Facial muscle and Botox

Steven Wallach, MD answers: Do facial muscles weaken from Botox use?

Because you can no longer use the facial muscles while the Botox lasts, doesn't this mean that over the duration of using this product, that your muscles will weaken? Like any muscle in the body, the more you use it the stronger and more toned it becomes. Why would this not be true for the face also?


Steven Wallach, MD
1 month ago

Absolutely, the facial muscles will weaken if it is repeatedly paralyzed with Botox.  Therefore, you will find that return visits for Botox may extend longer and longer in time.

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A: Botox is safe because you don't need strong facial muscles.

George J. Beraka, MD
1 month ago

Hi!

The only purpose of facial muscles (unlike all other muscles) is to show emotion.  To do that, they drag the skin around and create wrinkles.  So you don't want to look "frozen" (from too much Botox or improperly injected Botox).

But a little weakness in these muscles is a good thing (fewer wrinkles).  That's why Botox is safe.

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