Botox can be safely injected in the periocular area in basically any patient with intraocular pathology.
Of course, it is important not to inject so much Botox so that the lids can close. (Mehryar (Ray) Taban, MD, FACS, Beverly Hills Oculoplastic Surgeon)
Botox will not effect eye surgery
Getting Botox after retinal detachment surgery is not a problem. This type of surgery is not related to the muscles of the eye.
Botox only effects muscles so that even if you had a the very rare problem of temporary weakening of the eye muscles, there would be no impact on your retina. (Marc Cohen, MD, Philadelphia Oculoplastic Surgeon)
Botox and previous eye problems
Botox is safe to use in and around the eyes to help with wrinkles, blepharospasm (twitching of the eyes) and forehead and brow lines.
The only time I would avoid it if you have a droopy eyelid since it could diffuse and make it worse. (Scott Trimas, MD, Jacksonville Facial Plastic Surgeon)
Botox Affects Muscle
Botox affects the muscles around the eyes and not the eye itself. Even if some Botox would inadvertently enter the eye itself, it would effect the muscles of the lid.
Even, in the worst scenario, if Botox was poorly injected into the crow’s feet, the lateral rectus muscle might be involved and though you might look cross eyed, there would be no retinal involvement.
(BTW no longer have I never seen this, I have not personally heard of this happening). (Arnold R. Oppenheim, MD, Virginia Beach Dermatologist)
The material is injected outside the eye, & has no bearing on the eye globe. (Khaled El-Hoshy, MD, Detroit Dermatologic Surgeon)
No problem with botox after retinal detachment
The history of retinal detachment surgery poses no special issues. Please find a good Botox injector from one of the core aesthetic specialties.
This includes eye plastic surgery, facial plastics, dermatology, and general plastic surgery. (Kenneth D. Steinsapir, MD, Beverly Hills Oculoplastic Surgeon)
Retinal detachment history is not a reason to avoid Botox injections
Some people who have retinal detachment are more near-sighted than others. Botox would not change this characteristic of your vision and would not make you more prone to a retinal detachment. The common uses of Botox for the area between the eyebrows and the crows feet (sides of the eyes) would not make you more susceptible to developing a retinal detachment.
Botox after retinal detachment
In my opinion I would ask for a eye clearance from the treating retinal specialist before I would take any chance on using Botox around my eyes. Remember you can always get Botox, but you ONLY have 2 eyes. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Since Botox remains in the local area of injection, you should have no concerns about potential effects on the retina. Likewise, I am unaware of any documentation of intraocular effect of Botox. (Stephen Prendiville, MD, Fort Myers Facial Plastic Surgeon)
Botox doesn’t have an effect on retinal detachment
I’ve never heard of any cases in which Botox had anything to do with retinal detachment. (Daniel J. Ladd Jr., DO, Austin Dermatologist)
Cosmetic Botox can safely be used around the eyelids without affecting the Retina. As an ocular plastic surgeon many of my cosmetic patients have had past retinal, glaucoma, or cataract surgeries. I have safely and effectively injected Botox, Dysport and fillers like Restylane, Sculptra and Juvederm around the eyelids for over a decade. (Mark Berkowitz, MD, Sterling Heights Oculoplastic Surgeon)
Botox should have no interaction with retina
Botox treatment should not have any affect on your retina. While it is a known complication for Botox to affect the muscle that holds the eyelid open, this is very rare and almost unheard of complication when the injector is skilled.
There are some conditions where Botox is used purposefully to modify the activity of the muscles that control eyelid and eyeball movement. (Louis W. Apostolakis, MD, Austin Facial Plastic Surgeon)
There is no reason why you shouldn’t use Botox. Botox injections should not affect the inner eye so feel free to go ahead and use it. (Sanusi Umar, MD, Redondo Beach Dermatologic Surgeon)
Botox after Retinal detachment is OK
Botox does not get into the eyeball unless it is directly injected into the globe (which wouldnt happen). Therefore around the eyes are fine for botox. I have several patients who have had retinal detachments, cataract surgery in the past or lasik that have botox and do just fine. (No different than if they didn’t have an eye problem or previous eye surgery). (Chris Thiagarajah, MD, Denver Oculoplastic Surgeon)
Eye surgery and Botox combination
Although Botox is used around the eyes, the visual complex of the eye is not affected. The two systems are completely different embryologically. Thus, it is OK for you to undergo Botox injections with a history of retinal detachment. (Raffy Karamanoukian, MD, FACS, Los Angeles Plastic Surgeon)
We actually have an employee that had laser surgery for retinal detachment several years ago and since that time has been safely injected with Botox and Dysport more than a few times. Botox injections will not affect the inner eye so feel free to move forward. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)
Botox or Dysport and eye consideration
Medical grade botulinum toxins such as Botox or Dysport works by blunting the neuromuscular junction and thereby relaxing muscles and minimizing frown lines. Eye problems such as retinal detachment should not be affected. Very rarely when Botox or Dysport is injected for the 11’s between eyebrows, the upper eyelids may be affected and slightly droopy eyelids may persist for few weeks but should not affect vision. (William Ting, MD, Bay Area Dermatologic Surgeon)
Botox Following Retinal Detachment
I am not aware of any reason in particular that would preclude you from having Botox injections following retinal detachment surgery. The muscle groups that are normally targeted during cosmetic Botox injections are anatomically distinct and distant from the retina.
You should be fine proceeding with Botox treatment. (John M. Hilinski, MD, San Diego Facial Plastic Surgeon)
Botox will not affect retinal detachment
Using Botox after retinal detachment will not affect the retina. Botox is a molecule that is injected very superficially around the muscles that you would like to treat. The muscles absorb this molecule which allows them to relax.
This molecule will not travel to the retina or interfere with your detachment. (Pat Pazmino, MD, FACS, Miami Plastic Surgeon)
Botox is safe after retinal detachment
You can safely have Botox injections for wrinkle reduction after retinal detachment. The muscle groups involved in retinal detachment and repair are not in proximity to the facial muscles treated with Botox. (Daniel Townsend, MD, Boston Oculoplastic Surgeon)
Botox for periorbital wrinkles
Botox when injected properly will ONLY work on the muscles it is injected into. It will have NO effect on what is happening in the eye itself, thus no effect on your retina. (Dawn L. Sammons, DO, Columbus Dermatologist)