Injection to Dissolve Botox?

If Botox is administered incorrectly, like Juvederm, is there something you can inject to counteract the effects and dissolve the Botox?

Doctor Answers 15

Only Time “Dissolves” Botox

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Unfortunately, there is no antidote to Botox's muscle-relaxing effect. If you have a bad outcome, the only remedy is patience. It takes about three to four months for Botox to wear off on its own. Please be sure to only work with a board-certified dermatologist who has been trained in Botox administration, has expert injection technique, and many years' experience.

Washington DC Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Wait for it to dissolve

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Botox is non-permanent and so the substance will naturally dissipate within 3-6 months with the effects wearing off with it. Unfortunately, unlike with fillers there aren't any substances currently available which can dissolve the toxin. 

Botox Cannot Be Dissolved

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Botox is not a filler, like Juvederm, and cannot be dissolved. Once it has been injected into the muscle, the muscle will relax and continue in a quiescent state until the neuromodulator wears out in about three to four months. This is why it is so important to find an expert injector with many years' experience with Botox: You don't want to risk a mistake that will take months to resolve. Please consult a board-certified dermatologist with expertise in Botox injection.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Wait it out

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Unfortunately, the best thing to do if you don't like the results of your Botox treatment is to simply wait it out. Botox isn't permanent so in a few months, the treated area should return to its pre-injection state. This can take about 4 months or so, depending on your unique physiology and the area in which it was injected.

Hyaluronic acid based dermal fillers

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While some of the complications can be treated, botox can not be reversed in the same way that hyaluronic acid based dermal fillers can be dissolved. For that reason, you should ensure that you are utiliizing an experienced and expert injector.

Is there anything to "reverse" Botox?

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Unfortunately, as the panel has suggested, there is no way to reverse the effects of Botox as there is with hyaluronic acid based dermal fillers.

Depending on the injection area, there may be ways to improve the appearance of the injections.  For example, if we have a patient that has heavy lids from a Botox injection, in some cases we are able to lessen the appearance of the problem by performing a Botox browlift.  But in many situations, the answer is just time.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

No injection to dissolve Botox

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There is no antidote to Botox, although the effects will wear off in 2-3 months. If you have a complication such as a droopy eyelid, the effect may wear off in as little 2-3 weeks. You should speak to the physician who administered your injection about your concerns. If you decide to have another injection in the future, be sure to mention the issues you had with your prior injection. I would also recommend that you see a physician who is experienced with Botox injection, as opposed to a spa setting in which your injector may not be as skilled. Good luck.

Botox can not be reversed but can be modified

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While there is no medication to reverse Botox, some of the problems associated with Botox can be ameliorated. Sometimes, adding more Botox can actually help improve a poor result. If you have a droopy eyelid, there are eyedrops that can reduce the droopiness. The key is to select an experienced injector to minimize the chance of developing these problems.

Botox Reversal

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There is no specific medication or technique to reverse Botox. Botulinum toxin serotype A is an irreversible inhibitor of Ach release at the neural synapse and cannot be countered once injected.

No injection to dissolve Botox

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Dear Hollybrook

It is important to undertand that there can be some significant problems if BOTOX is not properly placed. For this reason, you should be certain that you are getting treatment with a core aesthetic physician or surgeon who understands facial anatomy. This means seeing a specialist who is board certified in one of the following areas: Dermatology, Ophthalmology, Otolaryngology or General Plastic Surgery. However, this is not sufficient to assure yourself of the best possible treatment.

This is one service that is best done by someone with a large body of experience. You do not want to be their second patient.

You BOTOX treatment can be adjust by an experience injector. Also the peak of your treatment will occur in about 3 weeks. After this, the treatment effect will begin to wear off. At about two month a correctly placed treatment can placed.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 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.