This is a follow up to my first question: New lines created by non paralysed muscles moving against paralysed muscles? (Photo)
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New wrinkles after Botox
Thank you for your question NellyN. Botox is a great treatment to address wrinkles associated with facial expression such as those on the forehead. Any time a patient does Botox for the first time, we always take standardized before photographs in five positions both at rest and with facial expression. Two weeks later we take the same series to assess the results. In this way, if the result is not ideal adjustments can be made. When treating the forehead, I like to treat the horizontal wrinkles on the upper forehead along with the frown lines between the brows. This allows for a harmonious balance on the forehead and decreases the possibility of appearance of new wrinkles. When new wrinkles appear with facial expression, a small amount of Botox can be used for correction. I always reassure patients that Botox is not permanent and results will last three to four months on average. Please consult with your doctor for specific recommendations.