Retin-A and Botox Safe After Rhinoplasty?

I had Rhinoplasty at the end of August this year and would like to start using Retin-A cream on my face, and also have Botox for upper face and crows feet. Are there any risks with these treatments so soon (two months) after rhinoplasty? Can the Vitamin A in Retin-A affect the nose negatively?

Doctor Answers 13

Retin-A and Botox after rhinoplasty

Both Retin-A and Botox are certainly acceptable treatments two months after rhinoplasty. There are no contraindications whatsoever, and no negative effects for either drugs in regards to a prior rhinoplasty.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Retin-A, Botox shouldn't be a problem after Rhinoplasty at this point

You are far enough out from Rhinoplasty that you can use both of these products.  Remember the Retin-A can always make the skin a little irritated so you may want to start out with a smaller percentage dose. You will have no problems with Botox at this point. Good luck.

Dr. Miller

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 205 reviews

Retin A and Botox after Rhinoplasty

Some noses develop a significant proliferation of tiny blood vessels called capillaries in the skin; usually on the top of the nose. Retin A may make you more susceptible for facial redness from the direct effect of its use, however, many patients that do develop the blood vessels after the rhinoplasty probably did not use the Retin A. I am not aware of a potential problem with the use of Botox for Crow’s feet after a rhinoplasty, but check with your plastic surgeon.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

As for Botox it is best to wait about 4-6 weeks, Retin A when the swelling is down

If you use Retin-A on the skin when there is edema you will experience more irritation and peeling.

Using Botox earlier than 4-6 weeks may not be as effective due to the edema around the muscles.between the eyebrows.

Amir Moradi, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Use of Botox and Retin-A after Rhinoplasty

The proliferative phase of wound healing is complete at 6 weeks postoperatively. In my opinion use of Botox or Retin-A are reasonable to commence at 8 weeks postoperatively.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Botox and retin A after rhinoplasty

At 2 months after a rhinoplasty, I see no reason not to restart Botox and Retin A .  If the skin was irritated from tape, then I would hold off the Retin-A , but this should not be a problem at 2 months.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

You should be fine

If you have had an unremarkable (that is, no complications), you should be abble to use both produucts without a problem.  You may want to run it by the surgeon, but you should be fine.


Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.7 out of 5 stars 101 reviews

RetinA & Botox after Rhinoplasty

Botox can be resumed one week after rhinoplasty.

Retin-A can be started one month after rhinoplasty. Any earlier can lead to increased irritation of the nasal skin or the lower eyelid and cheek areas.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 107 reviews

Botox and Retin-A after rhinoplasty

 There are no contraindications for using Retin-A or Botox after a rhinoplasty.  My only recommendation is that you wait until you've healed from the surgery and the swelling has resolved.  This may take 2-3 weeks.

Best of luck, 

Dr. Karam

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.6 out of 5 stars 114 reviews

Retin-A potentially helpful after Rhinoplasty

Hi Ella

If you have been off the Retin A for a while, remember to ease back into it. Generally the skin will have a certain tolerance for the irritating effects of the Retin A. The goal after all is to look better and not to make the skin red, flaky and feeling like it is on fire. I usually recommend restarting a frequency that it much less often than what you had been successfully using the product at. For example if you had been using Retin A every other night, start using it every 4 or 5th night for 6 weeks, then increase by one day and allow the skin to adjust for another 6 weeks.

This will gently return you to a frequency that the skin will tolerate with no significant skin irritation. If this does occur, decrease the frequency and work patient back to what does work for you. Don't assume that if you had been using the product ever day, that this will be what your skin will be happy with.

One of the documented effects of Retin A is to thicken the epithelium. This generally is beneficial for the face as well as the nose and can help bridge and hide small surface irregularities that can develop after rhinoplasty.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 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.