Dr. Kenkel Answers a Real Patient Question on Botox and Fillers

Jeffrey Kenkel, MD

Question: I have a big party to go to and I want to get injections. How soon before the event should I get fillers/Botox? What is the ideal timing?

Answer: This is an important question. For botulinum toxin, the onset of action is anywhere from 24 hours to 3 days and may take up to a full week, depending on the product. Ideally, it would be great to have it done a week or two prior to your event which if you are a first time user, can be assessed and modified if need be. Remember there is always a chance you could get a bruise, so factor that in. If you do it a few weeks in advance this is not an issue. The most common area for bruising from botulinum toxin is the crow’s feet area ( just to the outside of the eye area)

For fillers, most elicit a mild amount of swelling, so depending on the product that should be considered. Typically a weekend is enough time. As with botulinum toxin, there is always a risk you may develop bruise with a filler. Fillers are a “what you see is what you get” so the results after the swelling has resolved will be consistent over the longevity of the product.

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