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?
Answer: Timing of upper blepharoplasty, forehead lift, and Botox It depends on your reasons for the Botox. If the only reason you get Botox is for the crow's feet than it should not really effect the upper blepharoplasty and I would proceed. If you get Botox because of the forehead lift secondary effects you may want to consider a transblepharoplasty browpexy or a browlift procedure with your upper lid blepharoplasty. There are many reasons for a browlift. Occasionally excess upper lid skin can cause you to compensate by using your forehead muscles to lift the skin out of your line of sight. Many people notice that their forehead lines ease when they have a upperlid blepharoplasty because their forehead doesn't have to work so hard to get the skin out of the way. I would discuss this with your surgeon who can review your anatomy and concerns. In my opinion, however, I would wait the 4 months.
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CONTACT NOW Answer: Timing of upper blepharoplasty, forehead lift, and Botox It depends on your reasons for the Botox. If the only reason you get Botox is for the crow's feet than it should not really effect the upper blepharoplasty and I would proceed. If you get Botox because of the forehead lift secondary effects you may want to consider a transblepharoplasty browpexy or a browlift procedure with your upper lid blepharoplasty. There are many reasons for a browlift. Occasionally excess upper lid skin can cause you to compensate by using your forehead muscles to lift the skin out of your line of sight. Many people notice that their forehead lines ease when they have a upperlid blepharoplasty because their forehead doesn't have to work so hard to get the skin out of the way. I would discuss this with your surgeon who can review your anatomy and concerns. In my opinion, however, I would wait the 4 months.
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CONTACT NOW Answer: Okay to have botox It is okay to have Botox either before or after a blepharoplasty and will not affect the results of the upper or lower eyelid blepharoplasty. Botox for crow’s-feet will not affect the results from blepharoplasty.
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CONTACT NOW Answer: Okay to have botox It is okay to have Botox either before or after a blepharoplasty and will not affect the results of the upper or lower eyelid blepharoplasty. Botox for crow’s-feet will not affect the results from blepharoplasty.
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March 15, 2009
Answer: Wait if Botox was injected under lateral brow If you have had an under the brow injection of botox you should wait until the botox wears off. If your brows "lowered" after the botox treatment you should also wait.
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CONTACT NOW March 15, 2009
Answer: Wait if Botox was injected under lateral brow If you have had an under the brow injection of botox you should wait until the botox wears off. If your brows "lowered" after the botox treatment you should also wait.
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April 12, 2019
Answer: OK to perform Blepharoplasty with Botox in place You will know how much of a browlift you really received from Botox treatment of your crow's feet. Although it is best to have the Botox effects removed prior to blepharoplasty, in most cases, it is not a big issue. If you receive your Botox from the same surgeon who will perform your eyelid procedure, s/he will know anyway. Some patients get a dramatic (undesirable?) devil's peak effect of the brows after botox. In this situation, your surgeon will likely recommend holding off with the surgery until it has normalized.
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Answer: OK to perform Blepharoplasty with Botox in place You will know how much of a browlift you really received from Botox treatment of your crow's feet. Although it is best to have the Botox effects removed prior to blepharoplasty, in most cases, it is not a big issue. If you receive your Botox from the same surgeon who will perform your eyelid procedure, s/he will know anyway. Some patients get a dramatic (undesirable?) devil's peak effect of the brows after botox. In this situation, your surgeon will likely recommend holding off with the surgery until it has normalized.
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March 9, 2009
Answer: Best to allow the Botox to wear off Dear Apple123, Ideally, you would allow the Botoxto completely wear off prior to eyelid surgery to have the most accurate pre-operative assessment. The Botoxwill have an effect on the position of the brow and how much skin hangs into the eyelid. The most important issue is of course, how exactly was the Botoxdone? Having said that, the very last millimeter of skin should not be removed from the upper eyelid during the blepharoplasty. An upper eyelid fold should be preserved to avoid post-operative lagophthalmos, which is when the eye cannot fully close. The amount of skin hanging into the upper eyelid space can have a profound effect on the position of the eyebrow. When the skin of the upper eyelid fold rest on the upper eyelid lashes or eyelid platform, a signal is sent to the brain to elevate the forehead. This forehead activity in the frontalis muscle elevates the eyebrows and lifts the upper eyelid fold. When skin is removed from the upper eyelid, the amount of work performed by the forehead will be incrementally decrease. As the forehead relaxes, the brow falls, and so does the upper eyelid fold. A Botoxtreatment can make this situation better or worse. If the surgeon doing the surgery also did the Botoxtreatment, presumably they know the effect of their own treatment. However, if they did not perform the treatment, it would be prudent to allow the Botoxto wear off.
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CONTACT NOW March 9, 2009
Answer: Best to allow the Botox to wear off Dear Apple123, Ideally, you would allow the Botoxto completely wear off prior to eyelid surgery to have the most accurate pre-operative assessment. The Botoxwill have an effect on the position of the brow and how much skin hangs into the eyelid. The most important issue is of course, how exactly was the Botoxdone? Having said that, the very last millimeter of skin should not be removed from the upper eyelid during the blepharoplasty. An upper eyelid fold should be preserved to avoid post-operative lagophthalmos, which is when the eye cannot fully close. The amount of skin hanging into the upper eyelid space can have a profound effect on the position of the eyebrow. When the skin of the upper eyelid fold rest on the upper eyelid lashes or eyelid platform, a signal is sent to the brain to elevate the forehead. This forehead activity in the frontalis muscle elevates the eyebrows and lifts the upper eyelid fold. When skin is removed from the upper eyelid, the amount of work performed by the forehead will be incrementally decrease. As the forehead relaxes, the brow falls, and so does the upper eyelid fold. A Botoxtreatment can make this situation better or worse. If the surgeon doing the surgery also did the Botoxtreatment, presumably they know the effect of their own treatment. However, if they did not perform the treatment, it would be prudent to allow the Botoxto wear off.
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