Should I still need to have Botox?

Question

I had forehead lift in December of last year. The results were great shortly after the procedure- browline lifted, etc. But 3 months after, the skin had settled back so that my eyelids still looked heavy, not as much lift on the brow. So the procedure made some difference, but not enough. I went in today for Botox because the lines between the eyes are back. Does the whole procedure need to be redone? I was hoping that I would not need Botox anymore! Thanks,

Sara Salas, MD · Answer

When you get a facelift done, the surgeons lifts your inner tissue and helps treat the saggy areas in your face. The procedure itself does not change the ability of the muscle to contract and wrinkle your face. Both, botox and facelift, can work together to give you a great youthful look.

Brian Bassiri-Tehrani, MD · Answer

This is an excellent question. A forehead lift simply lifts the forehead skin to give the forehead and eyebrows a more lifted appearance. Sometimes as part of this procedures, the muscles that cause the wrinkles between the eyebrows (corrugator muscles) can be disrupted or divided entirely, eradicating the need for botox in the future. This is not always done as part of a forehead lift. Additionally, even if attempted to disrupt or divide the muscle, the muscles may have some residual activity that cause the wrinkles to return nonetheless. When this happens, toxins are the best option for reducing the wrinkles and raising the medial or inner part of the eyebrows. I hope this helps!

Anil R. Shah, MD · Answer

Hello SCady! My name is Jessica, I am a physician assistant, and one of the providers of Shah Facial Plastics. In general, results from Botox injections will last up to 3-4 months. After that, it is totally normal to schedule another appointment for another treatment in order to improve the areas of concern. I hope this helps!

Camille Cash, MD · Answer

I encourage you to discuss your concerns about your surgery results with your surgeon.  Unfortunately with no before/after photos it's difficult to comment on them.  It is not unusual to still desire Botox after a forehead lift.  The surgery improves brow position as well as some wrinkles, but the muscle activity will continue which means more lines can form.  Botox can also address crow's feet as well as give a more refreshed appearance to the eyes.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Should I still need to have Botox?

Answers (8)

Answer: Botox

Answer: Botox

Answer: Need to come in to consult

Answer: Need to come in to consult

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Should I still need to have Botox?

Answers (8)

Answer: Botox

Answer: Botox

Answer: Need to come in to consult

Answer: Need to come in to consult

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.