Can I have Botox before Ptosis surgery?

In short, I would suggest discussing with your ptosis surgeon, and probably deferring treatment until after your ptosis procedure. Botox is a powerful tool that can adjust muscle tone and customized fashion throughout the face. If your Botox treatment is performed near the eye region, the orbicularis muscle can be affected.  The orbicularis muscle is responsible for the lateral eyelid wrinkles – crows feet – and so is a common reason for intended Botox treatments. Botox in this area, weakens this muscle, and can mask underlying ptosis (making things difficult for the ptosis surgeon) because the orbicularis muscle acts as a counter to the eyelid elevating muscle. Hope this is helpful to you – good luck! 

I would recommend you wait until the final results of your ptosis surgery. Your physician will be able to better determine what is needed once you have fully healed. Having Botox injections before your surgery can affect the position of your eyelids which can lead to an over or under correction of your ptosis. Be sure to advise your physician before surgery if you have had Botox injections. Good luck. James Lee

 Thank you for sharing your question. You should not have Botox injections prior to your surgery (ptosis repair) due to the fact that it could affect what position your eyelid is positioned at during surgery. Discuss this with your doctor. Good luck,

Botox decreases muscular movement of the forehead.  Often, when the lid or attachments to the lid are weak they require the forehead muscles to assist in lifting it.  It would be best to wait on the Botox until the ptosis surgery and healing phase have been completed. 

Thank you for sharing your case and photos.  Your surgeon should definitely be informed of your decision to do Botox.  In most cases, I would recommend waiting until after your surgery to do Botox,especially because this is a revision.  Good luck!