Indentations after botox. Is this normal?

Question

Hello! I have been getting botox for over a year now. I have recently started to notice that my sleep lines, if and when i get them, stay on my face longer. The other day, while at work, after I took my face sheild off, I had an indentation on my forehead. It eventually went away after a few hours. Is this normal? Thank you!

Anna Chacon, MD, FAAD · Answer

The dent in your forehead is not likely to be due to the Botox itself but rather due to the effect of Botox on the underlying muscles. Indentations may occur because of some muscle pulling, but they most often occur because of loss of tissue.

Ruby Gill, MD · Answer

Depending on the dosage that was used for Botox, meaning if the muscle was frozen versus there is still some minimal movement in there can affect how the skin overlays the muscle overtime. In my experience, patients who have been getting higher doses of Botox with no movement in their muscle over time will see thinning of their skin to a greater degree and less resilience in the skin. I typically will reduce the dose to allow minimal movement and work on improving and restoring skin texture, with laser/peels/or collagen bio stimulators.

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

Thank you for sharing your questions. As we age, theses lines do persist longer upon awakening and can become permanent. They are not related to your getting Botox. You can try sleeping on your back. There are pillows which keep your head straight. 
Good luck!

Jason Emer, MD · Answer

Botox results last up to 3 to 4 months and can be softened with Venus Legacy and Thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Camille Cash, MD · Answer

Botox works by affecting the muscle response resulting in a softening of dynamic lines.  From your description this wouldn't be a typical outcome from Botox. An evaluation of your concerns is the best way to determine what could be the underlying cause and how best to treat them.  Visit with an expert injector near you.

Indentations after botox. Is this normal?

Answers (7)

Answer: Unhappy with Botox Results / Distorted Smile -- add Venus Legacy, Thermage, See an Expert

Answer: Unhappy with Botox Results / Distorted Smile -- add Venus Legacy, Thermage, See an Expert

Answer: Botox

Answer: Botox

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Indentations after botox. Is this normal?

Answers (7)

Answer: Unhappy with Botox Results / Distorted Smile -- add Venus Legacy, Thermage, See an Expert

Answer: Unhappy with Botox Results / Distorted Smile -- add Venus Legacy, Thermage, See an Expert

Answer: Botox

Answer: Botox

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Everything you need to know about Botox

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