Strange new lines and rough skin after Botox to DAO. Could this be caused by the Botox? Will they disappear?

Question

I received 4 u to each DAO muscle 2 months ago. In the last few weeks, I've noticed new whisker lines appearing diagonally on either side of my chin & the skin surface feels & looks rougher. These lines look a bit like fine acne scars. Could this be from the botox in the DAO? Has it affected the muscle support structure underneath the skin & now caused these lines to appear on my skin? Will they disappear or am I stuck with them forever? I had nice smooth skin before but feel this is permanent.

Brian M. Harmych, MD, FACS · Answer

While Botox and other neuromodulators have no direct effect on the skin, the muscles paralyzed by the effects of these medications do. There are many facial muscles in the area of the angle of mouth and any skeletal muscle may be affected by the paralysis caused by Botox. It is possible that since the DAO is paralyzed other muscles in the general area that would normally be counteracted by the DAO are exerting different tension vectors on the skin. Fortunately, the effects of neuromodulators are temporary and will definitely resolve between 3-4 months after injection. If you are unhappy with this appearance I would advise against any futher Botox injections in the perioral area.

Martin Jugenburg, MD · Answer

It would be helpful to see pictures of your face at rest and smiling.  However, I am not sure I can imagine Botox being responsible for the wrinkles you described

Stephan Finical, MD · Answer

Skin changes are unlikely related to your Botox. However, lines re-appearing in that area may be a sign that the Botox is wearing off. Visit your injector for their opinion.

Hratch Karamanoukian, MD, FACS · Answer

It is not likely the cause as you surmise. Botox does not have any detrimental effects on the skin. Seek a skin specialist who can help you enhance the fine lines with fractional surfacing, Ultherapy, retinoic creams, etc

Steven F. Weiner, MD · Answer

There are other reasons for the change in skin texture and new lines.  It is not the Botox.  Perhaps a different skin care regime?  Other skin treatments?  Botox causes no permanent changes.  Botox effects will last about 3-4 months.

Strange new lines and rough skin after Botox to DAO. Could this be caused by the Botox? Will they disappear?

Answers (5)

Answer: Skin changes after Botox

Answer: Skin changes after Botox

Answer: Whatever new lines you have 2 months after DAO injection are not related to Botox

Answer: Whatever new lines you have 2 months after DAO injection are not related to Botox

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Everything you need to know about Botox

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Strange new lines and rough skin after Botox to DAO. Could this be caused by the Botox? Will they disappear?

Answers (5)

Answer: Skin changes after Botox

Answer: Skin changes after Botox

Answer: Whatever new lines you have 2 months after DAO injection are not related to Botox

Answer: Whatever new lines you have 2 months after DAO injection are not related to Botox

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.