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If the botox could possibly still be an issue, I would wait longer to have the surgery. Botox is an absolute NO for myasthenia graves patients according to my neurologist. You may have had an over reaction and it may last longer than expected. Ptosis was one of my first symptoms and I also considered surgery but I’m glad I didn’t have it because the ptosis cleared up with treatment. I occasionally have some ptosis in my left eyelid but only if I am very tired or stressed. I wonder if surgery might not have caused more troubles than it would have solved because of the way myasthenia graves reacts to anesthesias, antibiotics, and many pain meds.