Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Question

My last botox treatment was 17 months ago. My eyebrows fell. My surgeon said "If you cause atrophy of the muscle it does not regain its strength & so can't raise the brows. You can't do botox again." Another expert said "If you re-injected these specific muscles repeatedly over a short period of time to cause such a semi-permanent relaxation, then you can atrophy them, but you won't cause your eyebrows to droop more over time. It might actually delay further drooping." Whose right? Anya (70)

William Andrade, MD · Answer

Hello, if your brow dropped after Botox was injected, perhaps you simply needed a lower dose or different injection sites.  You could seek other opinion with an experienced injector to review your options.

Jason Emer, MD · Answer

you can use botox forever, it will not cause signficiant atrophy that will be noticeable.  if you have brow or eyebrow drooping i suggest waiting a little or having less dosage put in the next time.  This will resolve after the botox wears off.  Best, Dr. Emer.

Michael I. Echavez, MD · Answer

Botox treatments are individualized to each patient and the placement of the injections can affect the eyebrows.  I do not know the details of your particular treatment, but it is possible to treat the forehead and not cause any significant drooping of the brows.  The brows can lower if the Botox is placed too low on the forehead.  If you had drooping of the eyebrows after a treatment, you should be able to be treated again, but the location of the injections should be altered so as not to cause drooping again.

Nelson Castillo, MD · Answer

Thank you for your excellent question. Yes, repeated use of Botox may cause a mild muscle atrophy, but as Botox is a temporary medication, this atrophy is also temporary.  Once the Botox wears off, activation of your muscles will eventually cause hypertrophy back to its original size.  Depending on the location where you are receiving your Botox, i would not expect your eyebrows to droop any further over time. Hope this helps.

Benjamin Barankin, MD, FRCPC · Answer

There is no limit on the number of botox treatments that you can have. There are people that have received botox for more than 20 years and there have been no issues. I would try a different injection technique and/or different dosing with your dermatologist to prevent your eyebrows from falling; it should be preventable.

Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answers (8)

Answer: Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answer: Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answer: Is there a limit on number of botox treatments

Answer: Is there a limit on number of botox treatments

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Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answers (8)

Answer: Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answer: Is there a limit to how many times you can have Botox? Once your brows have dropped one time, is that it for you ?

Answer: Is there a limit on number of botox treatments

Answer: Is there a limit on number of botox treatments

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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.