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The most accurate evaluation can be made after the effects of the Botox have worn off (typically 3-4 months). This way the brow and upper lid relationship and upper lid skin excess can be best assessed.
Thank you for your question. I would wait to have a consultation for an examination of your upper eyelid and brows until the botox wears off. Botox last 3 months.
There are 2 important questions to ask about this topic:1: Can I be evaluated for eyelid surgery if I have had Botox (or Dysport or Xeomin) injections recently and 2. Can Botox injections be done at the same time as blepharoplasty. The answer to the first is that it is best to wait until the effects of Botox has worn off as it can affect the appearance of the lids in subtle (or not so subtle!) ways. The answer to the second is that, in my experience, it is best to avoid performing Botox injections on the same day as blepharoplasty, brow lifting, or other procedures which may produce significant swelling in the areas where the Botox is injected as this may lead to unwanted spread of the drug and unpredictable effects.
Because most eyelid anatomy is affected by the position of the brow, it's best to allow the Botox effects to diminish. This, in most cases, takes three months.
Botox as well as the other neurotoxins that are available to us in the United States currently typically last 3-4 months. I therefore recommend that you wait 3-4 months prior to your blepharoplasty. It is ideal for there to be no muscular relaxation when planning for the blepharoplasty. Best of luck to you. I hope this was helpful.
If you are going to be evlauted for either a brow lift or blepharoplasty, it is best to allow the Botox to wear off. It usually takes 3-4 months to wear off.
Botox and other neuromodulators can take up to two weeks to work. I wouldn’t worry and the unevenness is something that usually does even out within that amount of time. If after 2 weeks you are still concerned with the result then I would follow up with your treating provider.
Botox works for muscle movement so if you put Botox in the lip area then it most likely will not move (i.e. it will be hard to smile or move the mouth area). The better idea is to either dissolve the one side that is higher or put in more Juvederm to the side that needs “lifting.”
Extreme tiredness does not seem likely to be a side effect of Botox. It is unclear what may be causing your symptoms, and I would advise that you see your primary care physician for a check up.
