Stopping Botox and fillers

Steven Wallach, MD answers: What happens when you stop routine Botox and Restylane?

Just wondering what happens when a woman aged 65 stops her routine botox and restylane injections?

Steven Wallach, MD
4 months ago

Once the botox is stopped, the muscle action will eventually come back and forehead lines and crow's feet will recur. As for the facial fillers, the lines will become more noticeable as the product resorbs.

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A: Stopping Botox and fillers

Ronald Shelton, MD
4 months ago

If a patient decides not to continue the treatment with Botox or fillers, the skin will not return to a condition worse than when he or she started the treatments.  In fact, many people retrain themselves not to contract the muscles with prolonged treatment of Botox, and as the habits are forgotten, and there is less squinting or less frowning, these lines may improve. Repeated fillers, whether with Restylane or Juvederm, Fat Injections, Radiesse, or other fillers, the trauma involved with the procedure and the inflammation during the wound healing, helps produce more of one's own collagen.  Some people need less product when they return for more filler in the future because of this reason.

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A: Improvements will gradually diminish when you stop Botox and Restylane

Bruce Katz, MD
3 months ago

When Botox and Restylane are stopped the aging process will certainly continue. The improvement that you have been working on will eventually start going away very gradually. You will start to see Botox diminish around 4 months and Restylane around 6 to 9 months.

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