Should I avoid temple fillers and Botox before having a consultation with an ocular plastic surgeon about upper blepharoplasty?

Question

I'm a 62 year old female. I always felt I'd do upper blepharoplasty when the time was right. Was hoping to put it off with Botox treatments but even with that my lids now rest on my eyelashes and I look tired. The doctor I see for Botox wants to do temple and under eye fillers to help raise my eyelids a bit for now. I'm concerned that both treatments won't allow for a proper assessment of my lids when I go for blepharoplasty consultation.

Camille Cash, MD · Answer

If you already have your consultation scheduled for your upper blepharoplasty you may want to wait and have your Botox and filler treatment after that.  If your consultation isn't for some time have your injector take "before" photos of you before your treatment.  Include several angles for your surgeon to review.

Lucian Ion, FRCS · Answer

Thank you for your question. It would be preferable to avoid Botox treatments before the blepharoplasty consultation.

Fillers in the temple would not influence the assessment, but fillers under the lateral part of the brow or under the eyes could influence the impression that the surgeon will have during the consultation. I would advise against those.

Michael I. Echavez, MD · Answer

My personal opinion is that I would prefer to do a blepharoplasty consultation prior to any temple fillers or Botox.  I like to see how the patient appears before fillers or Botox to get a better assessment of the situation.

William Portuese, MD · Answer

A full set of facial and eyelid photograph are necessary to make a determination about being a candidate for a blepharoplasty procedure. Probably best to have the consultation first to see where your current anatomy is, before undergoing fillers or Botox.

Mats Hagstrom, MD (license on probation) · Answer

If the treatments did not directly affect your upper eyelids, but I don’t think the treatments are going to have that much impact.
You may want to hold off on Botox of the actual eyelids, but fillers in your temples are probably not going to interfere too much.
Each provider will have the opinion on this so I suggest you ask yours.
Best,
Mats Hagstrom MD

Should I avoid temple fillers and Botox before having a consultation with an ocular plastic surgeon about upper blepharoplasty?

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Answer: Should I avoid fillers and Botox before having a consultation about upper blepharoplasty?

Answer: Should I avoid fillers and Botox before having a consultation about upper blepharoplasty?

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Answer: Facial aesthetic treatment and assessments for cosmetic surgery

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Should I avoid temple fillers and Botox before having a consultation with an ocular plastic surgeon about upper blepharoplasty?

Answers (5)

Answer: Should I avoid fillers and Botox before having a consultation about upper blepharoplasty?

Answer: Should I avoid fillers and Botox before having a consultation about upper blepharoplasty?

Answer: Facial aesthetic treatment and assessments for cosmetic surgery

Answer: Facial aesthetic treatment and assessments for cosmetic surgery

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.