Cataracts Surgery and Botox

Question

I have a scheduled cataracts surgery in 2 weeks , but I alsohave a class reunion in 4 weeks and I want botox to smooth my lines before then . Can I get botox injections a week before cataracts injection? Is there any contraindication?

Ron Shelton, MD · Answer

Although I am not aware of a reason to avoid having Botox injections two weeks before cataract surgery, your ophthalmic surgeon should approve your treatment preoperatively. If you are considering having the injections after your cataract surgery, then you should also obtain your ophthalmologist's approval as well.

Harold J. Kaplan, MD · Answer

We agree with Dr. Schwartz that if you use Dysport (instead of Botox) that you will be able to wait until 1 week after surgery and still have plenty of time to see the full effects of Dysport (usually 2 days).

	Alternatively, you could just speak with your surgeon and get the Botox cleared beforehand.  We do not believe this would be contraindicated.

Kenneth D. Steinsapir, MD · Answer

Agree with Dr. Cohen. Well done, not a issue. However, your ophthalmologist should have the last say in this. By the way it takes 2-3 weeks to see the full effect of the BOTOX so if you are going to do this, it needs to be done soon.

Ryan Greene, MD, PhD · Answer

As I am not an ophthalmologist, I cannot comment if there is any contraindication to Botox injection prior to cataracts surgery. Your best bet is to ask your ophthalmologist prior to receiving any Botox injections.

Robert Brueck, MD · Answer

The safest thing would be to contac t your eye doctor.I do not believe there is a reason not to.

Keshini Parbhu, MD · Answer

Clear it with your ophthalmologist but it should not be a problem to have the botox injected one week before your cataract surgery.  Many ophthalmologists offer botox in their office as well.

Steven Wallach, MD · Answer

I would clear it with your eye surgeon first, but although I doubt it would impact your surgery, why take the chance?  Reunion or no reunion.

Shawn Allen, MD · Answer

There should be no contraindication. I would just run this by your opthalmologist . As for the onset of action. Dysport and likely Botox should start working much sooner than the 2 weeks mentioned. For my patients Dysport works in 48 hours in 90% or more of them so you should be in good shape for your reunion if done at least 1 week prior. As always it is a great idea to have a skilled board certified dermatologist, facial plastic surgeon , oculoplastic surgeon or plastic surgeon perform any and all cosmetic injections since they are highly experienced with the underlying anatomy

Mitchell Schwartz, MD - Account Suspended · Answer

There appears to be a general consensus in this country that Dysport has a faster onset of action than Botox which has been my experience as well. To be safe and avoid all the concerns about cataract surgery you mentioned, why not wait until after the surgery and have Dysport injections one week before your reunion. This should be plenty of time for the Dysport to have achieved its full effect and will alleviate any concerns about Botox interfering with your cataract surgery.

Marc Cohen, MD (retired) · Answer

If you have Botox performed by an experienced and qualified doctor, it should perfectly fine to have the treatment one week before cataract surgery.

	However,  I would ask your ophthalmologist to be sure that he/she does not have any concerns about this.

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