Can botox permanently change which face muscles are primarily used?

Question

My doctor recommended getting crows feet with glabella, Ive never had signs of crows feet, but smiled with my eyes narrowing, making my smile younger/genuine. I got the treatment twice. Since I couldn’t smile with the side of my eyes my undereyes would overcompensate making undereyes more prominent. Its been a year. Ive tried really hard to smile with the side of my eyes, I still smile with my undereyes instead. Can botox change the face dynamics permanently because the side were to weak prior?

Alan Gonzalez, MD, FACS · Answer

Hello @anon0707w thank you for your question. The butolinic toxin allows us to block the junction that occurs between the nerve and the muscle so that the contraction occurs, from this effect produces relaxation so that the line of expression is no longer pronounced and the appearance looks natural. However, the effect of botox is temporary, it can last with its full effect for 3 months or so. Not strong enough to change face dynamics. Best wishes! Alan Gonzalez MD FACS

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Botox results are temporary, and should only last for 3-4 months. However, some patients find that after regular treatments, Botox can already “train” muscles not to contract to produce lines and wrinkles from dynamic expressions. That said, training muscles to do this cannot be achieved with just two treatments. And again, nothing is permanent with Botox. I recommend only receiving treatments from reputable experienced injectors. Such experts will know how much product to use and where to precisely inject it to achieve the most natural-looking results. During your consultation, you should express your concerns and goals, and your provider can assess your facial profile, determine the best approach, and ensure the best possible outcome.

Geeta Yadav, MD · Answer

Thank you for your question! The effects of Botox are temporary and typically only last three to four months. After using Botox continuously over the course of many years, it’s possible to weaken the targeted muscles and “train” them to not make those wrinkle-forming movements. However, that wouldn’t happen after only two treatments. I recommend discussing any concerns with your injector, who can best help you with your aesthetic goals. Good luck!

Camille Cash, MD · Answer

Botox effects are temporary, lasting approximately 3 to 4 months typically.  Two treatments of Botox would not cause any permanent changes to your facial dynamics, despite the injected area being weakened temporarily.

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. Although botox generally wears off in 4-6 months in most people, botox can last a long time in some people, even up to a year. Botox is not known to change your facial dynamics permanently. Keep an eye on it and if it still hasn't gone away after another 6 months, go back to your surgeon and see what your options are. Please see a board-certified surgeon for best results. Best of luck to you! 
Sincerely, James Fernau, MD FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case we can advise botox is a temporary treatment- it does not change your expression permanently. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Can botox permanently change which face muscles are primarily used?

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