Botox and Fillers Before Rhinoplasty and Otoplasty?

Question

Is it safe to have Botox in the forehead and fillers for the smile lines before plastic surgery particularly a rhinoplasty and otoplasty? Or will this affect the overall result?

Jonathan Kulbersh, MD · Answer

Prior to surgery, having Botox and fillers in areas other that the area that will operated on is perfectly ok. The Botox and fillers will stay localized to the areas they are injected and will not interfere with surgery to the nose or ears. In general, it is important to avoid the following prior to rhinoplasty:

	1) NSAIDS
	2) Vitamin E
	3) Alcohol
	4) Herbal supplements
	5) Smoking (3 months before and after surgery)

	 

	I hope this helps, and best of luck with your surgery!

Benjamin Barankin, MD, FRCPC · Answer

Having Botox or fillers like Juvederm, Restylane or Radiesse before surgery by an experienced and highly trained injector to a different site from your surgery will not have any impact.

William Portuese, MD · Answer

It is certainly acceptable to have filler and Botox before the rhinoplasty and otoplasty procedure and will have no effect on the overall result of either procedure.

Michael M. Kim, MD · Answer

It is fine to have injectables prior to your surgery. The only real exception would be if the botox or fillers are treating the site of the operation. One such example would be filler rhinoplasty. You would not want to have filler placed in the nose, prior to having an operation on the nose. Some patients who are interested in injectables and are having surgery prefer to have the injectables done when they are in the OR for maximal comfort. Of course, this wouldn't be the way that they'd be injected at subsequent appointments, but why not minimize the pain and discomfort while you're having your surgery?

	Michael Kim, MD

Kimberly Lee, MD · Answer

Yes, you can have botox and fillers placed before surgery; however, if you do choose to do so, I would avoid doing it right before surgery as the filler can inadvertently be shifted. Please consult with a board certified specialist who can better assist you in achieving the results you seek.

Steven Wallach, MD · Answer

If you have Botox and/or fillers done before surgery( meaning a week or so before) it should not impact your surgery, unless a complication develops.   Why not just do it the day of surgery?

Francis R. Palmer, III, MD (retired) · Answer

Having Botox to the forehead and lip fillers should be no problem before your Rhinoplasty and Otoplasty but check with your plastic and cosmetic surgeon to be sure.

Botox and Fillers Before Rhinoplasty and Otoplasty?

Answers (7)

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