How Long Does Botox Last in the Obicularis Muscle?

How long does Botox last in the obicularis muscle (undereyes)? I had mine Botoxed seven months ago and it's still there.

Doctor Answers 17

Botox for Crow's feet lasts 3 - 4 months

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the range of effectiveness of Botox for Crow's feet is 3 to 4 months, with some taking longer. Some physicians have recently started to inject two rows lateral to the angle of the eye rather than the one row. This adds a number of units to the treatment and potentially might create a longer-lasting effect. More time to study this is needed.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Botox Duration is About 3 Month to 4 months

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Botox in the crows feet and orbicularis (under eyes) usually lasts about 3 months to 4 months  

For patients who want to see their wrinkles gradually improve, I suggest an every 3 month schedule. If they don't mind maintaining their current status 3 1/2 or 4 months is OK.

I have noticed on some patients who continue to have Botox injections on a regular schedule that they are able to gradually increase the time between injections to 4 or even 5 months.  Most commonly though, they continue to need the injections repeated every 3 - 4 months

I hope your luck continues, but I would not be surprised if your next Botox injection does not last quite as long.  

Botox for orbicularis muscle

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From my experience, because we can only inject a small volume around the eyes to avoid bruising, I tell my patients that it tends to last less time than areas that i can inject a large volume, such as the glabellar area. I would say 3 months is about average.

Isabel Zhu, MD, PhD
Boulder Dermatologist

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Botox longevity in the obicularis muscle

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Seven months is a long run with Botox. The average is 4 months with some going as long as 5 months or so.

You must remember the Botox loses its effect not because the nerve receptors on the muscle occupied by Botox become functional again. it is because the nerves to those blocked neuromuscular receptors send out nerve sprouts SIDEWAYS which re-innervate the muscle resuming its contraction.

Good Luck.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Duration of Botox effect in the eyelid area.

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That is very unusual. Typically Botox in the eye area lasts in the range of 3-5 months with 4 months being the median duration of action of this product in that area.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Botox lasts 3 to 4 months in crow's feet area

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The typical longevity of Botox in the lateral eye or crow's feet area is 3 to 4 months. In a few individuals, it can last  up to 6 months, especially if the have had several treatment.

Botox Cosmetic Duration for Facial Wrinkles

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While individual duration may vary, Botox Cosmetic typically lasts for 3-4 months after treatment, regardless of treatment area. The effects start a couple days after injection, with maximum results at around 2 weeks. Most patients have continued improvement in facial wrinkles for 3-4 months, but notice some gradual return of skin aging.

Some lucky patients have Botox Cosmetic last longer, while some unlucky patients have a shorter duration of results.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Botox Lasts For Four Months in Orbicularis Muscle

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There is a lot of individual variation but typically Botox lasts for four months in the crows feet area (orbicularis oculi muscle). It is possible for Botox to last longer. If this is your first time and it lasted this long, you should have the physician put in less amount on the next visit. Also, keep in mind certain neurological disorders can keep the Botox working a lot longer. If in one year your Botox is still working, you should see an internist or neurologist to look into that possibility.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Botox lasts 3 to 4 months for most people, but some get longer results

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Other patients some get shorter durations. Sometimes using Botox relaxes muscles in a specific area of the face so you might get out of the habit of using those muscles. This is another reason why it may seem to last longer. In patients who get frequent Botox, by keeping the muscle immobile you get atrophy (like the leg muscles when a leg is in a cast). After repeated use, the muscles are weaker and less Botox may be necessary plus it also can last longer.

I just started using Dysport in my practice. The word is that it starts working faster and may last longer. There are a few other difference as well.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Botox blepharospasm cosmetic longevity

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As others have said you can expect from 3-4 months. Runners with thin body habitus and low body fat may see shorter effect. Some will see longer as well. You may not know that this is one of the first muscle treated with Botox. As an oculoplastic surgeon and ophthalmologist, I have been using Botox since 1989 when it was tested on blepharospasm, a devastating disease that limits eye opening and normal function. It was in these patients that the cosmetic benefits of Botox was identified. How reassuring though to use a cosmetic treatment that has so many years of use and an unparalleled safety record!

Asa D. Morton, MD
San Diego Oculoplastic Surgeon

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.