[Rari Plastic Surgery] Why You Should Get Forehead Botox Before Upper Blepharoplasty, as Seen in Before-and-After Photos

As you get older, it becomes hard to deal with sagging skin,

and many people end up using their forehead and eyebrows to open their eyes.

Some people are born that way, but as the skin sags with age,

when they try to open their eyes as usual, the sagging skin covers the eyes and makes them hard to see. So to open them wider, most people end up opening their eyes like this, even if they do not want to.

While this is happening, the skin continues to sag, and when people finally come in for upper blepharoplasty after much 고민, we are faced with two problems.

First, the forehead wrinkles that have already formed.

When you use your forehead and eyebrows to open your eyes,

deep, large wrinkles form on the forehead. If this continues for a long time,

wrinkles remain in the skin even when you are no longer using those muscles.

Second, asymmetry caused by using different amounts of muscle.

There is nothing among the two things a person has that is perfectly symmetrical. Even the sagging of the skin happens differently on each side,

so when using the forehead or eyebrow muscles, the right and left sides work with different strength,

leading to asymmetry in wrinkle depth and eyebrow height.

Asymmetry caused by using the forehead and eyebrow muscles

becomes even more noticeable when we say, "Please open your eyes wider!"

Because of these two problems, we recommend getting forehead Botox before upper blepharoplasty.

No, you need to get it.

Among the two, the biggest reason we recommend Botox before surgery is

to control the use of the forehead and eyebrows, and the asymmetry that results.

Of course, surgery can be done without Botox. However, if surgery is performed without relaxing the muscles with Botox,

even if the surgery itself is done very well,

the freely used forehead muscles will prevent you from reaching a satisfying result.

After Botox relaxes the muscles other than the eye-opening muscles,

opening the eyes will feel much more difficult and uncomfortable than before, but

you can see that the eyebrows no longer move and remain symmetrical when opening the eyes.

Upper blepharoplasty should be performed in this state.

It must be done in this state

because only then can we accurately assess, in combination,

how much the upper eyelid skin has sagged, and whether there is a difference in the strength of opening between the two eyes.

In this state, even if you open your eyes wide before surgery,

you are not using the forehead or eyebrow muscles, so the eyebrows remain symmetrical,

and surgery is designed according to the different degrees of skin sagging on each side,

which makes it possible for both sides to look even after surgery. Also, when opening the eyes, you can use only the strength of the eye-opening muscles,

bringing the overall balance of the eyes, eyebrows, and forehead into alignment.

If surgery had been performed right away from the pre-Botox state shown in the photo above,

then, as you can see after surgery,

there would have been asymmetrical eyes again depending on which muscles were used,

without a balanced appearance. So forehead Botox before upper blepharoplasty was not optional, but essential.

If you open your eyes wide, the eyes before Botox are actually larger than after upper blepharoplasty,

but the post-surgery appearance definitely gives a more balanced and clearer impression.

(Many people complain of discomfort when opening their eyes after forehead Botox,

but this actually feels more comfortable after surgery. So the temporary discomfort between the Botox treatment and the surgery

requires a certain amount of understanding from the patient^^)