As botox wears off, forehead wrinkles look strange and more pronounced. Don't want botox again. What can address this? (Photo)

Question

I had 25 units of botox injected in my forehead to address some creasing 6 months ago. It should have all worn off by now but my forehead doesn't look as it did before the botox. The is still some paralysis in the lower forehead but when I raise my eyebrows now, my upper forehead wrinkles look like the wrinkles on an English bloodhound's face! Thick and deep where they had been shallow and thin before. I didn't like botox to begin with. Would PDO threads help? Any other non-surgical fix?

Joseph J. Castellano, MD · Answer

Hi there, sorry to hear you weren’t happy with your BOTOX® results. Keep in mind that BOTOX® will gradually fade away within 3 to 4 months and your appearance will return to normal. If you’d to try something different to address wrinkles, eMatrix can be a good option. This involves using non-laser, bi-polar radiofrequency waves to help stimulate collagen without harming the surface of your skin. Other possibilities would include laser skin rejuvenation and chemical peels. Talk with your cosmetic surgeon or certified aesthetician about the most appropriate choice for you.

Andrew Campbell, MD · Answer

Your forehead should eventually resume it's normal appearance. However, for now, your best bet is to get a little Botox up high in the forehead to treat those deeper lines. If performed well, Botox should give you a natural, but very improved appearance. See someone with extensive experience and discuss your concerns. I don't see how threads or anything other than Botox could help.Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa Aesthetic Centers

John Paul Tutela, MD · Answer

Thanks so much for reaching out. This will all wear off in the next month or so. So I would just urge patients. Another alternative would be to get your redose of Botox.Hope this helps :-)

Gregory H. Scimeca, MD · Answer

If you are dead set against more botox and are interested in a non-invasive approach, I would suggest skin tightening by radiofrequency microneedling,

Shaun Patel, MD · Answer

The results of Botox typically last on average 3-4 months. Botox should not have a long term effect and once it wears off, your forehead will return to its pretreatment appearance. That being said, I do not believe there is a better treatment for dynamic lines and wrinkles on the upper face then a neuromodulator like Botox or Dysport. I typically use 8-12 units when treating horizontal forehead lines so unless you also had your frown lines treated, 25 units is a high dose. In some patients with forehead volume loss, a filler such as Restylane can reduce but not eliminate the appearance of forehead lines. A lower dose of Botox/Dysport may also give you a better result.

As botox wears off, forehead wrinkles look strange and more pronounced. Don't want botox again. What can address this? (Photo)

Answers (8)

Answer: Forehead wrinkles

Answer: Forehead wrinkles

Answer: Botox/Dysport for horizontal forehead lines

Answer: Botox/Dysport for horizontal forehead lines

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Everything you need to know about Botox

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As botox wears off, forehead wrinkles look strange and more pronounced. Don't want botox again. What can address this? (Photo)

Answers (8)

Answer: Forehead wrinkles

Answer: Forehead wrinkles

Answer: Botox/Dysport for horizontal forehead lines

Answer: Botox/Dysport for horizontal forehead lines

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.