Botox & Glabellar Lines - does the product completely dissolve 100%?

Hi @saisaiso81! Botox typically wears off in 3-4 months in the majority of patients. Botox does not typically migrate especially if the injection pattern is consistent. The forehead should not bulge after several years. Routine Botox should help keep the desired area injected smooth and relaxed. I hope this was helpful!

Botox is a medication that binds at the site that the nerve ending meets the muscle. When Botox is present, this interaction can't happen and the muscle can't contract as well, so that the lines that are present soften.
Botox looses it's effectiveness in 3-4 months. In some people it can last up to 6 months. Botox can't accumulate over time and it won't affect muscles that aren't treated.

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling with PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
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Hi there! For most people, Botox loses its efficacy in just three to four months. When injected correctly, it will not migrate or move to other areas of the face post-treatment, so no “bulging” will occur over time (Botox is not a filler — it only affects the movement of the muscle that’s treated, rather than adding volume). Botox has been extensively studied and proven to be safe and effective when administered by a skilled injector. Just be sure to go to an experienced provider who can discuss your safety concerns and aesthetic goals before treatment. Hope this helps!

Hello there!Your concern is valid but, Botox does not work that way at all. Botox main job is to bind to some nerve receptors and block them from around 3 months so the treated muscles do not move as much. Little by little (around 3months) your body will break down the botox molecules and your receptors will be 100% "not blocked" or "free" to move. By then your movement will all be back to how it was before your treatments. If for any reason, you think you still are not moving those treated muscles to 100% of their usual contraction and you add more botox, the only thing that will happen is that you will get a relaxation of the treated areas for longer but, the "extra" botox will not migrate to other areas on your face (if those areas were not treated and you followed the post care precautions)
Filler works differently and, filler does have the tendency to migrate overtime but, you can always dissolve it if that is the case, and you are using Hyaluronic acid fillers. l

Botox has now been around for over 2 decades, and used for countless medical & cosmetic conditions, all over the world in all ages, genders, ethnicities, etc in millions & millions of people. We have enough experience & data to suggest that Botox will certainly wear off after 3-6 months, and that there won't be any long term leftover effects resulting in bulging foreheads in your senior years.

For most patients, Botox lasts approximately 3-4 months. There are some patients with lasting effects of botox that can still be noticed even longer, sometimes up to 6 months but the product duration does not typically last longer than 3-4 months, at which point we would expect you will return to your baseline movement. Once the Botox is placed, it does not "migrate" or shift. It is not unreasonable to hypothesize that if one were to continue to get over treated in the frontalis muscle repeatedly over time, by weakening it, that they could require a facelift or a brow lift as they become older. However, people may require a facelift or brow lift as they become older, regardless of Botox treatments.

Hi there, botox paralyzes the muscles to make wrinkles smoother. This medication typically lasts about 3 months and does not have a "filling effect". If you are referring to getting fillers around the glabellar area (area with the 11s) to fill the deep wrinkles, you are correct, your body may indeed not dissolve 100% of it. As you get more and more fillers, it could potentially look more "bulgy". While botox is a safe medication to give around this area to smooth out the wrinkles, the glabellar area is relatively higher risk for fillers, as this area is filled with many vessels. Filler can be inadvertently injected into a vessel and cause complications. Hope this helps.

Hello! Great questions. The Botox should completely lose its efficacy after 3-4 months in the large proportion of patients. The Botox injected tends to stay fairly local and in most cases doesn't migrate, especially if the injection scheme is consistent. The forehead after a long period of time should not bulge. In fact, with consistent treatment, it should stay smooth and relaxed. The dosing may increase as over time, though. Hope this helps!

Botox affects the muscle that is injected. The effects of the product wear off gradually typically over three to four months, but for some patients the effects may last a little longer. It is not permanent. It has been FDA approved for cosmetic use for 20 years and is considered safe. I encourage you to visit with an experienced injector to discuss your concerns.