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How blepharoplasty or Botox treats your glabellar lines Blepharoplasty (eyelid surgery) and Botox, or Botulinum toxin A given as injections, are both very different treatments but can complement each other in helping to treat your glabellar lines.
Glabellar lines are a sign of ageing. The glabella muscles contract and form vertical lines between the eyebrows, which can make you look tired, angry, grumpy or old.
Blepharoplasty is mainly for excess skin removal and sometimes removal of the underlying fat. When doing an upper eyelid blepharoplasty, I take away the excess skin that causes a big fold to lie on your lashes, known as eyelid hooding, for which you have to constantly raise your eyebrows in order to lift the skin from the eyelashes to see better.
By doing blepharoplasty, I immediately reduce the amount of work your eyebrows have to do, namely the lifting. The lifting of the eyebrows causes mainly horizontal forehead lines. Hyperkinetic brows also develop glabella lines. Ageing, ocular discomfort and anxiety cause the vertical glabella lines, and these can be neutralised for three to six months at a time with Botulinum toxin A injections, which chemodenervate them. By combining blepharoplasty and Botox injections, you achieve all-round periorbital rejuvenation, which has a very natural and youthful appearance.
We don’t perform blepharoplasty and Botox injections at the same time. We can do the Botox before or after blepharoplasty. This is in order to reduce any risk of the toxin spreading into muscles that do not require treatment, such as the levator muscle; if the Botulinum toxin A were to trickle into this muscle, it could cause ptosis or a droopy eyelid. Therefore we keep the surgical blepharoplasty of the eyelids separate from the medical treatment with the injections of Botox.
I often do the injection of Botox about a week before surgery as this reduces the muscle action, which can also help with the healing after blepharoplasty. However, if you prefer to have the Botox done about two to four weeks after blepharoplasty, then that is suitable as well.
I keep a window around the blepharoplasty in which there should be no injections of Botox, which is roughly one week before and two weeks after.
Although this blog was entitled “Blepharoplasty or Botox to treat your glabella lines”, I prefer to say that the process of blepharoplasty and Botox treats your glabella lines and helps to rejuvenate the periorbital area.


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