Once You Get Botox, Will It Make Your Wrinkles Worse if You Don't Keep Going Once It Wears Off?

Considering getting Botox and a little filler for under eye creasing when smiling. I don't have resting wrinkles yet, but am told getting Botox before wrinkles will help to keep from getting them. Once I do get the Botox and filler, will it look worse once it wears off and I don't keep at it? I'm told not to get it done until I'm ready for the on going commitment as it's not something to do just once in awhile. Is this true and will getting Botox in one area create wrinkles in another area?

Doctor Answers 19

Stopping Botox does not mean that your wrinkles become worse

Good questions. Botox does not create wrinkles in another area if it is injected by an experienced plastic surgeon or dermatologist. There are no harmful effects to stopping Botox or fillers, but as your muscles will no longer be relaxed, facial lines or wrinkles will gradually return.

Toronto Facial Plastic Surgeon
4.5 out of 5 stars 69 reviews

Won't get worse

There is no research indicating that Botox makes your wrinkles look worse. You can check this out for yourself by viewing your photos taken of the treated area before your treatment, then comparing them to photos taken once the Botox wears off.

Look the same as before treatment

No, your wrinkles will simply return to their pre-treatment state. They won't look any worse, but you may find that they do because you'd be amazed at how quickly you can get used to your Botox results! 

Can Botox make wrinkles worse if you don't have repeat treatments?

Botox can be preventative. For example, if an individual frequently frowns, the Botox can decrease the frowning, thus decreasing the lines that will appear in the future.
Once the Botox and/or filler wears off, you will not look any different than if you never had the injections. They only mask the effects of aging. Botox will last an average of 3 months, and fillers generally last 6 months on average - sometimes longer depending on the patient. Getting Botox in one area will not create wrinkles in another area. From here, I would recommend doing your homework, and choosing a physician with a great deal of experience. This will ensure you are able to obtain the best possible result from the treatment. Thank you, and I wish you the best of luck!

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

Botox for wrinkles

Botox injections improve and prevent facial wrinkles.  Botox effects usually last 3-4 months, and sometimes longer with repeated treatments.  If you stop doing Botox, the results won't get dramatically worse, but you'll slowly start losing the results gained by previous maintenance injections.

Anatoli Freiman, MD
Toronto Dermatologist
5.0 out of 5 stars 4 reviews

Botox prevents wrinkles, it does not make them worse.

Botox will prevent your wrinkles from worsening while you keep up with your treatments.  If you decide to stop having Botox treatments, you will slowly lose the relaxing effect of Botox and will resume the normal development of wrinkles with movement.  Botox will not make wrinkles worse.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 20 reviews

Botox Rebound Effect

There is no risk of wrinkles looking "worse" after Botox wears off. However, you may think they do because you will notice them more after getting used to the wrinkle-free face of Botox. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 34 reviews

If You Stop Having BOTOX. Will I Look Worse???

If you receive BOTOX treatments for dynamic facial wrinkles the results often are

AMAZING!!!! If at any time you decide to stop treatments, there will be no untoward effect. You will just go back to baseline, with the ability to form those nasty wrinkles and lines  once again.

Bonnie Furner, MD
San Antonio Dermatologic Surgeon

Will your wrinkles worsen if you stop Botox...

Botox is one of the most commonly performed plastic surgery procedures and it has been used by men and women for years.  When correctly injected, it normally lasts for about four months.  Botox is FDA approved and has been in use for over 25 years so its safety is well documented.  Once the effect of Botox wears off, the skin will not be any worse than it was before the treatment.  The aging process will continue if you don't reinject, but if you take a Botox break, you can usually resume with nice results.  Be sure to consult with an experienced Botox injector to answer all of your questions.

Andrew Miller, MD
Edison Facial Plastic Surgeon
5.0 out of 5 stars 156 reviews

Botox and fillers

It is a commitment, if you want to keep the wrinkles formed at bay, and help with volume, over time. Botox doesn't cause more wrinkles but because you've treated one area, you can automatically have other muscles in neighboring areas that are recruited and used instead.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 194 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.