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Botox after 15 days of facial fat grafting, is this safe?

We usually wait 2 weeks after fat grafting to administer botox or dysport to allow some healing to occur and inflammation to reduce. Botox should not affect the fat grafting results as it is injected into the muscle and diffuses readily. It will likely work synergistically with the fat grafting to give you a superior result.

Clinical Context

Fat grafting results depend on the transferred fat developing a new blood supply, a process that takes time and can cause temporary swelling. Waiting a short period before adding Botox or Dysport allows the area to settle so your surgeon can see the true results and plan any additional treatment safely. This timing also helps ensure the neuromodulator targets muscle activity accurately once the graft has stabilized.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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