Anorexia and Botox - does Anorexia cause Botox to wear off faster, or is my eating disorder making me age faster somehow?

There’s no scientific correlation between Botox and anorexia affecting the face. You will age faster if you are anorexic, but Botox will not wear off faster because you are anorexic.

The eating disorder is probably making it difficult for your body maintain adequate amounts of collagen and fat in the face and this is results in "deflation" of the face. The smoking is probably not helping either. I think the best thing to do is get help with the eating disorder and start putting on some weight. 

Anorexia and smoking will contribute to significantly to wrinkles.  Botox will help but you could be forming antibodies against the structural products that Botox is manufactured with since you are getting it so often.  These proteins do not do anything to make Botox work faster, better or longer; they are just there.  I'd recommend trying Xeomin, a product that doesn't have any structural proteins associated with it.  I call it "organic Botox" for that reason.   Perhaps it will work better for you.  The best option though is to get the help you need for your eating disorder and STOP SMOKING!  I know its a tell order but it is in the best interest for your health and life (not to mention your wrinkles). 

Unfortunately, suffering from anorexia will make your face appear much older. What makes a "baby" face is a volume of the soft tissue, mostly fat. Losing fat volume "deflates" the entire face. But there is another significant factor. As you know the anorexia is always associated with osteopenia, a loss of bone mass. This also contributes to the loss of your facial bony support. It is a difficult situation and I truly hope you are under the care of the anorexia specialists. Good luck!

I don't know if it's your eating disorder that's causing you to have effect of Botox that does not last as long as you'd like to, but eating disorders in general will lead to much faster aging and poor health conditions. Just the fact that you are admitting to your eating disorder is a good start and you should probably visit a professional to help you in dealing with this issue. Good luck from New York City

Hi VividlyGeneric,The most proactive way is to eat well. Aside from your ED, you can also have your thyroid hormones checked. Hyperthyroidism can cause you to metabolize Botox fast. That said, your face(with its very pretty features) looks like it is aging fast because the so-called triangle of youth isn't maintained. You are losing cheek volume and hopefully, you can manage your ED before you lose fat around the eyes and around the temples. Losing collagen and not building it up fast enough because of poor nutrition will make nasolabial lines etc. more prominent.All the best,Justin Harper,M.D.