What Happens After Botox Cosmetic Wears Off?

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.

There is a misconception that Botox makes you look older when it wears off. This is because your face simply goes back to its natural state. No new or deeper wrinkles and lines are caused by Botox injections. On the contrary, getting regular Botox injections actually make you look younger even after the effects wear off. Hope this helps.

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.

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.

 

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.

Botox will not cause your wrinkles to worsen after injection. If anything, I think your friend's memory may be the culprit. We have had a few patients say to us that they think they are worse off after their Botox wears off until they see their before photo. Once the before photos are evaluated, this is never the case.
Botox may actually have you looking better even after it's worn off because it can cause some muscle shrinkage in the injection areas which in turn can lead to wrinkles that don't look as deep or noticeable.