Permanent Botox Damage? (photo)

Question

I'm 41. Ive had monthly botox injections from my forehead to my cheeks for about 2 years. I didnt educate myself and it seems my provider isnt especially ethical. I stopped 8 months ago and my muscles have just now started moving again. I have so many wrinkles now. I know I'm 3 years older but I've never really had wrinkles and I was only getting them after the botox and then it was just chasing wrinkles. Will it ever improve?

Anna Chacon, MD, FAAD · Answer

It's understandable to be concerned about changes in your skin after stopping Botox treatments. Here are some insights that might be helpful:

Muscle Activity Resumption: It's normal for muscle activity to gradually return after stopping Botox, as the effects are temporary. This can sometimes make fine lines and wrinkles more noticeable initially because the muscles are regaining movement.

Skin Elasticity: Over time, regular use of Botox can lead to a temporary decrease in muscle use, which might affect skin elasticity. Once you stop, the skin may take some time to adjust to the renewed muscle movement, which can initially make wrinkles appear more pronounced.

Aging Process: Keep in mind that natural aging processes, such as collagen loss and skin thinning, continue regardless of Botox use. These factors can contribute to the appearance of new wrinkles over time.

Improvement Strategies: To improve skin appearance, consider incorporating a good skincare routine that includes hydration, sun protection, and possibly topical treatments like retinoids or peptides. Consulting with a dermatologist can provide personalized recommendations.

Consult a Professional: If you're concerned about ethical practices or the treatment you received, it may be beneficial to seek a second opinion from another board-certified dermatologist or cosmetic specialist. They can assess your skin and provide guidance on the best approach moving forward.

While it may take some time, with the right care and professional guidance, you can work towards achieving healthier-looking skin.

Ella Fedonenko, MD · Answer

These wrinkles are unlikely to improve by themselves. They can still be treated with Botox with appropriate doses and intervals.

Camille Cash, MD · Answer

Botox effects are not permanent.  As the product wears off your natural animation and associated wrinkles will return.  I'm not sure why your Botox treatments were monthly.  Typically Botox lasts three to four months and wears off gradually.  There are many ways to keep skin healthy and address wrinkles.  Botox can help certainly but using medical grade skin care products like Transform MD and wearing sunscreen daily are also recommended.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. You have dynamic wrinkles (caused by movements as we age.) They can be improved by proper placement of Botox and use of lasers. Make an appointment for consultation with an experienced Oculoplastic Surgeon.
Good luck!

Viva Eve Dermatology - New York · Answer

Hi!
This is a great question and a common concern. First and foremost, monthly Botox injections are not recommended, therefore finding a provider who will properly educate you and know when not to inject, is of utmost importance and safety. Loading the muscles with too much neuromodulator can cause too much paralysis, which can take long to wear off. 
Another thing to consider is that the thickness of the skin declines as collagen production in our skin decreases as we age. This is seen as our skin becomes thinner as we age and more wrinkles appear. Botox is not the cause of more wrinkles in the skin, as it stops the skin from creasing and does not allow for further wrinkles to form. The thin skin you are seeing is likely a result of collagen decline and would be best treated with neuromodulator injections every 3-4 months, and collagen stimulating treatments such as RF microneedling and CO2 laser.

Permanent Botox Damage? (photo)

Answers (5)

Answer: What’s the cause of my wrinkles?

Answer: What’s the cause of my wrinkles?

Answer: Botox Question

Answer: Botox Question

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.

Permanent Botox Damage? (photo)

Answers (5)

Answer: What’s the cause of my wrinkles?

Answer: What’s the cause of my wrinkles?

Answer: Botox Question

Answer: Botox Question

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.