How Long Should I Wait After my Intial Botox Treatment to Receive my Second?

I just received my first treatment (which went well:) and know the effects of Botox last about 3 - 4 months. My question is should I wait for the effects to wear off, or at least start to wear off prior to receiving my second treatment, or should I just schedule my next appt. at 3 (or 4) months? Any advantages or disadvantages to either approach?

Doctor Answers 21

Botulinum toxin will last about 3 months

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I would recommend waiting until you start seeing unacceptable amounts of movement of wrinkles before returning for repeat injections. Otherwise, you're just wasting your hard-earned money. With this being your first injection you really don't know how long you will see benefits. It could be greater or less than 3 months.


Stephen Weber MD, FACS

Botox treatment should be repeated in 12 weeks after initial treatment

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Botox treatment should be repeated in 12 weeks after initial treatment because the drug is no longer bound to its muscle receptor. If the treatment is not repeated its effects wear off and the next treatment will be in effect starting over.

Edward Lack, MD
Chicago Dermatologist

How often Botox is a persona decision

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Some patients don't want to feel and see the early wrinkles returning- so for them reinjection at3-4 months is ideal. However many other patients want to stretch the treatments so they may come back when it has mostly worn off but may still have some residual effect at 4-6 months. In some cases after repeated injections we still see residual improvement up to one year later.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

How long to wait between Botox treatments

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I would wait until you see full muscle movement and get the next Botox injection at that time. On average, this is about 3-4 months, but the effects can last up to 6 months for some people. Given that this is your first treatment, I would wait to re-inject until you see full movement of the muscles. In my opinion, it's a waste of money to re-inject Botox when the effects have yet to wear off.

Sahar Nadimi, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Botox treatments

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Thank you for your question.  You can either wait for the full effects of Botox to wear off and repeat the same treatment plan if you liked the previous results.  Or you can return when you start to see undesirable movement again and then adjusting the dose downwards to achieve the same results as the first time.

When to Inject Botox Again?

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The longevity of Botox is highly dependent upon the individual. In that most people can't afford to pay for things they don't need, I usually recommend that patients wait until they see some muscular activity returning before they come in for their second treatment. That will give them a fairly good idea about how long Botox will last for them and they can schedule their future appointments accordingly. 

F. True Lansden, MD
Key West Plastic Surgeon

How Long Patients Should Wait Before Receiving Their Next Botox Treatment

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There is really no set rule or standard practice which governs the amount of time that patients should wait before getting another injection.

If individuals are concerned about their appearance and do not want their frown lines, crows feet or forehead lines to resume, it might be best for them to get injections according to scheduled time intervals.

If patients choose to wait until the Botox wears off, this is also an acceptable decision. However when the Botox does wear off, the muscles will continue contributing to the development of static etched lines on the face. So it may not be best to wait too long.

I recommend that you discuss your objectives and concerns with your doctor. Together the two of you can work on coming to a decision based on both scenarios.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Botox Frequency

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I like to have my Botox patients return at 1 month for a full second Botox treatment...after that it's between 4-6 month intervals on average.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Botox scheduling

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The recommendations are to retreat at 3 months.  I have seen patients that have gone 4 to 5 months.  I always recommend to follow up at their 3 to 4 months post treatment to see the amount of movement and return of facial lines.  It is very individualized and truly depends on what your goals are.  If you are wanting complete resolution of lines or prevention of lines than I would advise to return as soon as you see movement but not less than 3 months. 

David V. Poole, MD
Altamonte Springs Plastic Surgeon

Botox - Consistency is Key!

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In my experience, when you are just starting your Botox treatments and your muscles are at their strongest, I recommend repeating your Botox every three to four months. Although individual cases vary depending on the treatment area, the dose used, and the desired level of activity, three to four months tends to be when the treatment is starting to wear off but your muscles have not yet regained full mobility. I prefer to repeat the treatment before your muscles have regained all of their strength because if you consistently keep your muscle activity quiet, eventually you will experience a longer term result and require less drug to keep the muscle activity suppressed. After a few sessions, you may be able to extend your treatment interval to five or six months and/or decrease the dose. However, if you allow your muscles to regain their full movement before touching up, you will not experience a longer term result and your dosing will not likely change.

Consult with an experienced Dermatologist of Board Certified Plastic Surgeon in your area to determine the appropriate treatment schedule for you.

Frances Jang, MD
Vancouver Dermatologic Surgeon

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.