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Treated Area Worsens After Botox or Juvederm Wears Off?

I want to have Botox and maybe Juvederm. Is it a myth that I heard that if you get these procedures that they make the treated area look worse after they wear off. That's the only thing that has me scared to do it because it might be true. Please help get me on the right track with an honest answer. Thank you.

Asked 29 months ago by dawn1975 in kansas city mo

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female

Treated areas do not look any worse than they would have when Botox and Juvederm wears off

Once the Botox or Juvederm wears off, the treated areas never look worse than they would have if you had never had them in the first place. Get them done and enjoy the new you.

Doctor's Website

David Hansen, MD

Beverly Hills Dermatologic Surgeon

Do you worsen when Botox and Fillers wear off?

Quite to the contrary, most patients have some permenant residual benefit from chemical relaxers (Botox/Dysport) because the prolonged relaxation often results in behavior modification where people tend to not frown as much. Further, if done for a long time, there is some significant muscle weakening. As to fillers like Juvederm, and others as well, recent research has shown that the stretching of the fibroblasts (cells that make collagen) by the fillers causes your skin to make new and... more

Doctor's Website

Stephen Mandy, MD

Miami Dermatologist

After effect of Botox and Juvederm

There is no medical theory to explain that myth and it is not seen clinically. In fact, studies have shown that there is an increase in the amount of collagen production often, as a response to filler injections. I have not been aware of patients who have delayed their next treatment or have stopped their treatments altogether and ended up worse than before their treatment started. Of course if it is many years later, the aging process does continue and it is not fair to compare the... more

Ronald Shelton, MD

Manhattan Dermatologist

Botox, fillers, restylane, non-surgical treatments

Dear Dawn Botox and soft tissue fillers are excellent for facial shaping and rejuvenation. The results are long lasting for the fillers and the Botox will last 3 to 6 months. As these wear off the tissues will return to the prior state and not to a worse state. As you repeat the treatments you will get longer lasting results and a maintained appearance. With Warm Regards, Trevor M Born MD

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Treated areas don't look worse after Botox or Juvederm wears off

Botox and Juvederm are both temporary appearance improvers. Why some people "think" they look worse after the products wear off is that they had become accustomed to looking better while the Botox and Juvederm were still effective! Who wouldn't prefer fewer wrinkles and a more pleasant look? Botox takes out the frown and worry lines (actually it has been studied and seems to have a positive psychological effect) and Juvederm will erase folds, non-dynamic wrinkles and plump up lips... more

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Treated area worsening after Botox or Juvederm wears off

Urban legend / old wives' tale / nothing to it. Dawn, I have never seen this in any of my patients and as you can see from the vast majority of posts there is really nothing to it. The reason why we take before-and-after photographs is that human nature and memory being what they are we forget what we looked like before the treatment or the surgery. I think that when the treatment wears off, SOME people with short term memories need to be shown what they looked like before. Things are not... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Botox and Juvederm after effects

Once the Botox and Juvederm have dissolved, you will most likely go back to the way you were before, not worse. Although, the fillers now can last up to 18 months and sometimes longer and the aging process does not stop. So, once the fillers dissolve you will go back to the way you were before, but with the additional months of aging. As an aside, a facelift can last up to 10 years for a possible consideration. Good luck!

Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

ASPS

Urban legend, and not true

There is no evidence to support this, and I have not seen it in my practice. In fact, with regard to Botox, wrinkles tend to improve with prolonged use because the muscles atrophy. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Botox and fillers

I do not believe that your description is accurate. You may feel like you look worse after they wear off because the improvement probably looked so good!

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Botox and Juvederm have long term benefits too

Hi Dawn, You don't need to worry that you will look worse when Botox or Juvéderm wear off. Of course, we all know that they make you look better when they are working. But what many people don't realize is that you will benefit even when they wear off. When you smile or frown, the muscles contract and crunch up the skin, causing wrinkles. That mechanically damages the skin. Eventually, there is enough damage to the skin that there are wrinkles even when you don't smile or frown. If... more

Nancy Swartz, MD

Philadelphia Oculoplastic Surgeon

I don't think that treated ares look worse after Juvederm or Botox wears off

People tend to forget about how they used to look like after they get their improvement from Botox (or Dysport / Botulinum toxin / bo tox) and fillers (such as Juvederm / Restylane / Radiesse / Perlane / Cosmoderm / Artefill / Sculptra / Alloderm). This is a very common occurence. Hence when the effects wear off, people tend to think they look worse when in fact they are just returning to a previous less optimal state. In fact, Botox will only help make the muscles weaker the more you do... more

Philip Young, MD

Bellevue Facial Plastic Surgeon

Treated area worsens after Botox or Juvederm wears off?

Hello, It may seem like it especially if the filler or Botox made a positive impact initially. I do not know of any studies that reported on negative effects such as your concerned about. Patients do "age" and if they have been on Botox and / or Juvederm for a few years, lets say 4 years and then stop, they will look older than when they started such therapy.

Michael Kulick, MD

San Francisco Plastic Surgeon

ASAPS ASPS

There's a grain of truth to treated area worsening after Botox or Juvederm wears off

Dear Dawn BOTOX wears off fast enough that once it is gone you will look about the same as you did when you first had it. However, the hyaluronic acid fillers last much longer, on the order of a year or more. That means when it is gone, another birthday (ouch). So the fact that you had the treatment does not make you look older but there are two processes that create that impression. First, these services should make you look 5 to 15 years younger (depends on where you start from and how... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

It does not get worst once Botox & Juvederm wears off

It is a myth. What happens is that after getting Botox and Juvederm the patients look good. They get used to looking that way. Once it all disappears they get back to the way they used to look. However, the mind and the eye have become accustomed to the new and better look. So, the mind perceives it as looking worst than it really is. You can try it yourself by taking photos of yourself before starting Botox and Juvederm then after in a few weeks and then six months later when everything has... more

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Botox and Juvederm are unlikely to make you look worse when product effects dissapate

I am not sure where you heard this rumor. Perhaps you may get accustomed to the results of treatment and when the effects dissapate, you may be dissatisfied with your NORMAL appearance. It is highly unlikely that you will look worse after Botox or Juvederm treatment when compared to the normal untreated aging process.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Treated area does not worsen after Botox and Juvederm

Relax, you can try Botox and Juvederm and not worry about making the treated area worse. With Botox it will wear off in 3-4 months (in some it does last longer!). Juvederm injections will slowly disappear over 1 year or sometimes longer. If you don't like Juvederm there is an enzyme available to make it disappear. Good luck, be brave.