Can I have more injections before the Botox wears off in order to maintain brow lift appearance year-round?

Question

If I got a brow lift to raise my eyebrows using Botox, how would I go about continuously getting Botox to maintain my appearance without having any downtime during times of the year where my brows have returned back to normal. Can I have more injections before the Botox wears off in order to maintain the appearance year round?

Caner Kacmaz, MD · Answer

Thank you for your question. I recommend you to get Botox every 5 to 6 months. Earliest time you should get it is 4 months after your last session. Thank you and have a great weekend.

Alan Gonzalez, MD, FACS · Answer

Hello @Plucky191057, thank you for your question. The butolinic toxin inhibits the selective movement of muscles where it is injected for a certain amount of time after injection. If it is administered before that time is over, the body usually resists the process and stops working. I suggest you allow 4 to 6 months to inject it again. For more information and recommendations, consult with one or several board certified specialists. Best wishes! Alan Gonzalez MD, FACS.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Botox treatments are generally performed after 3-4 months. If you find that the effects are wearing off before your next injection, you may want to consider adding dermal fillers to enhance the results achieved from Botox. 
Dermal fillers can improve skin laxity and add volume where needed to promote a lifted appearance, the results of which can last for approximately 6-12 months. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can suggest the best formula for you.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Timothy Osborn, MD · Answer

Botox wears off after a few months, so getting regular and consistent treatments help. Many people schedule regular 3-4 month touch ups (depends how fast your body metabolizes it). I would say that when you feel like your brows are starting to drop, go back in! You will usually need less Botox too if they have not completely fallen yet. You may also consider getting a surgical brow lift in the future if the Botox becomes too much.

Cory Bovenzi, MD · Answer

Hi and thanks for the question!
If you would like to keep the same look without changes, you can go for botox touch ups before you see the effect start to fade. First, it is good to know how long botox usually lasts you. For example, if it starts wearing off at the 3.5 month mark, it may make sense to go for your touch up at the 3 month mark. 
Best of luck!

Sergio Gaitan, MD, FAAD · Answer

I recommend Botox eyebrow design for longer lasting results. This involves treating all 3 areas. If for whatever reason you can't get Botox, your eyebrows stay in the position they were designed to be at. On my results page you will see a case where 3 months later when the Botox wore off the patient had a higher position of her eyebrows. If you only treat the crows feet than you will continually need to get Botox to maintain the position of the brow. When you treat all 3 areas you can train the facial muscles to give you the brows you want. If you are ever in Miami, Fl we would love to help.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Absolutely, you can get Botox again before it wears off. I have patients who, once they know how long it lasts, will schedule a month early to stay on-top of things. Of note, there is a new neuromodulator coming out called Daxxify which lasts 6 months on average. Hope this helps!

Derakhsh Fozouni, MD · Answer

According to the Botox/Dysport and other neuromodulators, it takes about 12 weeks for Botox to wear off. Each case is slightly different but, you can certainly schedule your next session counting 10-12 weeks after your last treatment to maintain almost the effect of a brow lift. 
The downtime is the same, each treatment.

Vibha Gambhir, MD · Answer

Yes, you should never let your botox completely wear off. A good rule of thumb is letting it wear off about 50% and "kicking it while it's down." Usually we do repeat botox every 3-4 months so you never NEED botox but it always looks good:)

Can I have more injections before the Botox wears off in order to maintain brow lift appearance year-round?

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