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?

Doctor Answers 12

Improvements will gradually diminish when you stop Botox and Restylane

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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.

New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Long term treatments can result in long term effects

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When Botox and Restylane are stopped the person's wrinkles and folds will return to baseline especially if the usage was short term. Long term treatment of Botox can result in disuse atrophy of the muscles causing the wrinkles and those muscles may not come back full force. Repeated Restylane injections may cause an inflammatory response that causes fibrosis underlying the wrinkles resulting in a degree of permenant augmentation for some individuals. Of note, of the common fillers available, Restylane results in less of an inflammatory response.

Lee Kleiman, MD
Annapolis Facial Plastic Surgeon

If you stop using Botox, the effect will gradually go back to baseline

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Like stopping cutting your hair, if you stop using Botox, the effect will gradually go back to baseline. There is some evidence however that filler injections stimulate production of collagen, so some of the benefit, although slight, may persist.

William P. Coleman III, MD
Metairie Dermatologic Surgeon

Stopping Botox and fillers

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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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Stopping Botox and fillers

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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.

Stopping Botox and Restylane Brings You Back to Baseline

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Once you discontinue Botox and Restylane, the good results you achieved with these products will disappear over time. It takes about three to four months for Botox to be metabolized. At that time, the dynamic muscles will no longer be relaxed and can once again form wrinkles. Restylane takes about six to nine months to diminish. However, it may stimulate collagen production so that the benefits may last a bit longer than that. In short, your face will look much like it did before you began your rejuvenation regimen. Please consult with your board-certified dermatologist so that you can work out a plan that will allow you to keep up your more youthful appearance.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Stopping Botox and Restylane Stops the Benefits

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Both Botox and Restylane require regular touch-ups to maintain their good results. If you stop Botox, after three to four months you may begin to see your wrinkles reappearing, as the dynamic muscles that form them go back to their normal activity. However, if you have been receiving Botox for many years, the muscles may be weaker than they were initially and you may have broken the ability for the brain to always activate the muscles. If you stop getting Restylane, after a year, the wrinkles will come back but they may never be as bad  as they were before you started treatment since all fillers also cause your body to make new collagen. As with all regimens – whether for weight loss, hair care, or skin-care – anti-aging routines must be maintained to continue their benefits. Please consult with a board-certified dermatologist to keep your face looking its best.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Facial lines return after stopping Botox and Restylane

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Good question. There are no harmful effects to stopping Botox or Restylane, but as your muscles will no longer be relaxed, facial lines or wrinkles will gradually return. The longer you had them consistently injected, the longer it should take for the wrinkles to return.

What a shame!

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The improvement of the lines and folds will gradually go away. Depending on how long you were doing these procedures will determine if you look older quickly or slowly. Studies have shown a cumulative benefit over time if you have done the procedures for several years, so the longer you were doing it, the longer you will look better before you return to baseline. In fact, you likely will never look as bad as you would have if you had done nothing at all.

Stopping routine Botox and fillers

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Once stopped, things go back to the baseline according to that person's age. Meaning if the person started using filler and Botox at age 30 and stopped at age 40. He will look like he is at 40 and not 30. This causes patients alarm when they see their face and think that the filler or Botox has caused them to have more wrinkles, when in fact, it was natural aging that has caused more lines to occur.

That should be explained to the patient and any further misconception should be cleared.

Hassan Galadari, MD
Dubai Dermatologist

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.