Is it true if you work out in gym release the Botox quicker?

Most doctors will say that exercise or expression have no effect on botox longevity, however, I have treated a lot of men, a lot of expressive people, and lot of people that exercise and I have found that the botox/dysport/xeomin does not last as long as it does in people who are not in those categories.  Either get touch ups sooner or get larger doses when you first get treatment.  Best, Dr. Emer.

Hello danielo,The answer to your question is NO.  The duration of the effect of Botox can vary from patient to patient.  With repeated, regular doses of Botox, some patients develop enough muscle atrophy that their results start to extend their duration.  I have several patients that now only come to see me once a year to get their Botox.  With repeated doses of Botox, some patients develop antibodies to the Botox protein that causes their duration of action to get shorter.  These patients notice that the Botox no longer lasts as long, or they need more Botox to overpower the muscles to get the results they want.  I advocate for patients to get on a regular Botox schedule every 3 months for at least a year to see if long term atrophy can be created.  It is my belief that random applications of Botox at irregular intervals create the greatest treatment failures over time.  The effect of Botox wears off when the antibodies decrease local toxin concentration, or when the muscle "grows" more neuromuscular junctions that can respond to normal neurotransmitter stimulation, effectively bypassing the Botox treated areas.  With that said, have a great workout!Dr. Shah