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What Are the Individual Variables That Can Determine How Long Botox and Other Fillers Last?

asked 8 months ago by Good face gone bad in CA
Latest answer by Manish Khanna, MD
Question viewed 456 times
Tags: life span, longevity

Though companies give guidelines as to the longevity of Botox and other fillers, there seems to be some variables that determine how long it actually lasts for each person. What are the factors that determine how long Botox lasts? How long Resty or Juve lasts? Even Radiesse? And, if it's the skill of the injector that impacts this - what is the skill? Is it knowing what layer to inject?

12 answers to What Are the Individual Variables That Can Determine How Long Botox and Other Fillers Last?

Factors that affect Botox & Filler Duration

There is a variety of answers from the panel members. All good feedback; however, we believe training over title will always be the best predictor of end outcomes. A good injector will take into consideration the following: Choosing the correct product for the treatment goal, the correct amount for "full correction", correct expectations given to the patient, and the best technique are all necessary for the best recipe. Because different dermal filler products... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Predicting duration of effect for Botox and fillers

Botox and Dysport both work the same way, which is to relax muscles of expression such as the "corrugator" muscle that causes the furrow between the eyebrows characteristic of a stressed or worried look. Once the effect sets in, the duration of effect depends on the body's healing response to reconnect the muscle to its nerve. This is not something that can be controlled with injection technique, other than making sure the initial dose was not too low. With fillers, there... more

Richard Baxter, MD
Seattle Plastic Surgeon

Quantity, dosage and placement have an effect on longevity of of injectables.

There are many factors contributing to the longevity of each injectable such as the quantity used and placement. For Botox, dosage is key to the length of time your treatment will last. Fillers have many more contributing factors due to the wide variety of choices. Placement, consistency of the product and volume will play a large factor as to how long they will last. There are also external factors that may reduce the longevity of your filler including illness, sun exposure and smoking. To... more

Manish Khanna, MD
Montreal Dermatologic Surgeon

www.peaumontreal.com

Duration of effectiveness of Botox and Restylane / Juvederm & other fillers for wrinkles

Yes, there are many variables. The most important ones that I have clinically seen are: 1. The number of units used per site with Botox 2. The volume of filler used for folds. There is a tendency on patients and physicians' parts to spread out the filler as much as possible to reduce the cost as these are expensive treatments that don't last indefinitely. A study many years ago revealed that dissatisfaction was related more to underfilling and often one syringe of filler... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox and Fillers variables

Factors such as stress, illness, or sun exposure can decrease the longevity of fillers and toxins. Each filler and each toxin has it's own individual properties and they are injected into different layers of the skin. It is therefore critical that the injector know not only the structure and the function of the skin but also the properties of the substance that is being injected.

Peter L. Kopelson, MD
Beverly Hills Dermatologic Surgeon

Botox and fillers - variables that determine duration

There is definitely variability among patients on how long the effects of these products may last. Some patients may break down one filler faster than another and overcome the effects of Botox more quickly than another. For Botox, stronger muscles may need to be treated more frequently and areas of high motion such as the mouth may need more frequent treatment. It is important that the product is placed correctly and that an appropriate dosage (number of units) is used... more

Lori Stetler, MD
Dallas Dermatologic Surgeon

What influences how long Botox and Fillers last.

Botox lasts about 3 months however fillers can last from 6 months to around 12 months based on the type of filler and layer of tissue where its placed. Restylane and Juvederm are thinner fillers that are meant to be placed more superficially and last about 6 months. perlane goes deepr and last about 9 months while radiesse lasts about 12 months. There's no magic in these fillers, so look for an MD that has good aesthetic judgement as well as experience using fillers and... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Lots of variables

Many variables affect duration of neurotoxins and fillers both. Neurotoxins wear off quickest in areas where the muscles are used the most - such as the Crow's feet, since we are blinking continually while awake. The longer you have been getting botox, the weaker the muscles will become, so over time you many not need as much or need as frequent treatments. When companies do duration studies, they first "fill" the patient to the max (which is frequently much... more

Laura Skellchock, MD
Palm Beach Dermatologic Surgeon

Botox Is Not A Filler

First of all, from the way your question is phrased, it sounds as if you think Botox is a filler and it is not. Botox is a derivitive from botulism toxin which causes muscle paralysis. This is a temporary phenomenon. The only thing which seems to influence the length of action is repeated use; it seems to last a bit longer with repeated usage. The time that fillers last is most influenced by muscle action; they seem to last longer in areas in which there is less... more

John Whitt, MD
Louisville Plastic Surgeon

Fillers and Botox

Experience, Experience. This is the way to determine the quality of an inejctor. I do all my own injections. I do not leave it for a nurse or a PA. I feel that I went to schoole and learned aesthetics during my palstic surgery training to provide the best quality results. I know when more may not be better and I can offer surgical options to keep things looking natural. Depending upon the hyaluronic acid used, you may get 6-12 months out of th eproduct. It does not... more

Steven Wallach, MD
Manhattan Plastic Surgeon

Much of this is personally subjective.

Consequently there is no one right answer. For the botulinum toxin products, the time frame is 4 to 6 months. Because the perception of when the product has worn off enough to have retreatment is subjective, one person may decide they need retreatment at 2 months but someone else at 12 months. The dose relative to the muscle mass being treated also has some bearing. For fillers it is also subjective. These products often last well over a year and possibly two... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox longevity

These treatments are biologic products. How fast they are broken down and resorbed by the body is not under the control or influence of the injector. That's why it varies from person to person.