Botox to forehead & masseter lasting for more than 8 months, is this normal?

It's understandable that you're feeling anxious about this situation. Typically, the effects of Botox should gradually wear off within 3 to 6 months, but it can vary based on factors like individual metabolism, dosage, and the areas treated. In your case, where it's been 8 months and the effects are still present, it's not entirely typical but not unheard of either.

Here are a few possible reasons for this:
Prolonged Effects: In some individuals, the effects of Botox can last longer than expected, especially if higher doses were used or if you metabolize it more slowly. While this isn't usually harmful, it can lead to prolonged muscle weakness in areas like your forehead and masseter muscles.

Muscle Atrophy: Over time, if Botox treatments are repeated, the muscles can atrophy (shrink) due to lack of use. This can lead to a sunken appearance, particularly in the lower face, and reduced ability to raise the eyebrows or create expressions.

Asymmetry or Uneven Results: Botox can sometimes cause subtle asymmetries or changes in facial expression that may not fully return to baseline, especially if the placement or dosage was uneven. If the forehead and eyebrows still don’t look like they did before, it may be due to this.

What You Can Do:
Consult with Your Practitioner: It's important to go back to the practitioner who administered the treatment or seek a second opinion from another experienced injector. They can assess your face, muscle function, and any residual effects of Botox.

EMG Test: Some clinics may offer an electromyography (EMG) test to assess the strength and functionality of your facial muscles. This can help determine if there's muscle weakness that needs further attention.

Physical Therapy or Facial Exercises: In some cases, gentle facial exercises might help re-strengthen muscles that have been inactive due to prolonged Botox effects. Your injector or a physical therapist may guide you through safe exercises.

Wait for Full Dissipation: Botox can take a long time to fully dissipate in certain individuals. While you may still have effects now, it's possible they will continue to wear off gradually over time.

Dermal Fillers: If the "sunken" appearance in your lower face persists and it bothers you, dermal fillers can help restore volume and balance your facial proportions. Consult with a qualified professional to explore this option if you're interested.

Managing Anxiety:
If you're feeling overwhelmed by this, it might help to have a conversation with your practitioner to better understand your situation and possible steps forward. Sometimes, understanding that this can be a prolonged but non-permanent effect can help ease anxiety.

You're not alone, and many people experience variations in Botox results. An experienced provider can help guide you through your concerns and suggest the best approach moving forward.

Botox effects are not permanent. Most wear off gradually over three to four months, but it can be longer for some. From your description it seems to be starting to wear off but isn't quite there yet. It may be more time is needed for you. You may want to review your "before" photos with your injector to see how much has worn off.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. It's understandable to feel anxious about the prolonged effects of Botox, especially when they don't align with the typical duration you were expecting. Botox usually lasts between 3 to 6 months, so if you’re experiencing significant residual effects beyond this period, it may be unusual but not unheard of. Sometimes, Botox can linger longer in certain areas, or the results might be impacted by the dosage and placement of the injections. The lingering effects you're describing, like difficulty raising your eyebrows or a sunken appearance, could be due to the botulinum toxin still affecting the muscles or an imbalance in muscle function and skin tone. I hope this helps and best of luck!