so botox have to be repeated for throughout whole life as the muscle regrows ?

Doctor Answers 15

BOTOX® results are temporary, but may be used preventively.

BOTOX® works by temporarily halting targeted muscle movement, which minimizes the expression of visible dynamic wrinkles in the upper face while also preventing against the development of future wrinkles. The effects of BOTOX® injections are temporary, so as the injectable wears off, you’ll gradually see your face begin to return to its pre-injection state. However, because BOTOX® can help to prevent future wrinkles from forming, BOTOX® can be an ideal preventive cosmetic treatment. Although the aging process is inevitable, BOTOX® injections every four months or so can help you to look refreshed.

New York General Surgeon
4.9 out of 5 stars 12 reviews

Botox and muscle

Thanks for your question. Botox is a temporary neuroparalytic that is used to eliminate wrinkles in the periorbital and forehead area. Its also works well for softening the 11s (corrugated muscle). Fillers are used to add volume to the face and also deal with dipper folds and lines such as the smile lines and marionette lines. In addition filler can be used for filling the tear trough deformity and adding volume to the cheeks and lips. Please consult with your plastic surgeon to review the best options available for you.
Good Luck.

Ali Sadeghi, MD, FACS
New Orleans Plastic Surgeon
4.9 out of 5 stars 28 reviews



Thank you for your question. That is correct; Botox results last anywhere from 3 to 4 months.

I'd recommend booking a consultation with a skilled and qualified injector to discuss your options.

Take care.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Botox and Results

Botox works for 3-4 months and then needs to be reinjected to work again. I suggest you see an expert for a consultation. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Muscle does not regrow. It is the neuro-muscular junction receptor that reforms.

The reason for the need of repeat injections is that the blocked neuromuscular receptor grows a temporary new sprout until the blocked one fully recovers. Truth is, if treated young I have seen patients "retrain" there muscles to be less spasmed and the effect can have greater duration over time. As we age, however, the benefit of Botox does diminish and it can become less cost-effective, especially if the skin condition is poor from sun damage.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Botox repeated throughout life

In general over years of botox injections most individuals require less and less frequent need for repeat injections.  I usually recommend 3 month intervals initially for a year or so then increasing the interval to 4 to 6 months. With time the muscles atrophy and the lines remodel so that even once a year can achieve lasting results. Hope this helps.

Katrinka L. Heher, MD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 8 reviews

So botox have to be repeated for throughout whole life as the muscle regrows ?

Thank you for your question. Botox temporary relaxes the injected muscle for 3-4 months and then can be repeated to have the same effect.  Always see a board certified plastic surgeon or dermatologist. 


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews

When Does #Botox Wear Off

The effect of #Botox typically wear off after 3-4 months. Botox works by temporarily inhibiting the interaction between the nerves and muscles that cause wrinkles and fine lines on the skin. By interfering with this interaction, the muscle relaxes and the fine lines of motion fade. These nerves regrow and this interaction is regenerated by the body, at which time Botox treatments are repeated to regain its effects.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Does Botox need to be repeated

#Botox (or the other endotoxins such as #Dysport or #Xeomin ) need to be repeated if you want to continue preventing the muscle contractions that create wrinkles.

The time frame between injection treatments is typically anywhere from 3-6 months and can be attributed to the location being treated and I believe the physical activity level of the patient.

Jack Peterson, MD
Topeka Plastic Surgeon
4.5 out of 5 stars 40 reviews

Botox and need for repeat treatments

The effects of Botox wear off over time.  For most people the results last for about 3-4 months.  Treatment will need to be repeated over time to maintain the results.  The fact that Botox wears off over time adds to its safety.  The occasional Botox Cosmetic side effect such as eyelid droop always goes away on its own over time.  In expert hands, such side effects are very rare to begin with but they always resolve over time.
Dr. Ort

Richard Ort, MD
Lone Tree Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

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.