Botox Before Rhinoplasty Okay?

Question

I am planning on revision rhiniplasty as soon as possible. I'm in the process of trying to choose my surgeon and then set the date. Of course I would love to hop on a plane and have it next week! But I know it doean't work like that and there is going to be a time lag of a month or two before before the surgery. I get botox for my crows feet and bunny lines (major bunny lines). Do I have to stop my botox treatment before surgery?

Otto Joseph Placik, MD · Answer

As long as there is a slight delay between the two procedures, I see no problem with proceeding with botulinum toxin injections one month prior to nose surgery

Eric M. Joseph, MD · Answer

If you have "major bunny lines" when you smile, it may be beneficial to paralyze them before your revision rhinoplasty surgery. I've performed Rhinoplasty Surgery on many of my Botox patients without incident.
Choose your Rhinoplasty surgeon wisely. While you're doing research, look into Non-Surgical Rhinoplasty if your nose isn't too large.
I hope you find this helpful.

Paul S. Nassif, MD · Answer

When having Botox performed prior to surgery, you should avoid the bunny lines. Hope this helps answer your question. Thank you and best of luck to you.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Your BOTOX treatments should not affect your decision to have a rhinoplasty. You notice that your bunny lines after surgery may be less active for a while after surgery due to swelling of that muscle.

Ron Shelton, MD · Answer

There should be no interaction between the Botox used for bunny lines and having a nose job. If the treatment for the bunny lines, however, is injected too low down on the side of the nose, then the muscle that helps keep the lip elevated could be affected and the upper lip may lower asymmetrically. This lowering of the lip could accentuate the temporary distortion that is created by surgical swelling after the rhinoplasty. To be clear, this lowering of the upper lip is a risk of Botox injections for bunny lines and has nothing to do with the rhinoplasty.

Stephen Prendiville, MD · Answer

There is no reason to stop your Botox before surgery. Botox will not affect Rhinoplasty results or recovery in any way. For simple disclosure purposes, I would let your surgeon know that you have had it.

Toby Mayer, MD · Answer

Botox before rhinoplasty will not affect the result since only bone and cartilage are being molded and the effect of botox does nothing to change with the result.

Mehryar (Ray) Taban, MD, FACS · Answer

Botox should not have any effect on rhinoplasty surgery.  But you should ask your surgeon too, so that you are both on the same page.  Good luck.

Tanveer Janjua, MD · Answer

There is no reason for you to stop your Botox before rhinoplasty. The only time it can be an issue is if you were having Botox close to the nostrils which could minimize the flare of the nostrils.
Regards

Louis M. DeJoseph, MD · Answer

There is no problem in having botox prior to a surgical procedure such as Rhinoplasty. In fact, Botox is routinely injected into the frown lines prior to endoscopic brow lifting to help with the results of the lift. I also use it around the crows feet prior to laser resurfacing. It keeps the skin smooth and free of wrinkling while it is healing which intern gives a smoother long term result.

Botox Before Rhinoplasty Okay?

Answers (18)