Bad Botox Job Still Present After 8 and 1/2 Months?

First time Botox for mild forehead, crow's feet, frown line. Immediately afterwards my eyelids puffed up. I had a second treatment to fix it. Almost 9 months later, my eyebrows still "puff-up" when I smile and where there there once normal smile lines (crow's feet) my eyelids puff and crease in a very unnnatural looking way whenever I smile. I am becoming very concerned that this is still so prominent after almost 9 months! My eyelids are also still slightly puffy. How long can this last for???

Doctor Answers 12

Botox Results and Reactions

Thank you for your question. Botox can last up to 3 months and result is not permanent. I would recommend seeing your primary MD to assess the condition, such as puffiness around the eyes and rule out any medical condition. I hope this helps.

Bay Area Dermatologist
3.9 out of 5 stars 12 reviews

Bad Botox Job Still Present After 8 and 1/2 Months?

Botox last 3-4 months, most likely the puffiness was already there before the injection. I advise to see your medical provider for your concerns.

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

9 months post Botox injection

It would be a good thing to look at some before and after pictures. Any Botox from that injection date should be out of your system by now (usually metabolized in 3-4 months).

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
3.7 out of 5 stars 18 reviews

Duration of Botox effect

Though you may have experienced some swelling immediately after injection, it is unlikely the symptoms you are experiencing now are secondary to those injections.  You and your physician may want to explore other potential causes of the puffiness you are describing.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Please see a doctor

The effects of botox should only last about 3-4 months. What you are experiencing is probably unrelated to your botox surgery. I recommend that you see a doctor as soon as possible. 

Best of luck, Dr. Marefat

Saeed Marefat, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 31 reviews

Poor result from Botox still visible after 8.5 months?

Hello, and sorry to hear about the side effects you are experiencing. In general, Botox lasts for an average of three months. What you are experiencing may not be the result of your Botox treatment, and there may be another issue that needs to be addressed. I would recommend following up with your provider and explaining the issue to him or her. They know the extent of your treatment and may be able to provide you with advice. 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

Bad Botox Job Still Present After 8 and 1/2 Months?

 The effects of Botox, Dysport and Xeomin don't last beyond 3-4 months.  You might want to see an allergist or eye doctor to evaluate this issue further.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Very unusual problem since all effects of botox should be long whatever

the problem is, it's unlikely to be due to the fact the botox wears off your crow's feet long before it's gone from the glabella...and it never hangs around this need to see your doctor and look at the before and after pictures...amazing how informative they might be...if your eyebrows puff-up and you have problems with your crow's feet, it's likely that you have an issue beyond the botox...sorry you have an issue irrespective of the cause but you can safely rule out botox as a likely culprit

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

Puffy eyelids nine months after Botox

Austin, It would be almost unheard of to have the effects of Botox around for so long. DO you have before treatment photos. Patients often do not take a good look at themselves until they are post treatment and evaluating it. DO you have any before and after photos that you can share with us?

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

Botox and longevity

Cosmetic Botox treatments won't last 9 months, closer to 3-4. Without seeing before and after photo's, it is very difficult to know what your specific concern is, but 9 months post-treatment it wouldn't be related.

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