Can Botox Help Increase Facial Skin Thickness?

Doctor Answers 13

Botox has no effect on skin thickness

As we age, the skin gets thin.  Botox has no effect at all on skin thickness.  Botox softens the lines of facial expression but has no effect on the thickness or on the collagen in your skin.

New York Dermatologist
5.0 out of 5 stars 78 reviews

Botox has no effect on thickness of the skin

BOTOX® has no effect on the thickness of the skin. It reduces the transmission of nerve impulses to muscles reducing the function of those muscles. There are other modalities that can be used to alter skin thickness.

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Botox and skin thickness

Botox will NOT increase skin thickness. The muscle "relaxation" of Botox may, over time and with regular treatments, actually soften the bulkiness of the facial muscles. Just as a body builder who quits lifting will lose muscle mass, regular use of Botox will decrease the size of the "overbuilt" muscles of facial expression, or any muscle it is used upon.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Botox: Great for Wrinkles, NO Effect on Skin Thickness

Though Botox can make the skin look smoother by relaxing expression lines, it does not thicken skin. Some of the deeper chemical and laser peels have been shown to increase skin thickness by increasing a protein called collagen in the deep layers of the skin.

Bruce E. Genter, MD, FACS
Abington Plastic Surgeon
4.3 out of 5 stars 16 reviews

Botox doesn't increase skin thickness, but can reduce muscle size

No, Botox use does not result in changes to skin thickness. The skin does thin naturally as we age, and that is a natural process that is unrelated to Botox use.

Botox can be used to purposely reduce muscle size. For example, patients who have masseter hypertrophy (a non threatening soft enlargement of the jaw muscles near the angle of the lower jaw), regular Botox treatments can result in weakening and atrophy of those muscles, creating a smaller appearance.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 108 reviews

Botox and skin thickness

No. BOTOX will not change or modify the thickness of your skin. The only thing that Botox does is to denervate or impede communication of nerve endings with muscles causing a relaxation of the muscle.

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Botox and skin thickness

Botox deactivates the muscle of facial animation. Botox does not have any significnat impact on facial skin thickness. Some lasers can help in reorganizing subdermal collagen and promote thicker skin.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Botox should not change the thickness of the skin

Botox blocks the transmissions of signals from the nerve to the muscles under the skin. It does not alter the dermal thickness directly. If one has a high resting activity of the contractile muscles before botox then the thickness of the skin and muscle per unit area might be more because of the corrugation of the muscle. After the botox the muscle doesn't contract so it may spread out to its flatter state making the thickness less. If you measure that thickness it would be back to normal.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botulinum toxin (Dysport, etc) and possible effects on skin thickness.

To the best of my knowledge, botulinum toxin's effect on skin thickness has not been investigated ar defined to any significant degree. Theoretically ongoing use of the botulinum will result in shrinkage of the sweat glands in the skin, as well as other adnexal units responsive to acetylcholine release, which could result in atrophy and decreased thickness. However, this is a real reach.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Botox has no affect on facial skin thickness

Botox works on the muscles under the skin and has no affect on facial skin thickness. When wrinkles disappear from the botox effect, it is not because they have been filled in nor peeled off. It is because muscles aren't moving as much to create these lines.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 43 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.