When Botox Begins to Wear Off, How Quickly Does It Dissapate?

In other words does it suddenly wear off in a few days or does it gently ease away over many weeks? Can crow's feet be gone one day and back in full force the next? How much time do you normally have to get back in for treatment?

Doctor Answers 11

Botox treatment

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Botox results usually last between 3-4 months for most people. It doesn't just turn back on the muscles all at once after it wears off. It is a gradual transition.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Botox wearing off

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In most cases, Botox wears off in a couple of days.  Most people say that they wake up and see some wrinkles in the mirror and then by the end of the day the wrinkles are getting worse.  Over the next few days, the wrinkles start to return to baseline.  Most patients call to make an "Emergency Botox Visit" at the first sign of returning wrinkles.  Good luck.

Disappears Gradually

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The results of your Botox will disappear gradually in about four months or so. It's doesn't just disappear all of a sudden. Usually, Botox injections can be scheduled every 4 months or so, depending on the area and how you react to the treatment.

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Botulinum Toxin (Dysport or Botox) tends to wear off gradually

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Botulinum Toxin (Dysport or Botox) tends to wear off gradually beginning at 3 months and typically completiely dissipated by 5 months.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Making Botox and Dysport Results Last Longer

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I have very extensive  personal experience (nearly twenty years) with the use of Botox for the treatment of wrinkles, furrows and scowl lines. In that time, we've come a very long way from just treating frown (scowl) lines between the eyes. Now,  routine uses include worry lines along the forehead, bunny lines on the sides of the nose, crow's feet on the sides of the eyes, crinkles of the lower lids, lipstick bleeding (smoker's) lines around the mouth, turkey necks and crepey chests.

We've also learned a great deal about how best to use these neuromodulating materials. Gone are the severe restrictions on exercising for several  days after treatment and upon lying down for four hours after treatments. Also gone are the slavish need for the doctor  to use the material within four hours after reconstituting it and the recommendation for the patient to do facial mimicry exercises for six hours after a treatment session.

What's more we have developed ways of significantly prolonging the results of treatment. Ordinarily Botox or Dysport last on average about four months. One way to increase the duration of effect is to combine their use with the injection of filler materials. In some cases the combined treatment has resulted in as much as a year's worth of improvement.

Another method is to repeat the Botox or Dsyport injections, at least initially, with a series of treatments spaced at fixed four month intervals (regardless of whether any return of the wrinkles is seen). Recent evidence suggests that after doing so for a while, results may be prolonged for six or more months. I have found this method useful for reducing both the frequency of patient visits and overall cost to the patient and have actually been recommending this approach for several years. 

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews

BOTOX usually lasts 3-4 months

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BOTOX usually lasts 3-4 months. Often, you’ll notice a slow tapering off of the effect somewhere between 2-3 months. For more information on BOTOX visit my website.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Botox Cosmetic Duration

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The results from Botox Cosmetic slowly fade with time. Botox Cosmetic generally lasts about 2-4 months. Around this time, one may notice facial wrinkles slowly coming back. You may be retreated at that time or wait until the Crow's feet are back in full force. Generally, it's better to get retreated with Botox Cosmetic before wrinkles are fully back.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Botox slowly wears off

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I would agree that the effects of botox slowly wear off.  To add a little more information, studies have shown that botox degrades after 90 days.  After that time, patients develop different patterns of nerve function return.  One group seem to return to full muscle movement quickly, and they often find themselves back in our offices shortly after 3 mos.  I have found these patients to be the ones with very active metabolism, ie really stressed, type A personalities, hyper patients, or serious athletes (marathon runners, personal trainers, competetive athletes). 

Most patients are not like that, and see a slow return of function that is gradual.  Maybe over three more weeks, maybe over three more months.  I tell patients to return for reinjection when they feel most comfortable with this process.  Some ride it out as long as possible and do botox twice a year.   Some, as mentioned above, never want to see movement creap back in, and so reinject every three months.

Regions for botox injection clearly have a threshold dose that must be met, in order to provide the anticipated response.  Again, this is established by studies, not just my opinion.  Doses above that threshold dose are often encouraged in order to establish a pattern of prolonged effect.  More drug means more duration, to a degree.  Titrate your dose with your physician.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Botox wears off gradually for most, not all patients

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Most people note that the Botox gradually wears off around the third to fourth month.  A few of my patients do notice good results until, one day they "wake up" and it's gone, that suddenly. Others who have good improvement in their frontal headaches, schedule repeat treatment three or four, or five months later when the headaches recur suddenly.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

BOTOX Slowly Wears Off

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BOTOX slowly wears off over a period of 4-6 months.  Your body regenerates the nerve/muscular connections that Botox blocks.  It is not like falling off a cliff, rather it is a slow recurrence of mucsular function.  Higher doses of Botox can prolong the  effect for a little bit longer.  Patients vary in how long Botox lasts.  Some start seeing activity three months later, while a few get six months from a single dose.

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.