How Will Botox Affect Blepharoplasty Result?

Botox should not interfere with upper eyelid surgery per se. However when judging eyelid position and brow position it is best not to have Botox on board.
Also, Botox can diminish orbicularis function and should be used with caution after lower eyelid surgery or cheeklift procedures.

Botox should not effect your blepharoplasty results. In fact, many surgeons prefer to treat their patients with Botox just prior to blepharoplasty. This, in theory, relaxes the obicularis muscle allowing for better skin healing.

It all depends on if the Botox was still active. If you have functioning Botox at the time of the belpharoplasty (which means that the orbicularis muscle was partially paralyzed leading to an elevation of the lateral brow) then when it wears off, you may get a little extra fullness laterally where the skin is no longer stretched from the elevation of the brow. However, in all likelihood, you are going to continue with the Botox for your crow's feet, so the concern is really a non-tissue. I hope this is helpful. Good luck.

Dear Canada,
Crows feet Botox can have some effect on brow position and this should be evident in lateral eyelid hooding. The small difference is not likely to have a big impact on the upper eyelid excision for the blepharoplasty. However, the Botox effect is maximal at 3 weeks and by 4 months there is almost no effect left. This should have a minimal effect on your surgery.
Regarding when you should evaluate the results of surgery, almost all surgeries take much longer to heal than we think. By 10 days most bruising is resolved. By 6 to 8 weeks, most swelling has settled down but it may be 6 to 12 months to achieve what most would consider a complete healing.

The short of it is that in 4 months the botox should have minimally affected your blepharoplasty results. It is almost completely worn off and shouldnt affect the outcome.


 

Depending on the person, if she has been getting Botox or this is her first treatment and the freshness and the amount of units of the Botox given - treatment of the Crow's feet areas results in smoothing from 4 to 6 months.
Theoretically, the surgeon may want to see the extent of the crow's feet IF they are associated with a large amount of upper lid skin because the surgical scar is designed to fall into one of the crow's feet wrinkles. Practically, such wrinkles leave a faint mark which is visible to the trained eye and a good surgeon can see it for scar placement. If the Botox effect was still on in your case, it probably was not very strong and I doubt it changed anything significantly.
Personally, I would do the eyelid surgery first and use Botox afterward to make my results look even better.
Dr. P. Aldea

The only time that Botox would be a concern with the upper lids is if you got a lid droop due to the Botox. Or if you have significant brow droop that is accentuated with the Botox.
Standard Botox treatment of the crow's feet, forehead or glabellar region has no effect on a blepharoplasty.
So don't worry. I'll bet your results will be excellent.

The effect of Botox will most likely be gone by 3 - 4 months and this would not effect a blepharoplasty in anyway. A standard blepharoplasy will have not lasting effect on the crow's foot area and a botox injection would only enhance your result.

Canada: Botox used to treat crow's feet / squint lines typically wears off gradually between 3 & 4 months. Some mild effect may be present longer, but not much. If you had been using Botox in that area more than two years on a regular basis, you might achieve a longer lasting effect. I do not think that you should be concerned. Regular use of Botox to treat those lines is a potential benefit for you and a supplement to your upper blepharoplasty surgery. You were right to alert your surgeon to the prior use of Botox and its timing. As far as evaluating your results from blepharoplasty; you should see benefits within 1-2 weeks, most of the swelling should be gone in 1-2 months (depending on techniques), and results can improve for 6-12 months as final scar fading occurs. Your surgeon should be able to advise you more specifically.

Botox works wonderfully for crows feet and helps open or lift the brow to help make the lid look open and bright. The Botox may last up to six months, however most of our patients now come in for Botox at four month intervals.Your Botox four months before your lid rejuvenation should not affect the result. You are likely to continue the Botox after to keep the dynamic lines as soft as possible, but again your result should be just fine.Best of luck,peterejohnsonmd