Why does Botox in my chin wear off so quickly? I have overactive chin muscles but after only 6 weeks I find I need a touch up.

Question

I've been getting chin Botox for several years. The muscles themselves are very overactive. At this point I get around 7.5-10 units in total and by 6weeks out, the movement and dimpling is already returning and prominent. The rest of my Botox tends to last well but my chin is just very stubborn. I've done xeomin and Allergan Botox without any difference in longevity. Any suggestions to prolong results? I know strong muscles in mobile areas can wear off much faster than static areas.

Eric M. Joseph, MD · Answer

Some people with hyperactive chin muscles may require up to 25 units of neurotoxin. Your dose of less than 10 units may not be enough for lasting results. I hope this helps. Sincerely, Dr. Joseph

Caner Kacmaz, MD · Answer

Factors such as age, muscle strength, and how fast your body processes Botox can all affect how long it lasts. Botox that's expired or not stored properly may also lose its strength which causes the treatment less effective.

Anna Chacon, MD, FAAD · Answer

It's not uncommon for certain areas, especially those with strong and overactive muscles, to metabolize Botox (botulinum toxin) more quickly. Here are some suggestions and considerations that might help prolong the results of your chin Botox treatments:

1. Increase Dosage: Sometimes, increasing the dosage slightly can help prolong the effects. Discuss with your physician if a higher dose might be appropriate for your situation. However, this should be done cautiously to avoid unwanted side effects.

2. More Frequent Touch-Ups: While this may not prolong the duration of each treatment, scheduling more frequent touch-ups (e.g., every 6 weeks) can help maintain the desired effect more consistently.

3. Combination Treatments: Consider combining Botox with other treatments. For example, dermal fillers can provide additional support and reduce the activity of the chin muscles by adding volume and structure. This combination might help extend the duration of Botox effects.

4. Alternative Techniques: Different injection techniques might yield better results. Discuss with your provider about the possibility of altering the injection technique or sites to see if it makes a difference.

5. Muscle Relaxation Exercises: Performing specific exercises to relax the chin muscles might help. While these exercises are not a replacement for Botox, they can potentially reduce the overactivity of the muscles over time.

6. Lifestyle Factors: Certain lifestyle factors, such as stress and physical activity, can influence how quickly Botox wears off. Managing stress and moderating intense physical activities might help in some cases.

7. Switching Providers: If you have been seeing the same provider without improvement, consider consulting with another experienced injector. A fresh perspective might bring new insights and techniques that could be more effective.

8. Review Overall Health: Sometimes, underlying health issues or medication interactions can affect Botox metabolism. A thorough review of your overall health and any medications you are taking with your healthcare provider might provide additional clues.

9. Off-Label Options: Discuss with your provider about the possibility of using other neurotoxins that might be available on the market. While Xeomin and Allergan Botox are common, there are other brands like Dysport or Jeuveau that might work differently for you.

10. Consult a Specialist: If you haven't already, consider consulting a specialist in facial aesthetics or a dermatologist with extensive experience in managing difficult cases. They might offer advanced techniques and a more tailored approach.

Remember, each individual responds differently to Botox, and it may take some trial and error to find the optimal approach for your specific needs. Always discuss any changes or new treatments with your healthcare provider to ensure they are safe and appropriate for you.

Camille Cash, MD · Answer

If your results have consistently lasted only 6 weeks you may find improvement by slightly increasing the dose.  You also could consider different products like Daxxify.  See an expert injector near you to learn more.

Timothy Mountcastle, MD · Answer

dose of all these drugs just like all drugs is the key to longevity.  dose equals duration. also amount of muscle your trying to paralyze is important. other factors most likely play a role as well. some studies suggest taking zinc to help prolong botox,xeomin,daxxify,etc

Jacquelline Leva, DO · Answer

If you have very strong muscles in the area you may need more botox units. I would also be mindful of the facial expressions that make that movement so that you don't do them as much

Why does Botox in my chin wear off so quickly? I have overactive chin muscles but after only 6 weeks I find I need a touch up.

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