How long before Botox results can be seen?

Botox selectively inhibits acetylcholine release at the neural synapse. When injected, the botox binds to the receptor and prevents the release of acetylcholine.  However, there is still remaining acetylcholine that has already been released. It takes about 5 days for the remaining acetylcholine to be... more

Occasionally, I have a patient tell me that their Botox effct began shortly after leaving my office. This is wrong. If you put any type of fluid in the skin, including saline, it has an effect on the nerve endings. The actual effect is usually 3-4 days later, although some patients do report a weakening the... more

Botox has been in use for well over 30 years. Some of the advocates of the cosmetic uses, namely a husband and wife physician team, recently reported a well tolerated and excellent safety record of many patients receiving Botox over a 15 year period. To date, there have been no... more

The onset of muscle paralysis by Botox injections is usually at full effect about 6 or 7 days after the injections.  Typically, you will see a change in 3-4 days and feel a little tightness of the overlying skin. When you try to frown or move the area of the face that was treated, you can tell the effect... more

For most patients, the effects of Botox become apparent in terms of diminished muscle activity within 2-3 days.  The effects gradually wear off over the following 2-3 months, and generally there is no residual muscle paralysis after 3-4 months.  For this reason, most patients return every 3-4 months... more