Botox muscle recruitment? (Photo)

Question

Each time I have botox to treat the deep line in between my eyebrows and crows feet I get new vertical creases in between these points running through my eyebrows. Further botox to this area always softens them, but they stay for a really long time (this is 4 months post botox). What can I do to get rid of them and stop this happening as they are quite severe. First photo is relaxed face, second is fully frowning but similar results from squinting hard on a sunny day. Thanks

Camille Cash, MD · Answer

Yes, as you animate by furrowing your brow after Botox nearby muscles that are not treated can create the look that concerns you.  Botox effects are not permanent so this will gradually fade as the Botox wears off, typically after three to four months.

Anna Chacon, MD, FAAD · Answer

After receiving Botox, a patient may unconsciously attempt to re-create the facial expressions in the area where treatment has paralyzed their facial muscles. The corrugator muscle is responsible for creating the inter-brow number “11” creases. Once these muscles are crippled, the brain recruits the orbicularis oculi to produce the same expression. What can happen is that other, nearby muscles compensate. This can have the effect of actually creating new wrinkles. This will go back to normal after the BOTOX wears off.

Oakville Plastic Surgery &amp; Medspa · Answer

Sometimes when botox is done in one isolated area, other areas can be negatively impacted by muscles over-compensating. It is important to ensure the muscles injected are done in a way to balance your face. Each muscle has it's own direction. Think of botox playing a role in a muscle tug of war, weakening one side. Ultimately the goal is to ensure that untreated muscles do not over compensate. Hopefully, you can schedule a follow up so your injector an create an appropriate treatment plan that will optimize your own personal results.

Botox muscle recruitment? (Photo)

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Botox muscle recruitment? (Photo)

Answers (3)

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.