Ask a doctor

Will Getting Regular Botox Injections Lead to Long Term Results?

I am 35 and have a few fine lines around the eyes and more noticeable wrinkles in my forehead.

Is there any benefit to getting Botox in my forehead and around my eyes then letting it completely wear off and then waiting another month or 2 before getting more? It is a pretty expensive habit and I am wondering if this will help at all for long term wrinkle prevention.

Doctor Answers 16

Best to have repeat Botox injections on a timely basis

Thanks for your question. I think most physician users of Botox agree that it is best not to wait long periods after the effects of Botox has worn off before receiving another injection. It is better to have the repeat injections while you still can observe some the effects of Botox, with targeted muscle weakening still present. I must also stress the importance of good skin care to further retard the effects of aging! Use good sunscreens and topical anti-oxidants!

I hope you find this helpful!


Englewood Plastic Surgeon

Benefits to getting botox

Most patients see improvement within several days of injection with Botox. The result will usually last about three to four months at which point the muscle action gradually returns and the lines and wrinkles begin to reappear. Over time, however, and with repeated injections, the lines and wrinkles will become less severe as the muscles are trained to relax.

Dennis Gross, MD
New York Dermatologist
5.0 out of 5 stars 6 reviews

Long-term results possible with regular Botox injections

I personally have been getting Botox injections to the #11 lines between my eyebrows for over 4 years. Frankly, it looks better now than when I started, and I believe that by avoiding the "peaks and valleys" of letting it wear off, you can actually get some atrophy of the muscles which cause the wrinkles.

So, in summary, indeed I do think that there is long term benefit of regular Botox injections. As with all medical issues, you should discuss this with your personal physician for their advice.

Darrick E. Antell, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 22 reviews

Let your wallet help you decide

No one really knows the long-term cosmetic benefit of continuous Botox use. There have not been any good research studies to show a cumulative benefit. There is some evidence, however, that redosing Botox before it has completely worn off will lead to longer term, more effective wrinkle reduction. But does getting Botox continuously for 20 years make a difference? Again, no one knows.

If you are having financial difficulty acquiring Botox, then don't obtain it. Go back to the basics of good skin care that everyone should follow: Hydration, healthy diet, regular exercise, limit sun exposure, avoid smoking, adequate sleep, stress reduction. These basic guidelines are the fundamentals of good care, and inexpensive too. Your skin will ultimately look better 20 years from now by following these basics, than by regular Botox injections alone.

There is no known harm to long-term use of Botox Cosmetic. Repeated Botox Cosmetic injections every few months may be too expensive for many individuals. How you balance the cosmetic benefit versus the cost will depend on your financial situation, and is a personal decision. Speak to your plastic surgeon or dermatologist about long-term benefit of Botox.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

The Benefits of Regularly Timed Botox Injections Versus "Poor Man's Botox"

Hi Momo,

Studies have shown that after two years of denervation, muscles atrophy (get smaller, weaker). The muscles that are causing your lines, if continuously treated with Botox for two years, will also atrophy and not be as likely to create wrinkles.

There are some added benefits of continuously treating with Botox including improved tone, texture, and pores. Michael Kane, MD of NYC presented his findings last year on this subject at the Aesthetic Show.

As far as expense goes, there is always "Poor Man's Botox", which involves growing out your bangs.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Let your wallet be you guide.

Everything about cosmetic surgery is a balancing act between cost and down time. There is no evidence that one ages more or less slowly by maintaining the BOTOX effect. You should be guide by what is financially comfortable. So if you pass by a mirror and notice that your BOTOX is not working as much as it did in the past, there is no harm in putting off retreatment until it is financially comfortable to be retreated.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 19 reviews

Touchups better

It's best to have touchups once you notice that the results are starting fade away. Studies have shown that doing this can prolong your results.

Longer lasting results with botox

If you get treatments performed regularly, studies have shown that your results can last longer.  However, it is difficult to say when you would start experiencing the longer lasting results exactly so you should keep track of your results to figure that out, then adjust your treatment plan accordingly. You should make sure to have your next treatment while you still have some residual improvement, though.

Since your wrinkles are so few, why not try a low dose of botox and go in for treatments...

at regular intervals...for long term wrinkle reduction/prevention most doctors would advise to keep up with a regular program...but there's nothing inherently wrong with waiting...but for long term, smoother, unwrinkled skin it seems that maintenance is a key issue...but any treatment will keep the wrinkles/lines from forming versus no treatment at all...

Ken Landow, MD
Las Vegas Dermatologist
4.5 out of 5 stars 9 reviews

Early use of Botox prevents deep etched lines.

Hi.

If lines are treated with Botox on a regular basis, they tend to remain more superficial.  Once the lines are "carved" into the skin, then relaxing the muscles with Botox will not erase the lines, and you need Restylane, laser resurfacing, or other treatments.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 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.