Botox to forehead 3 days after upper blepharoplasty (skin removal only), safe or can it cause overtightness to the eyelids?

I would like to perform Botox to my forehead, mainly for the frown lines, but I'm wondering if some Botox is applied above the brows, particularly the brow tails, can it pull the eyelid skin? Would I be better off if I just get it for my fownlines (between the brows)? I know I should give myself time to heal after the upper bleph surgery, but I have no other option but to get Botox 3 days following the surgery. Note: lids are slightly swollen; & sutures to be removed 4 days following surgery.

Doctor Answers 11

Botox After Blepharoplasty

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It's always best to communicate directly with your surgeon about your desires and/or plans to have a botox treatment or any other injection, procedure, or medspa service following blepharoplasty procedure.  Your surgeon knows the specifics to your unique case and can provide you safe guidance for how/when to move forward with other treatments. Having said that, I would give yourself a few weeks to allow your surgical site to heal properly before introducing Botox to the surrounding area.  


Richardson Plastic Surgeon
4.7 out of 5 stars 15 reviews

Botox After Eyelid Surgery

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Thank you for your question. I do not recommend having Botox until you are completely healed from your surgery. The Botox can spread to surrounding muscles causing adverse effects, such as inflammation and swelling. I would discuss this with your surgeon to determine the best treatment plan for you. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Botox After Surgery

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Greetings M.M.  Thank you for this question.  As with any surgery, there is swelling.  It is advisable to wait a few weeks to allow the swelling to diminish before have any Dysport or Botox.  Best Wishes, Dr. Aldo :)

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 215 reviews

Botox After Bleph

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3 days after surgery is a bit too early to get Botox to the forehead... I would advise you to wait for a couple of weeks and allow yourself to heal a bit...

J. Wethe, MD

James D. Wethe, MD
Torrance Plastic Surgeon

Botox After Eyelid Surgery

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I advise my patients to wait 2 weeks after upper eyelid surgery to get botox.  This is to avoid any complications.

Jessica Lattman, MD
New York Oculoplastic Surgeon
4.7 out of 5 stars 28 reviews

Within 3 days of upper bleph, don't do Botox

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There is still tissue edema and swelling. This will increase the possibility of spread of the Botox. It is possible the Botox goes to areas it was not intended to go and then it would take 3 months to reverse. I'd wait at least a couple weeks from the surgery to get Botox.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Botox after blepharoplasty

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I would recommend waiting until the swelling and inflammation from the surgery has healed to prevent any chance of spreading Botox to nearby muscles causing unwanted effects. Good luck.

Botox after blepharoplasty

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Thank you for your question M.M. Botox is a purified protein used to address wrinkles associated with facial expression. Please consult with your surgeon to see what he/she recommends. There is another option other than getting Botox 3 days following the surgery: not getting Botox 3 days following the surgery. Safety is always the priority and I would go with your surgeon's recommendation. Please consult with a doctor for specific recommendations. Good luck!

Botox To Forehead 3 Days After Upper Blepharoplasty (Skin Removal Only), Safe Or Can It Cause Overtightness To The Eyelids?

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Thank you for your excellent question and congratulations on your recent surgery.  I would not recommend receiving Botox until after you have recovered from your surgery.  The issue is the potential spread of Botox to surrounding muscles caused by the presence of normal post-surgical inflammation and swelling.  Please be sure to discuss with your plastic surgeon in order to determine the best treatment plan.  Hope this helps and best wishes! 

Botox after blepharoplasty

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I would not have Botox injection so soon after your surgery. The swelling and inflammation from the surgery could cause the Botox to diffuse to nearby muscles resulting in an adverse effect. Discuss with your plastic surgeon the appropriate time for you to get Botox which should be after everything has healed.

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.