Botox before or after endoscopic brow lift - which order is more beneficial for healing and results?

Each plastic surgeon may have their own preference, but I prefer that a patient does not have Botox injected before. As you may be aware, Botox not only treats, wrinkles, and corrugator furrows (“11’s”) but it can also elevate the brow, and so this will render the preoperative measurements of how much to lift and account for asymmetries inaccurate.

One can make an argument of injecting the corrugator muscles postoperatively to minimize the chance of the divided muscles reattaching to themselves leading to recurrence of the furrows.

I hope this helps,
best of luck !

In our practice, we do not perform an endoscopic brow lift for a variety of reasons. The coronal approach gives much better, and long-lasting results. With the coronal approach, you can adjust the hairline upwards or downwards, improve asymmetry of the eyebrows, and soften both the corrugator and frontalis muscles which helps with both horizontal and vertical expression lines in the forehead. Botox is usually not required after the surgery if the muscles have been correctly softened during the surgical procedure.