Why Can't You Use Botox for the Saggy Wrinkled Skin Around the Elbows?

I am not aware of physicians who might have tried this off label, but the skin is wrinkled on the elbow as it is being stretched often, unlike the folding of the skin on the forehead and outer eyelids (crow's feet) from muscle contraction which makes the overlying skin contract. Once the muscle is quiet the skin smoothens, but on the elbow, the botox wouldn't elminate the arm movement and the skin would constantly stretch out. One never knows and sometimes in the field of medicine we discover uses of medication which were not expected.

Dynamic wrinkles are those wrinkles that you have when you are contracting muscles to produce them. Static lines or wrinkles are those that are there in repose. In the case of your elbows, this is positional. That means that, like your neck, or knees, depending on how they are flexed there is extra tissue that is creating those wrinkles you are bothered by. Potentially, different types of skin resurfacing (ie DOT laser)could be helpful although they wouldn't eradicate these types of wrinkles.