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Do Botox Results Change In Cold Weather?

I'm a 33 year old guy who had Botox for the first time 6 weeks ago on my forehead and glabellar lines, 2 weeks ago i also had filler in the forehead line. Over the last week the temperature here in the UK has dropped to below 0 in the mornings. When i'm out in the cold i have noticed that i have a lot more movement in my forehead and i can get movement in the lines. When i'm home after about 10 mins its back to normal?? I think i'm going crazy? Surely this is not normal? Many Thanks

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7 Doctor Answers | Asked by carlbbb in Uckfield TN22 1DG

Doctor Answers (7)
Community Comments (1)

Botox effects in cold weather

Although anything is plausible, it's not likely that cold weather is causing frequent changes in your ability to contract muscles that were previously treated with Botox. A more likely explanation may be that you are actively using these muscles more so when cold and uncomfortable. If this is the case, you may benefit from higher dosing. However, if you are not able to replicate the same muscle function when attempting to animate while in a warmer climate, then the... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Enjoy Botox in any climate

After injection, Botox goes to the muscles and the results are evident 1-2 weeks later. There are no issues with subsequently being in the cold climate. In fact, it gets pretty cold in Canada, and we have many patients treated with Botox at the Toronto Dermatology Centre (torontodermatologycentre.com/Cosmetic_BOTOX) in the winter with great results.

Anatoli Freiman, MD

4 reviews

Toronto Dermatologist

Botox in cold or hot weather

There really should not be any issues or changes seen when Botox (once already injected into a person) is exposed to cold or hot temperatures, especially if it was 2 or more weeks prior to the cold weather.

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

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Botox effect and cold weather

There may be issues about Botox's clinical effects that are not yet known or understood. Your symptom of more muscle movement in the forehead when you're exposed to very cold weather may be real for you, but I had not heard of this before. There may be some medical basis for it as neurologists and ophthalmologists may be aware of the ice test for myasthenia gravis, a neurologic condition that involves the same neurotransmitter that is blocked by Botox. The ice can temporarily... more

Botox and the cold

Botox results should not change with the cold weather. The neurotoxin effects the motor end plates of the muscle units and bind with them

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

It is certainly plausible!

It has been observed that neuomuscular cooling increases nerve conduction. This observation is the basis for the so-called "Ice Test." for myasthenia gravis, a neuromuscular disorder. Could cool of the muscle after BOTOX treatment be the basis for your observation? It sure is an interesting question. My advise is to come in from the cold.

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Do Botox Results Change In Cold Weather?

Neurotoxins including Botox, Dysport and Xeomin are all absorbed by the tissues within minutes of being injected. the effects last about 3 months and would not be affected by changes in temperature or weather.

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Comments (1)

craminhos
3 months ago

This has just happened to me hence googling it. It's freezing cold in London today and full movement retuned... I've been indoors for about ten and it seems to be freezing up again.

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