Can I get Botox before a consult for blepharoplasty and a facelift?

Question

Hi I am meeting with a surgeon to discuss blepharoplasty and a facelift. Am I able to get Botox before the consult?

Lexie Wang, MD · Answer

It depends... but I usually would avoid doing botox before the consult because it may obscure what you look like naturally. You definitely should NOT have any botox within 3-4mo before your surgery.

Allan E. Wulc, MD · Answer

Hi Stollie
I would suggest going in to your surgeon with a face that has not been injected with Botox. The reasons for this: Botox can drop the brows--and sometimes raise them--giving the surgeon the false impression that you might need a brow lift when in fact all you need is an upper blepharoplasty.Botox can lessen crows feet wrinkling and diminish your marionette fold and even neck cords, so it's better to do without. Those aging elements can be addressed at the time of surgery but your surgeon won't get the idea of the real you, the you that is he/she is going to be working with/on. 
In our practice, if a new patient who is considering blepharoplasty or facelift has had Botox or any other neurotoxin, we send them away and ask them to return again in 2-3 months based on the timing of their previous injection. So you will only be postponing surgery if you get it--or your surgeon won't be able to accurately assess your baseline state.
Good luck in your consultation!

Michael I. Echavez, MD · Answer

I would recommend waiting to get Botox until after your consultation for blepharoplasty and facelift.  It will be better to evaluate your eyes without the Botox.

Can I get Botox before a consult for blepharoplasty and a facelift?

Answers (3)

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