botox would be a concern with the upper lids is if you got a lid droop due to the Botox. Or if you have significant brow droop that is accentuated with the Botox. Standard Botox treatment of the crow's feet, forehead or glabellar region has no effect on a blepharoplasty. So don't worry. I'll bet your results will be excellent.

No change with Botox

The effect of Botox will most likely be gone by 3 - 4 months and this would not effect a blepharoplasty in anyway. A standard blepharoplasy will have not lasting effect on the crow's foot area and a botox injection would only enhance your result.

Botox and Blepharoplasty

Botox should not effect your blepharoplasty results. In fact, many surgeons prefer to treat their patients with Botox just prior to blepharoplasty. This, in theory, relaxes the obicularis muscle allowing for better skin healing.

Botox should not interfere

Canada: Botox used to treat crow's feet / squint lines typically wears off gradually between 3 & 4 months. Some mild effect may be present longer, but not much. If you had been using Botox in that area more than two years on a regular basis, you might achieve a longer lasting effect. I do not think that you should be concerned. Regular use of Botox to treat those lines is a potential benefit for you and a supplement to your upper blepharoplasty surgery. You were right to alert... more

Botox should not harm blepharoplasty result

Botox works wonderfully for crows feet and helps open or lift the brow to help make the lid look open and bright. The Botox may last up to six months, however most of our patients now come in for Botox at four month intervals. Your Botox four months before your lid rejuvenation should not affect the result. You are likely to continue the Botox after to keep the dynamic lines as soft as possible, but again your result should be just fine. Best of luck, peterejohnsonmd

It all depends on if the Botox was still active.

It all depends on if the Botox was still active. If you have functioning Botox at the time of the belpharoplasty (which means that the orbicularis muscle was partially paralyzed leading to an elevation of the lateral brow) then when it wears off, you may get a little extra fullness laterally where the skin is no longer stretched from the elevation of the brow. However, in all likelihood, you are going to continue with the Botox for your crow's feet, so the concern is really a non-tissue. ... more

Botox effect is minimal at 4 months

Dear Canada, Crows feet Botox can have some effect on brow position and this should be evident in lateral eyelid hooding. The small difference is not likely to have a big impact on the upper eyelid excision for the blepharoplasty. However, the Botox effect is maximal at 3 weeks and by 4 months there is almost no effect left. This should have a minimal effect on your surgery. Regarding when you should evaluate the results of surgery, almost all surgeries take much longer to heal than we think... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Blepharoplasty does not correct crows feet

Blepharoplasty does not correct crow's feet. A long time ago, plastic surgeons attempted to remove the muscle that causes crow's feet with disastrous results. The area became hollow and very unatural appearing. Today, an upper bleph treats the skin and fat of the upper lid. The best and only way to treat crow's feet is with BOTOX. But the two should not affect the other. However, BOTOX to the forehead can affect the surgeons ability to mark the correct amount of skin to be removed during an... more

Botox is temporary

The effect of Botox generally lasts from 4-6 months. It is rare to see a more prolonged effect. The effect of botox on the crow's feet should be minimal in assessing the results from an upper lid blepharoplasty. Treatment of the forehead would have a more significant impact since these muscles can have a greater effect on brow position, which could impact the appearance of your upper eyelids.

Botox should have no effect on Blepharoplasty result

It is unlikely that Botox injected for crow feet would affect your upper lid surgery. Large doses injected below the brow to elevate it might raise the brow and induce a false correction. This might lead to less skin excision.