Can I apply Botox before belpharoblasty (eyelid surgery)?

Question

I have an appointment for surgery on December 22 nd and want to inject Botox on december 13 th, is it ok or not?

Jason Emer, MD · Answer

It is best not to get Botox before to ensure you are at your natural state prior to surgery.  Thats my opinion.  Best, Dr. Emer.

Donald B. Yoo, MD, FACS · Answer

Especially for peri-orbital surgery such as upper blepharoplasty (eyelid surgery), Botox should be avoided for 3 months before surgery.  Treatment with Botox can alter the relationship of the brow/upper lid, which is of critical importance during upper blepharoplasty.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Every surgeon has your preference. In my opinion, I would get your blepharoplasty first then allow for appropriate you doing over several months.  After complete healing then reevaluate your

Martin Jugenburg, MD · Answer

Thank you for your question. It would be in your best interest to avoid Botox treatments until after the surgery. How long after the surgery will need to be discussed with your surgeon at your follow up. Best,

Michael H. Gold, MD · Answer

That’s a great
question, and as you have seen from the responses there are several yes answers
and several no answers. I would strongly recommend that you discuss this with
your surgeon and that you heed their advice for this. I would not be
recommending that you have this done until after your procedure so as not to
take away from the reasons you are having your surgery. Why mask the area with
a treatment that might affect the ultimate outcome?

Katrinka L. Heher, MD · Answer

As long as it is at least one week before your surgery there is no danger that the botox will migrate during the surgery. In addition when we mark the lids we force the brow into a relax position so the potential effect of botox will not weigh into the plan of surgery. That being said I always incourage the botox after the surgery as you will like the results even more and why waste a week of your botox result looking swollen and bruised from your surgery. Good luck.

Deborah Kessler Hudak, MD, MHA · Answer

Botox use before lid surgery can have both good and bad effects  on the results of the surgery.  In most situations, it would be recommended to NOT have botox so that the natural state of the eyelid skin laxity and excess tissue can be evaluated properly, and the "right amount" of skin and fat removed.Great question!!Debbie Kessler Hudak, MDOculoplastics Surgeon (Eyelid specialist)

Dean P. Kane, MD, FACS · Answer

Dear esafarpour:This is a very interesting question particularly with the answers below. There are pros and cons to your inquiry which must be discussed with your surgeon. I presume you are speaking of upper lid blepharoplasty and not lower lid lift. Upper blepharoplasty usually removes skin from the eyelid in effect reducing the distance from the eyebrows to the eyelashes. When the eyebrow is positioned correctly just above the orbital rim, the amount of eyelid skin to remove is measured and skin marked for excision so too much skin will not be remove and you cannot close the eye following surgery. This maybe a good reason to use Botox (if properly performed) lifting the eyebrow to a more natural or desired position. Since Botox function does not peak before 10-14 days (average), you may not achieve your optimal elevation and uncommonly, brow ptosis (or droop) before you have your surgery.Using Botox before blepharoplasty may be less desirable as you have "wasted" the Botox effect of brow elevation, number "11" line and crows feet line reduction during the period of recovery up to and following your eyelid lift. I wish you the very best!

John Zavell, MD, FACS · Answer

For the best surgical result, I recommend waiting until after having the blepharoplasty surgery.  Your doctor will be able to better assess your peri-orbital area  on the day of surgery if no other factors are involved (such as the Botox).

Robert S. Schmidt, MD · Answer

I don't think it would be a problem, but I wouldn't get your orbicularis (crows feet) treated until after your surgery. We can hide incisions in natural lines and it's easier to find them if the underlying muscle is working at the time of surgery. Your surgeon may have a strong preference one way or the other, so be sure to check with them.

Can I apply Botox before belpharoblasty (eyelid surgery)?

Answers (11)

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