Yes, in most cases you can get Botox before surgery, but timing matters. Botox is minimally invasive and doesn’t usually interfere with surgery. That said, it’s important to tell both your injector and your surgeon so they can plan accordingly. If your procedure is on or near the face or neck, it’s usually best to space treatments out by at least two weeks. This helps reduce the chance of swelling, bruising, or other concerns that could complicate healing or affect results.
Sometimes the timing just lines up. You might already be due for a touch-up or considering Botox for the first time, and a scheduled surgery happens to be on the calendar too. In these cases, it’s natural to wonder whether it makes sense to go ahead with both. Getting Botox before surgery can be more convenient than trying to fit it in afterward, especially if your recovery involves downtime, swelling, or restrictions on movement. For some patients, that post-surgical window isn’t the easiest time to schedule a cosmetic appointment or maintain a consistent skincare routine. In a few cases, Botox is even used for specific medical benefits around surgery. For example, some plastic surgeons use it to help relax muscles before breast augmentation, which may improve post-op comfort or positioning. However, this isn’t common for most procedures.
If you’re thinking about getting Botox and have surgery coming up, timing is everything. Most experts agree the safest option is to schedule your Botox at least two weeks before your surgery. This gives your body time to settle from the injections, reduces the risk of swelling or bruising at the surgical site, and avoids any overlap with your immune system’s healing response.You should never get Botox the day of or the day before surgery. Doing so can complicate things for your surgeon, especially if the injection sites are near the surgical area. Plus, this is not the time to try something new. If you’ve never had Botox before, it’s best to wait until after your surgery and recovery period to start. When in doubt, ask your surgeon or injector. Coordinating your care is always the best way to make sure nothing interferes with your outcome or safety.
Botox does not have a systemic effect that interferes with general anesthesia. Since it works locally at the injection site, there’s no reason to expect it to impact how your body responds to anesthesia during surgery. That said, the concern isn’t about the medication spreading through your system. It’s more about what happens at the injection site. Swelling or bruising, while usually mild, could complicate facial surgeries if Botox was recently injected in the same area. An infection at any injection site, while also rare, could complicate your healing process and even require an upcoming surgery to be postponed. That’s why it’s especially important not to get Botox shortly before a facelift, eyelid procedure, or anything else involving the face. Always talk to your surgeon first. Surgeons tend to avoid anything that could add unpredictability to your surgery day. Even small side effects from cosmetic treatments can raise unnecessary concerns in the pre-op process. If you’re planning to get Botox before surgery, it’s worth having a brief discussion with your medical team to make sure everyone is aligned.
If you’re planning a facelift, eyelid lift, or similar procedure, your injector and surgeon should coordinate the timing of any Botox treatments. It’s generally recommended to wait until the effects of previous injections have worn off completely. Injections too close to incision sites can lead to unnecessary swelling or affect surgical outcomes, so it’s best to avoid that area altogether unless specifically cleared by your surgeon.
In rare but medically documented cases, some surgeons use Botox to relax the pectoral muscles before breast augmentation or reconstruction. The idea is that by temporarily reducing muscle activity, it may allow for smoother implant placement or reduce post-operative discomfort during the healing phase. However, this is not routine and should only be considered under the guidance of a surgeon familiar with this approach. There are published case reports and small studies supporting its use in select patients, but broader clinical evidence remains limited.
Botox typically does not interfere with other cosmetic surgeries like abdominoplasty or liposuction. The key concern is logistical. You’ll want to avoid scheduling your Botox appointment too close to surgery since recovery can limit your ability to return for post-op care or maintenance treatments. Bruising and swelling from injections can also add unnecessary stress in the days leading up to surgery. Planning ahead helps minimize overlap and keeps your aesthetic and surgical outcomes on track.
Even though Botox is considered a safe, minimally invasive treatment, it’s best to avoid scheduling it too close to a surgical procedure. If you’re taking blood thinners or supplements like fish oil, your risk of bruising from the injections goes up. Swelling near surgical sites can also be an issue, especially for procedures involving the face or neck, where precision and tissue condition are important. Post-surgery, your provider might delay Botox until healing has progressed enough to avoid irritation or complications. This is why open communication between your injector and your surgeon is essential. It helps ensure that your treatment and recovery timelines are aligned.
Botox is not a direct contraindication to most surgeries, but if there’s any uncertainty, especially when planning injections near your procedure date or if your surgery involves the face or neck, you should let your surgeon know ahead of time. Your care team can help determine the safest and most effective timeline. With proper planning and communication, you can get both the cosmetic and surgical results you’re aiming for.
This depends on the type of surgery and your healing process. For most non-facial procedures, you may be able to get Botox within 1 to 2 weeks, once you’re cleared by your provider. If you’ve had facial surgery, you may need to wait longer to allow swelling to subside and tissues to stabilize.
Botox is generally not recommended right before eyelid surgery. Injections near the eyes can increase swelling or bruising, which may interfere with healing and surgical precision. Talk to your surgeon well in advance to decide on the right timing.
Yes, as long as it’s scheduled at least 1 to 2 weeks prior. In some cases, plastic surgeons use Botox during or before breast augmentation or reconstruction to help relax the pectoral muscles. This is a specialized technique and not standard for all patients.
You can, but make sure the Botox is not injected too close to your scheduled dental work. If you’re having surgery involving the jaw or surrounding tissues, it’s best to space the procedures out by at least a week and inform both your dentist and injector.
It depends on your recovery status. You should be fully healed and cleared by your surgical team before receiving any cosmetic treatment. Your body needs time to recover, and unnecessary procedures during that window could slow down healing or complicate outcomes.
Dr. Dylan Cahill is the co-owner of ZENA Aesthetics & Wellness, where he leads the practice in offering advanced non-surgical aesthetics and wellness services. As a graduate of Harvard Medical School, Dylan combines his knowledge of longevity science with a passion for personalized skincare and innovative treatments. He manages a team of skilled professionals dedicated to delivering personalized care and exceptional outcomes. His expertise spans medical spa treatments, anti-aging therapies, and strategic growth in the health and wellness industry.
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