Wrinkles Have Returned Only a Few Months After Botox, Is That Normal?

Question

I had botox a few months back and now I can see the wrinkles come out again, which means my botox doesn't work anymore.

Jerome Edelstein, MD · Answer

Generally, results last about 4 months or so, therefore it is normal to see wrinkles returning. With repeated treatments, results may last longer. It also depends on the area treated, as some areas (particularly those with less movement) may have results that last longer.

Ron Shelton, MD · Answer

Some patients only receive two months of benefit from Bototx and others up to four. Of course, there are those who obain less and others, more, of a duration. Three months is very normal. There might be some longer duration if the provider gives you more units of botox but this might increase the risks so they are probably giving you an adequate dose, but they should tell you if you are getting enough or should try some more units the next treatment.

Harold J. Kaplan, MD · Answer

Hi Naomi.  Yes, unfortunately Botox results are not permanent.  Your injector did not go over expected duration with you?

	It's always disappointing to learn that patients have not been properly educated about their treatments before they leave.  Or at the very least that they are not given a handout that explains what to expect after treatment.  For our Dysport and Botox patients, we let them know that full effect should be seen within 7 days and we bring them back in for a complimentary checkup at 14 days to make sure the results are inline with their expectations.  This is not standard for the industry but is in our practice.  It helps to avoid just the kind of miscommunication you are highlighting.

	Finally, for our patients that are using Dysport or Botox regularly, the effects will normally last about 4 months.  Some more, some a little less, but this is a good rule of thumb.  Hope this helps and good luck with the next injection.

Ava T. Shamban, MD · Answer

Your body naturally metabolizes the Botox after a few months.  Botox typically lasts three to four months for the average person, depending on dosage.

Kenneth D. Steinsapir, MD · Answer

As I tell my patients, I do not send out a reminder card for you to return for BOTOX service. You will know one day looking in the mirror. That time frame varies with personal preference. However, BOTOX is maximal at 3 weeks and then it slowly begins to fade in effectiveness. At some point you become aware of this. It might be at 3 months, it might be at 6 months. However there is nothing surprising about being aware of its effects fading at 3 months.

Melanie D. Palm, MD · Answer

Botox lasts approximately 3 months, after this you should return to your baseline, meaning your wrinkles will return. Consistent treatments (usually 3-4 times per year) is necessary to continue the effect.

Tom J. Pousti, MD · Answer

Thank you for your question.

	Yes, Botox is not permanent.. usually lasts 3-4 months depending on the patient so it is normal to see the effects where off.  Best to have good communication with the doctor who is injecting the Botox for you and see what other options you have  for a longer result.

	Good Luck!

Paul Carniol, MD · Answer

Botox is one of the substances that falls into a group of medications that physicians call neuromodulators.

These neuromodulators treat wrinkles that develop as a result of underlying muscle movement

For most people the effects of these treatments last only for 3-4 months.  If your wrinkles are returning it means that the Botox is wearing off. If you are pleased with the result of the prior treatment you may want to have a repeat treatment.  It is common for patients to come in for these treatments 2-3 times per year.

Robert Strimling, MD · Answer

Botox usually lasts 3-6 months.  So, yes this may be normal.  You may want to try Dysport next time.

Robert L. Kraft, MD, FACS · Answer

Botox usually lasts for 3 to 6 months. Everyone is different. It doesn't make the wrinkles go away, only to ease the muscles and create a more youthful appearance. It may be time to consider another treatment and to see your dermatologist or plastic surgeon again if you were pleased with the result.

Wrinkles Have Returned Only a Few Months After Botox, Is That Normal?

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