I had Botox 9 weeks ago in my forehead. The muscle from the forehead in middle top hasn't increased yet. Is this normal?

Question

I had botox 9 weeks a go in my forehead and I start see the wrinkles comeback but the muscle from forehead in middle top does t increase yet is this normal ? The muscle movement. Comes back in go or is slowly graduate if someone understands what I'm trying to ask because I seen wrinkle s. On sides and on top forehead not really. Or better saying. The muscle comeback in 1 go or is slowly. By steps ? Thanks

Andrew Campbell, MD · Answer

I'd recommend you discuss your concerns with your injector so they can examine you and determine if you need additional Botox.Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Jason Emer, MD · Answer

There can be some asymmetry with the return of muscle movement and with the forehead, it can take a bit longer to return. This is completely normal. If you're concerned, you can contact your Dr. Best, Dr. Emer

Alex Eshaghian, MD, PhD · Answer

Thank you for your
question danieloportuga. Botox is a
purified protein used to address wrinkles associated with facial expression. I am not sure I understand your question. The pivotal studies demonstrated that the maximum effect of Botox is seen 14 days after the treatment. Most people enjoy their results for 3-4 months. At that time a maintenance treatment is recommended. Please follow up with
your doctor for specific recommendations. Good luck!

Kristin J. Tarbet, MD, FACS · Answer

The wearing off of botox can be dependent on the amount of units in each area and also the strength of the muscle injected. That being said however, typically it will wear off in 3-4 months.

Jill C. Fichtel, MD · Answer

It sounds like the effects of Botox are beginning to wear off.  The duration of effect of Botox depends on the volume of Botox injected, and the location of treatment.  I would contact your physician who did the injections.  If it was your first injection, it's likely that she injected a relatively lower volume of Botox to see how your musculature and forehead would react.

I had Botox 9 weeks ago in my forehead. The muscle from the forehead in middle top hasn't increased yet. Is this normal?

Answers (5)