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Why Can't You Use Botox for the Saggy Wrinkled Skin Around the Elbows?

Surely the principle is the same as for the dynamic wrinkles on the face? I know that women get very concerned about their elbows giving away their age. I'm pretty sure it would be a highly popular procedure, should it come into effect! I've never used botox myself but it just occurred to me, as my mother always moans about her saggy elbows! A gap in the market?!

Doctor Answers (18)

Botox for Saggy Skin Around Elbows?

+1

Hi,

Botox only works on dynamic, or moving muscles.  It doesn't work on saggy skin which is better treated with a tissue tightening procedure.  You are better off looking at technologies that address skin laxity like Thermage CPT or Refirme.

 

Best,

Dr. Liu


Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

Why Can't You Use Botox for the Saggy Wrinkled Skin Around the Elbows?

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Regarding: "Why Can't You Use Botox for the Saggy Wrinkled Skin Around the Elbows?
Surely the principle is the same as for the dynamic wrinkles on the face
? I know that women get very concerned about their elbows giving away their age. I'm pretty sure it would be a highly popular procedure, should it come into effect! I've never used botox myself but it just occurred to me, as my mother always moans about her saggy elbows! A gap in the market?!"

Regarding your mother's persistent "moans about her saggy elbows!", as Norman Bates (Anthony Perkins) said in PSYCHO - "A boy's best friend is his mother". Botox is surely NOT the answer because elbow and knee wrinkles are NOT created by the same mechanism as dynamic face wrinkles.

While facial wrinkles are caused by the repeated movement of underlying facial expression muscles the wrinkles overlying elbows and knees are there to allow full flexion of the limbs. Injecting Botox under the skin of the elbows would do NOTHING to smooth those wrinkles. If it did become popular, it would be among malpractice lawyers whose clients complained of curious weakness in being able to flex their limbs.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 59 reviews

Botulinum Toxin (Botox and Dysport) injection and loose elbow skin

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The saggy wrinkled skin around your elbows is due to lax skin and not to muscle contraction. Therefore, injecting the skin will do nothing to relax or ease the severity of the wrinkles around the elbow.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 43 reviews

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Botox for Elbows?

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Hi Anabel.  The problem with the theory is that Botox does not work in situations where there is too much skin (skin laxity).  Because the wrinkles on the elbow are caused by excess saggy skin rather than by muscle contraction, it cannot be treated with Botox.  

Hopefully your Mom will find another solution for those saggy elbows.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Botox and sagging elbow skin

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I love your forward thinking! Unfortunately, Botox does treat the dynamic wrinkles about the face...these are lines of skin creasing caused by both thinning skin and the constant bending back and forth caused by the muscles of facial animation, much like the paper-clip breaking after bending it to and fro. The elbow skin is loose skin that genetics and age have loosened and that gravity is pulling on. Best way to treat it, currently, is an arm lift. 

Thanks for the great question!

Dr. C

johnconnorsmd.com

John Philip Connors III, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 14 reviews

Botox for elbow wrinkling

+1

Unfortunately, Botox will not help wrinkling of the elbows because it is not caused by muscle movement.  It is caused by excess skin in the area that gets pushed together when the arm straightens.  Great hydration and moisturization is the best way to improve this condition.

I hope my answer was helpful.

Steven E. Rasmussen, MD, FAAD
Austin Dermatologist
5.0 out of 5 stars 3 reviews

Botox - to the elbows

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Botox doesn't treat saggy skin.  It works by paralyzing dynamic muscles that cause wrinkles.  A good thought though!   There are some laser tightening treatments that help elbows.

Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox does not work for elbow skin wrinkles

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The only action of Botox is a temporary paralysis of the muscles it is injected into.  If those muscles are respondsible for creasing the skin and causing wrinkles and lines, then the wrinkles and lines won't be created and the skin can appear smoother.  Elbow wrinkles are caused by a lifetime of skin stretching and would not be inproved by Botox.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 32 reviews

Saggy elbows and botox

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While in a lot of ways Botox is a miracle treatment for lines of animation, it really only works on animation lines not specifically saggy skin and therefore will not help your saggy elbows.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

Botox for saggy elbows.

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Botox works by weakening muscles.  Saggy elbows are not caused by muscle contraction but rather the skin laxity that occurs with age, sun damage and weight flucuations. 

Lisa L. Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.