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Can I Use Botox In The Same Area As Previous Fat Transfer?

I Recently Had Fat Grafted Under my Eyes. Can I Still Use Botox in the Future in That Area?

Doctor Answers (20)

Botox after fat transfer

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There are no problems in having Botox or fillers after fat transfer. I would definitely not do any treatments for at least 1 month after your fat transfer to make sure that things are stable.


Toronto Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

Botox after fat grafting

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You can absolutely use Botox after fat grafting.  They tend to work at different tissue planes, but I would still wait for a few weeks to allow the tissues to reduce their swelling.  This will ensure the Botox is getting to the muscle rather than permeate in the swollen tissues.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
5.0 out of 5 stars 9 reviews

Botox doesn't interfere with fat injections

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You may not be able to have Botox injected in an area of fat injections, if Botox were to create a functional loss of muscle activity. Usually fat injections are done in cheeks and smile creases, and the prejowl sulcus, not areas that typically have botox because of the effect it can have on muscle control.  However, the Botox injections would not interfere with the fat grafts previously placed, or vice-versa.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

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THe real question is not whether you can have Botox injected in the same area as fat transfer,

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you can, but rather why would you want to do so.  Fat transfer is a filler treatment, in the same category as Restylane, Juvaderm,  Sculptra, etc., and Botox is a muscle relaxant in the same category as Dysport (and others outside the United States).  To my way of thinking, these two separate classes of injectables are best used to treat different problems.  If facial lines can be divided into those caused by muscular activity ("the hills"), and those caused by loss of  volume ("the valleys"), then each problem can be best treated in different ways.  The hills are best treated by relaxing the hyperactive muscles of facial expression to flatten them out, in areas such as the forehead, glabella (base of the nose between the eyebrows), Crow's feet or laugh lines by the eyes, platysmal bands in the neck, etc.  The valleys are best treated by filling them in with the fillers, treating deep nasolabial folds, marionette lines under the mouth, hollow area under the eyes, etc.  So, in general, Botox and fat transfer have their own differnet uses, and rarely need to be givn in the same site. 

Michael H. Rosenberg, MD
White Plains Plastic Surgeon
5.0 out of 5 stars 1 review

Botox in area of fat injection

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I assume the Dr injecting Botox will be the same one who did the fat transfer.

In that case, he/she is knowledgeable about the location and the amount of Botox to be injected.

The only problem that would arise is to have the Botox injected in a Spa by an untrained person.

Eugene Mandrea, MD
Chicago Dermatologist
4.5 out of 5 stars 4 reviews

Botox and fillers

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The short answer to your question is yes. There is no reason you cannot have Botox injections around your eye areas even if you have had a fat injection.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Botox and fat injections

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Botox works by paralyzing the muscle at the neuromuscular junction. Therefore it should have no impact on your fat injections. Dr. Cat Begovic

Catherine Huang-Begovic, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox after fat grafting

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Botox can be safely injected in an area of previous fat grafting without compromising your result.

Kathleen Waldorf, MD, FACS
Portland Plastic Surgeon
4.0 out of 5 stars 11 reviews

Yes, fat transfer is not a contraindication to Botox

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There is no reason that you cannot have Botox in an area where you have previously had fat transfer.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.0 out of 5 stars 10 reviews

Botox, Dysport, or Xeomin Injections After Fat Transfer

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Hi Tam,

Yes you may have Botox, Dysport, Xeomin or whatever neuromodulating injection that will be next on the market injected into a area of fat transfer.  Just make sure that your injecting physician puts it in the muscle, not the fat.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.