Can repeated Botox cause unwanted permanent muscle atrophy?

May 11, 2019
Asked By:ABF90 in Newport Beach, California

On average how long will it take for the muscle to regrow normal? I have had Botox injections around my crows feet by board certified doctor for over 2-3yrs. After this last injection 3 weeks ago (10 units each side). I have noticed unwanted muscle atrophy in my upper cheeks. It has created a deep line on my mid cheek and looks more defined when I smile. I have NEVER had this line before. I am 24 years old and was given 50 units (repeatedly every 4-5 months). Has the Botox migrated to my cheeks because too many units? Will this line go away?

Answers (8)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
May 13, 2019

Answer: Permanent effects of Botox

1 person found this helpful
Sacha Obaid, MDBoard Certified Plastic Surgeon
VOTED MOST HELPFUL
May 13, 2019

Answer: Permanent effects of Botox

1 person found this helpful
Sacha Obaid, MDBoard Certified Plastic Surgeon
MOST RECENT
March 3, 2025

Answer: Botox

Camille Cash, MDBoard Certified Plastic Surgeon
MOST RECENT
March 3, 2025

Answer: Botox

Camille Cash, MDBoard Certified Plastic Surgeon
July 16, 2019

Answer: Botox and Muscle Atrophy

Monica Boen, MDBoard Certified Dermatologist
July 16, 2019

Answer: Botox and Muscle Atrophy

Monica Boen, MDBoard Certified Dermatologist

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May 12, 2019

Answer: Improving wrinkles with botox/xeomin/dysport and fillers; laser like Fraxel or radiofrequency venus viva/intensif; microneedle

1 person found this helpful
Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
May 12, 2019

Answer: Improving wrinkles with botox/xeomin/dysport and fillers; laser like Fraxel or radiofrequency venus viva/intensif; microneedle

1 person found this helpful
Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
June 17, 2019

Answer: BOTOX® shouldn’t have any permanent affects.

1 person found this helpful
June 17, 2019

Answer: BOTOX® shouldn’t have any permanent affects.

1 person found this helpful

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