Will forehead skin thicken again after stopping Botox?

Question

I have been getting preventative Botox for about 7 years and I think it made the skin on my forehead thinner. Will the skin thicken again after stopping or is this permanent?

Caner Kacmaz, MD · Answer

Some patients complain of a visible thinning of the skin after many years of Botox use. This isn't a common issue but patients who start Botox in their early 20s, can be at risk for this side effect. In this case skin on a patient’s forehead can get thinner, and the muscles weaker. The skin will not thicken if you stop getting Botox injections. Once Botox wears off, wrinkles begin to reappear again and do not become worse after the treatment. However, since you have become used to smoother skin and a youthful appearance, it might come as a shock when the Botox wears off. Best wishes.

Derek Fletcher, MD · Answer

Botox does not alter skin thickness. Consistent use of Retin A containing products and some chemical peels can thicken the epidermis and dermis.

Camille Cash, MD · Answer

Botox does not typically affect the thickness of skin, though some patients report that the muscles that have been repeatedly treated may weaken to some degree.  This could be related to the treated muscle's activity being decreased for a prolonged time.

Will forehead skin thicken again after stopping Botox?

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