How Many Times Can a Person Have Botox?

Question

Is there a limit to the number of times that one can use Botox? After a certain point of time does one need to shift back to using cremes.

Jerome Edelstein, MD · Answer

You can have as many Botox treatments as you want, however you should make sure to wait the necessary time between each treatment so you can see the full effects first. That means waiting about 4 months or longer, since the more treatments you have the longer the effects can last.

Ron Shelton, MD · Answer

There is no limit to the number of treatments over the years that someone can have. Very rarely, it is hypothesized, that some patients may develop antibodies such that the Botox is no longer as effective. This might be more common if the interval between Botox treatments is decreased to a month or so. Unless this happens, there would not be a reason to limit the number of treatments.

Tanveer Janjua, MD · Answer

There is no limit as to how many times one can have Botox during their life time. However, at one time you should limit the dose to 100units at the most.
If you have been using Botox for a while you might not require it as frequently as every four months. You might need it every six months or so. But, creams will never subsitute for Botox.
Regards

Otto Joseph Placik, MD · Answer

There are no suggestions that there are limits on the number of times one can have Botox. In fact, some reports have recently been published with patients who have received it over a 20 year period with no adverse side effects.
In some instances, inidividuals who have repeated injections may demonstrate a form of tolerance and may require additional doses performed at more frequent intervals and at higher concentrations. Of course there are suggested limits to doses and quantiities recieved at any one sitting into a particular muscle.

S. Randolph Waldman, MD · Answer

I have been doing Botox injections since 1993 and have some patients who we have been treating this entire time. In my experience the longer you use it the longer the duration of treatment. We have seen no problems related to number of treatments.

Beverly Johnson, MD (retired) · Answer

I have never heard of an upper limit. Before Derms used it, it was being used non-cosmetically for muscle relaxation in vocal cords, limbs with spasticity, etc. in much much higher volumes than we would ever use.
I agree with others here that the more you do it, the less often you "need" it. It seems that your muscles remember to stay relaxed!

Theodore Katz, MD, FACS (retired) · Answer

There is no limit on the number of times Botox can be repeated. However, remember if you do it over the years do not assume that each time you rush in and get it done and rush out. Always remember to tell you physician if you have had any changes in your health status, are taking any new medications (especially those that "thin" the blood), are on any special diet, etc. This is still a medical procedure, but extremely safe.

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