After the Effect Ends (Botox or ácido Hialurónico (Restylane)) Does the Wrinkles Get Worse Than Before the Treatment?

Doctor Answers 10

Wrinkles after Botox wears off

Your wrinkles should not look any worse after the Botox wears off as it did before using Botox. It may feel worse because you are not used to seeing them.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Are wrinkles worse after Botox or Restylane wear off

When you have Botox or Restylane and it goes away, no, your wrinkles are not worse than they were before you had the procedures done. Your body will continue to age though, so if you, say, have had Botox or fillers for like 5 years or more, and then stop, then yes, your body should have aged and you may notice your wrinkles are "worse", but the Botox or Restylane does not cause this. Aging, sun, life, etc. do.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

After the Effect Ends, Does the Wrinkles Get Worse Than Before the Treatment?

Your wrinkles will not get worse after your effects of fillers and Botox has worn off. In fact, using Botox is a great preventive for future lines and wrinkles. 

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Botox and Restylane for Wrinkles

Neither Botox or Dysport or any type of filler will make your wrinkles worse.  They may appear worse after the correction disappears because you have become accustomed to your improvement.

Richard P. Glunk, MD, FACS

Richard P. Glunk, MD (retired)
Philadelphia Plastic Surgeon
3.8 out of 5 stars 5 reviews

Do wrinkles get worse following treatment with Botox?

The wrinkles will not get worse following treatment with Botox. It may actually prevent wrinkles down the road.  For example, if an individual frequently frowns, the Botox can decrease the frowning, thus decreasing the lines that will appear in the future. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Wrinkles Don't Get Worse After Botox Wears Off

Your underlying wrinkles (dynamic wrinkles) will not get worse once the Botox wears off. Hratch Karamanoukian MD FACS

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Botox and fillers do not worsen wrinkles

While botox and fillers do not halt the aging process, the treated wrinkles do not worsen from these procedures. In fact, many believe that using botox helps prevent wrinkling in the treated area and that using fillers can stimulate collagen deposition.

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Restylane and effectiveness

Your wrinkles don't get worse after either the dermal filler or neuromodulator (Botox) wear off, but they are apparent because the volume is gone, and the muscle is working again. Timely treatment is best for longevity and keeping those lines at bay.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox and Restylane

Once the effects of Botox and Restylane slowly wear off, you will return to your previous self and will of course continue to age.  Most physicians take before treatment photos so you would be able to compare your appearance with your before photos.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Wrinkles after Botox and Restylane wear off

After your Botox and filler wear away you will just be back to yourself and a little older. Some fillers will build collagen(Radiesse, Sculptra) and these might leave you with a little more collagen even when the material has worn out.

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 18 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.