Does Botox wear off unevenly? (photos)

Hello, and thank you for reaching out to us.It may wear off even or uneven. It may accentuate the asymmetry that naturally exists in all of us. Working with your board certified surgeon or expert injector to discuss adjustments to your treatment plan is recommended to help perfect your treatment and recovery plan.Good luck, please let us know how it goes.-Dr. Constantino Mendieta

Botox and other neuromodulators such as Xeomin or Dysport can indeed wear off slightly unevenly although that is not a common phenomenon but definitely possible. If that is something that bothers you, though, a minor touch-up with a neuromodulator may be done on the affected side or you may get re-treated on both sides. Best wishes!

It is possible fore Botox to wear off unevenly. I recommend you to see your injecting physician to go over before and after pictures to see if there was any asymmetry prior to getting Botox. We are not symmetric, procedures may enhance any underlying asymmetries that went unnoticed before. Botox typically lasts for 3-6 months, so in time you will know if the asymmetry was preexisting. 

Thank you for your question mlburnett. Most people enjoy the results from their Botox treatments for three to four months. And sometimes it wears off faster in one area of the face than another. Be sure to take photographs both before and after a treatment. Sometimes a patient notices a change after a treatment but when we look at her pictures before the treatment it looks the same. This is because when we notice something in the face sometimes we overlook or don't notice another thing. When the first issue is corrected, then another one becomes more noticeable. It is also important to remember that the two sides of the face are not perfect mirror images, so some asymmetry is normal and actually desirable. I recommending following up with your doctor to review your photographs and for specific recommendations. Good luck!

Great question! It's certainly possible for BOTOX to wear off at varying rates across the face. There are other possible explanations for what you're experiencing, too. As other doctors have suggested, it's possible that you're noticing an existing asymmetry now that you're paying more attention to this area of your face. BOTOX can also exacerbate asymmetries like this. It really depends on where you had the BOTOX. In any case, this change is unlikely to be permanent. If you see these changes enduring past the 3-month mark, see your injector.