Planning breast augmentation often comes with a long list of decisions — implant size, placement, incision type, recovery timeline, and more. At the same time, many patients also want to refresh their facial appearance with Botox before surgery so they look and feel their best.

So the big question is: Is it safe to get Botox before breast augmentation?
The short answer: Yes — in most cases, it’s completely safe.
But there are important timing considerations to keep your treatment results predictable and ensure a smooth surgical process.

This guide explains everything you need to know, based on expert recommendations from plastic surgeons and injectors at NW Face & Body.

What Botox Does (and Why Timing Matters)

Botox is a neuromodulator that temporarily relaxes targeted facial muscles to soften wrinkles such as:

• Frown lines (11s)

• Forehead lines

• Crow’s feet

• Bunny lines

• Lip lines

It typically:

• Starts working in 24–72 hours

• Peaks at 10–14 days

• Lasts 3–4 months

Because Botox needs time to settle and because mild side effects (like tiny bruises or swelling) can occur, proper scheduling is key when you also have an upcoming surgery.

Is It Safe to Get Botox Before Breast Augmentation?

Yes, there is no medical contraindication between Botox and breast augmentation.

Botox:

• Does not interact with anesthesia

• Does not affect breast tissue, implants, or the surgical process

• Is not metabolized through the same pathways that affect surgery

In other words, the safety concerns aren’t about Botox itself — they’re about timing, comfort, and avoiding cosmetic side effects close to surgery.

The Ideal Timing: When to Get Botox Before Surgery

Best Practice: 1–2 weeks before breast augmentation

This gives time for:

• Any minor bruising to fade

• Swelling to resolve

• Botox to fully settle into the muscle

• Your injector to evaluate results before surgery day

Acceptable: 3–7 days before surgery

This is generally fine if:

• You do not bruise easily

• You don’t need adjustments or touch-ups

• You inform your surgeon of the treatment

Not Recommended: Within 48–72 hours of surgery

Last-minute Botox can create:

• New bruising

• Swelling that complicates pre-op assessments

• Difficulty evaluating facial symmetry

• Risk of unwanted migration if you’re lying flat for long periods

Avoid: Day-before or day-of surgery

This does not give enough time for the injection sites to settle.

Why Timing Matters: Practical + Surgical Considerations

1. Bruising & Swelling

Even though Botox is minimally invasive, small bruises can happen. You don’t want these showing up in your pre-op photos or raising questions during medical evaluation.

2. Accurate Pre-Surgery Assessment

Your surgeon wants to see you in your normal state before operating.

3. Cosmetic Precision

Botox results peak at 10–14 days. Injecting too close to surgery means:

• You won’t know if a touch-up is needed

• You won’t be able to get adjustments while recovering from breast surgery

4. Post-Op Movement Restrictions

After breast augmentation, your upper body will be stiff. You may not want to:

• Lean forward over a sink for facial washing

• Apply pressure to your face

• Sleep flat or change sleeping positions easily

All of which matter if Botox is still settling.

Is It Better to Get Botox Before or After Breast Augmentation?

Botox BEFORE Surgery Is Best If You Want:

• To look refreshed for surgery day

• Photos taken pre-op to look smoother

• To avoid planning injectables during recovery

Botox AFTER Surgery Is Better If You Want:

• To wait until you’re fully healed

• To avoid any bruising during the pre-op phase

• To pair your results with your new silhouette

Most patients do Botox either 10 days before surgery or 2–6 weeks after surgery.

Can You Get Botox After Breast Augmentation?

Yes, and many patients do, but timing depends on:

• How quickly swelling resolves

• How comfortable you are reclining for injections

• Your surgeon’s post-op guidelines

Typical safe window: 2–3 weeks after surgery, once you can comfortably lie back for treatment.

How to Plan a Combined Cosmetic Timeline

Here’s a simple planning guide for patients doing both:

2–3 weeks before surgery

• Schedule Botox

• Results begin to settle

• Any bruises fade

10–14 days before surgery

• Botox fully peaked

• Pre-op photos look smooth

Surgery Day

• No facial bruising

• Botox fully stabilized

2–6 weeks after surgery

• Schedule next Botox if needed

• Comfortable for facial injections

When Botox Should Be Avoided Before Surgery

There are a few uncommon situations where you may postpone Botox:

• Active skin infection at injection site

• Recent facial trauma

• Severe bruising tendencies

• Use of blood-thinning medications you can’t pause

• Pregnancy or breastfeeding (Botox contraindicated)

Your injector will review these with you.

Does Botox Affect Anesthesia? (Common Concern)

No.
Botox:

• Does not enter the bloodstream in significant amounts

• Does not interact with general anesthesia or sedation

• Does not affect breathing, muscle relaxation, or heart rate

You should still inform your surgeon and anesthesiologist, but Botox is not considered a risk factor.

Frequently Asked Questions (FAQ)

Can I get Botox at my pre-op appointment?

Not recommended — bruising is more likely, and results won’t be settled.

Can Botox migrate if I have surgery soon after?

It’s unlikely, but lying flat for long periods too soon after injections can theoretically contribute. This is why spacing appointments is recommended.

Does getting breast implants affect my future Botox treatments?

Not at all.

Is Botox safer before or after surgery?

Both are safe — it depends on your schedule and cosmetic goals.

Can I combine fillers with Botox before breast augmentation?

Fillers require more recovery than Botox. Many patients choose:

• Botox pre-op

• Fillers post-op (2–4 weeks)

Final Thoughts: You Can Get Botox Before Surgery — With Proper Planning

Botox and breast augmentation are a popular and safe combination, and most patients can schedule Botox 1–2 weeks before surgery without any issues. With the right timing, you can enter your procedure feeling smooth, refreshed, and confident.

At NW Face & Body, our surgeons and injectors work together to help you create a seamless, medically safe timeline for both surgical and non-surgical enhancements.

Ready to Plan Your Treatments?

If you’re considering Botox, breast augmentation, or both, our experienced providers can create a customized timeline that fits your life, your goals, and your upcoming surgery schedule.

Call NW Face & Body or book your consultation online to begin your personalized treatment plan.

Read more:

How Many Units of Botox for Face Slimming?

The Long-Term Benefits of Botox for Wrinkle Prevention