Is it possible to have DAO mouth Botox 6 weeks after rhinoplasty?

Question

Hi, I had a septo-rhinoplasty 3 weeks ago, with a 1mm columella raise, tip definition and alar base narrowing. I am not yet fully able to smile, given residual swelling. Is it possible to have Botox to the DAO (downturned mouth corners) and Masseter muscle, 6 weeks after this rhinoplasty? What is the minimum time to wait?

Anna Chacon, MD, FAAD · Answer

It's generally advisable to consult with your surgeon or a qualified medical professional about the timing and safety of receiving Botox injections after a rhinoplasty. However, here are some general considerations:

1. Healing Time: The healing process after a rhinoplasty can vary, but typically, significant swelling and healing occur within the first few weeks to months. By 6 weeks post-surgery, many patients experience substantial reduction in swelling, but full healing can take up to a year.

2. Botox and Healing: Botox injections in areas like the DAO (Depressor Anguli Oris) and Masseter muscles are generally considered minimally invasive and have a low risk of complications. However, your face is still healing from surgery, and any additional procedures could potentially affect the healing process or the final results of your rhinoplasty.

3. Surgeon's Advice: It is crucial to follow the advice of your surgeon who performed the rhinoplasty. They will have the best understanding of your specific case and healing progress. They may recommend waiting until most of the swelling has subsided and the tissues have sufficiently healed before proceeding with Botox.

4. Typical Waiting Period: Many surgeons recommend waiting at least 3 to 6 months after a rhinoplasty before undergoing any additional facial procedures, including Botox. This allows for adequate healing and reduces the risk of complications.

Given that you are still experiencing residual swelling and difficulty smiling, it might be beneficial to wait a bit longer before getting Botox injections. Discuss your concerns and the potential timing with your surgeon to ensure the best possible outcome for both your rhinoplasty and any subsequent treatments.

Jill Hessler, MD · Answer

It should be fine to have Botox to the DAO and Maesseter muscles after rhinoplasty. The surgery should not impact botox in these areas.

Lexie Wang, MD · Answer

You can totally get botox now. As long as it's nothing around the nose area, you could honestly get botox as soon as 1 day after surgery. There's no interaction between surgery and the neurotoxin.

Ryan Rebowe, MD · Answer

These areas of neuromodulator injection should have no effect on your rhinoplasty. You should be able to have this done certainly within 6 weeks of surgery.

Niro Sivathasan, MBBS, MRCS, DU (Plast), FAACS · Answer

Yes, no issue from what you've described (i.e., septorhinoplasty a couple of weeks ago and neuromodulation of DAO muscles).

Camille Cash, MD · Answer

It is possible you may be okay to have Botox six weeks after your rhinoplasty, but it is best to talk to your surgeon.  She/He can determine how you are progressing through recovery especially with regard to swelling to determine if a Botox treatment would be acceptable.

Is it possible to have DAO mouth Botox 6 weeks after rhinoplasty?

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