Can Anything Be Done to Speed Up the Process of Getting Botox to Leave the Body?

Dear Fiah

At 2 weeks out, your BOTOX is at its maximum effect.  Things will stay the same for a while and then begin to resolve.  

I am not so excited about the advice I am reading here.  I do not advise you to go out an get more BOTOX. You are having a complication of treatment.  It the Doc you went to had a real handle on treatment, it is unlikely that you would be experiencing this complication.  It is a foreseeable consequence of injecting the frontalis muscle of the forehead with BOTOX.  Some doctors actually think this is a good treatment (you probably have seen some well know actresses with this type of treatment result).  I do sometime superimpose a Microdroplet BOTOX service in individuals with this type of problem at about 6 weeks out and it is helpful. If you live in the State of Washington, email me privately and I can give you the name of someone I trained in Tacoma who can treat you with this type of service if you are interested.

Also there is absolutely no evidence that exercising or attempting to exercise will actually speed up the resolution of your symptoms.  All it is likely to do is make you feel inadequate that you are not exercising enough and that is the reason why your symptoms are not resolving.  You do not need to exercise your forehead muscle.  This is an example of well meaning advise that doctors give sometimes give in an effort to be helpful.  Fortunately this treatment will wear off but it might take a couple of months.  Please don't allow someone to treated you in this fashion again.  There are alternative methods of treatment such as the cosmetic treatment for the 11 lines that is approved by the FDA-this will not cause the brow to fall as you are experiencing.

There is no method to speed the process of Botox leaving the body. Fortunately, the effect of Botox is temporary and will completely wear off within 3- 4 months.  Your muscles and brows will return to how they were previously.

Unfortunately, there is not really anything to be done to reverse the effects of Botox more quickly. Luckily, Botox is temporary and should only last for 3-4 months. You can try to visit another, more skilled injector to have more Botox injected in a different area to attempt to reduce the side effects in the meantime, but make sure you are visiting a highly skilled, board certified dermatologist, plastic surgeon, oculoplastic surgeon or facial plastic surgeon who will give you an honest opinion on whether or not more Botox will help. Side effects like these are the reason it is so important to only visit experienced, skilled injectors who will advise you of potential complications and who know where to place Botox for the best, most natural results.

Thank you for your question. Time, unfortunately, is the best way to allow your Botox to wear off. I would return to your injector or go to a more experienced injector if you don't like your results. There may be something specific they can do to counter the effects of what you don't like about the treatment.

Short answer -- No.There is nothing to help your body metabolize the Botox once it "sets in".  The good news, though, is that your symptoms are temporary and they will likely improve once the Botox wears off -- typically 3-4 months after injection.One option is... more Botox.  A droopy eye-BROW can sometimes be improved with Botox injected into the outside part of the eye (the lateral aspect of the orbicularis oculi muscle) to generate a bit of a brow lift in that area to counteract the depressed brow.Be sure to seek the services of an experienced physician injector. Overall, I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin and see the actual muscles themselves. For me, this helps guide where to inject and where not to. However, with that said, I know many Dermatologists who know the anatomy well despite not operating in that area, and get great results.Good luck.Dr Markarian

Dropping of the brows after Botox is something that is hard to correct.  Usually the cause is over-aggressive Botox injections.  Essentially, too much Botox was used.