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 21

Doing Botox in your younger years is smart

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If you stop getting Botox, the repetitive creasing from muscle activity will allow wrinkles to form. But they won't be worse! If you already have wrinkles at rest, yes, you need to keep getting Botox so that the creased in line has time to fade. A common complaint of people who have wrinkles at rest is that Botox didn't work--this is a misconception, as Botox keeps you from creating the wrinkle, but once the wrinkle is creased into your skin, it will take both Botox and time (and skin care) to allow the wrinkle to fade. 


Sometimes getting Botox in one area results in recruitment, which is using previously unused  muscles to make whatever facial expression gave you the wrinkle in the first place. An expert injector can help prevent this, and correct it if it does happen, with proper dosage and placement of Botox.

New Orleans Dermatologic Surgeon

Intermittent Botox Better Than None for Prevention and Upkeep

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Your face will not look “worse” if you stop Botox injections after your first treatment wears off. However, it will go back to the same condition it was in before Botox, and – of course – your face will continue to age with time. If you can't commit to maintenance treatments every three to four months, that should not dissuade you from trying Botox. Even intermittent Botox can relax the dynamic muscles that cause wrinkling sufficiently to slow down the aging process just a bit. Please consult with a board-certified dermatologist to design a regular Botox program that will work for your budget.

Melda A. Isaac, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Botox making wrinkles look worse

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I have found, nor have I heard of any research indicating that Botox makes your wrinkles look worse. You can always take before pictures yourself and after the 3 months, that's usually how long Botox lasts (can be longer or shorter depending on how your body metabolizes it), then compare once the Botox wears off. And your wrinkles will return to their pre-treatment look. They won’t look worse, although you may be amazed how well the Botox works, and how you get used to the results.

Stopping Botox does not mean that your wrinkles become worse

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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.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.7 out of 5 stars 170 reviews

Won't get worse

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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

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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?

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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
4.7 out of 5 stars 49 reviews

Botox for wrinkles

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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

Botox prevents wrinkles, it does not make them worse.

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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

Botox Rebound Effect

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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

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.