What Happens After Botox Cosmetic Wears Off?

One of my girlfriends told me she heard that Botox Cosmetic can actually make your wrinkles look worse after the Botox injections wear off.  Is this true?  I've never experienced this, but a lot of people I know are saying it.

Doctor Answers 14

Botox is not known to worsen wrinkles

There is no logical reason why your wrinkles would look worse after the Botox wears off.

It is most likely that the individual has become accustomed to the relaxed appearance of the Botox treated face (and forgot what the wrinkles looked like) and when the product has dissapated they are suddenly shocked by the reappearance of their wrinkles.

Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Botox will NOT worsen your wrinkles

That’s not the case. Unfortunately, when your Botox wears off after 3 to 6 months, your wrinkles will start to reappear slowly. You should ask your physician to see your before botox pictures. It’s amazing how quickly we all forget how we looked prior to any cosmetic treatments.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

BOTOX after it has worn off

I have heard this concern from a few patients and can't quite figure out where this is coming from. There is no basis whatsoever for this comment. BOTOX begins wearing off after 3-6 months, and the wrinkles slowly begin to return, though less and less with each treatment session. I have heard the same comment/concern regarding fillers and it is baseless here as well.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

You will return to how you looked before treatment

Botox relaxes the muscles that are causing your wrinkles, and once the effect wears off, your muscles will return to their normal functionality and the wrinkles will assume their pre-treatment appearance. Your wrinkles will not look worse, but you may think they do simply because you've been enjoying how smooth the treated area looked while the Botox was working. 

There is no research indicating that Botox makes your wrinkles look worse. You can check this out for yourself by viewing your photos taken of the treated area before your treatment, then comparing them to photos taken once the Botox wears off.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Effects of Botox After it Wears Off

Once Botox has worn off completely, your muscle movement will start to gradually increase and wrinkles will return to their original state prior to treatment. Botox will not cause your wrinkles to worsen.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Botox what happens when Botox wears off

The effects of Botox last approximately 3-6 months. Then the results will gradually disappear. The lines and wrinkles corrected by Botox will not become worse than they were before you started using Botox. 
We do let our patients know that the results pf Botox can be addictive and people typically want to maintain the results they are able to acheive with Botox.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

What happens when Botox wears off

After Botox wears off in 3 to 6 months, wrinkles will reappear. Patients start to view themselves with the improved manner, and get a jolt when they return to their pretreatment state.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 42 reviews

After Botox Wears Off


After Botox wears off, the original wrinkles remain in the original depth and size. If the wrinkles do look worse, it is most likely due to sun damage as opposed to the Botox injection. 

Excessive exposure to UV rays will damage the collagen that is responsible for keeping the skin firm and elastic. If the skin has received a substantial amount of UV exposure during the 3-4 month period, then yes, it is likely that the skin will look worse once the Botox has worn off.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

Botox is temporary

Botox is wonderful but temporary.  You will never look worse after Botox wears off.  I find that patients often get used to how wonderful they look when they have Botox and after it wears off they are dissappointed and think that they "look worse" when it really is only their original wrinkles returning.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

When Botox wears off, facial muscles will regain activity

In most people the effects of Botox treatments last approximately 3 months. When the effects wear off, the muscles will regain activity and function as if you had never had the treatment in the first place. If you had a wrinkle that was visible before you had Botox, it may have smoothed away during the time that the Botox was working. When it wears off that line may be gone, but it will eventually return.

In that respect, you may look better after your Botox, but because the aging process continues you will continue to develop new lines and wrinkles if you do not get follow up treatments. Botox will not cause you to look any worse when it wears off, but as you may be used to looking better and not having the lines, if you do not get more Botox treatments when it wears off, when your lines come back you will think you look worse.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.