Indeed, if you have too much Botox® for too many years, the injected muscles become weak and get flatter, showing signs of muscle atrophy, especially around the eyes. The skin becomes thinner and looser. This makes your eyes seem aged earlier than they should.
As top dermatologist David Colbert, M.D. is quick to note, however, too much Botox and filler distorts the face and as a result will make you appear older.
There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.
Nausea. Redness. Temporary facial weakness or drooping. In rare instances, the botulinum toxin may spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.
"After receiving Botox, a patient may unconsciously attempt to re-create the facial expressions in the area where treatment has paralyzed their facial muscles, "said Dr. Becker. "What can happen is that other, nearby muscles compensate--this can have the effect of actually creating new wrinkles."
Is It Safe to Use BOTOX in the Long Term? BOTOX is an FDA-approved, low-risk treatment with a great safety record. If you continue to work with an experienced, credentialed injector, it is unlikely you will experience any negative effects of long-term BOTOX use.
Botulinum toxin injections, such as Botox, relax the muscles in your face to smooth out lines and wrinkles, such as crow's feet and frown lines. It's not permanent – it usually lasts for around 3 or 4 months.
How much Botox is permissible on the forehead? Botox comes in dosages between 50 and 100 units per vial. Some practitioners say they inject an average of 10 to 30 units into the forehead. Allergan, the manufacturer of Botox Cosmetic, suggests a dosage of 4 units each in five sites on the forehead, totaling 20 units.
Answer: The body metabolizes Botox through the liver and kidney excretion.
“Someone who has been doing Botox all along, they won't develop those lines and they can delay or prevent less aggressive procedures,” he said. Botox is cheaper for younger patients, as less of the drug is needed for the injection.
Answer: No, BOTOX Reduces Sagging
BOTOX works by relaxing facial muscles, but that won't lead to sagging or the loss of elasticity. In fact, the opposite is true. The constant contraction of facial muscles causes our skin to move.
Answer: Will Botox cause the skin to sag? Botox acts by paralyzing the muscles in a given area, causing wrinkles to smooth. Once the effects of the Botox wear off, the patient will appear the same as they did prior to the treatment. Prolonged treatments will not cause sagging of the skin.
Many people worry that if they stop getting BOTOX injections, their wrinkles will come back faster and worse than before. However, this is not the case. If you stop BOTOX injections, your wrinkles will slowly start to come back, but slower than if you had never used BOTOX to begin with.
And if you're wondering if Botox works if you already have wrinkles, the answer is a resounding YES. In fact, smoothing out facial wrinkles and fine lines, like laugh lines, crow's feet, frown lines, etc., is the primary FDA-approved purpose of Botox injections.
It sounds like the muscle has been knocked out with the dose you received. It will take many weeks or even months for the crease to smooth out and it is important to keep up with the Botox to keep those muscles knocked out or they will once again work on the overlying skin to reform the wrinkles.
In our cases, new appearance of a noticeable glabellar protrusion following botulinum toxin injection on the forehead was observed in 2 patients. Also, a new deep wrinkle on one side of the forehead just above the eyebrow appeared in another 2 patients.
Facial expressions can be lost
Botox is popular due to its ability to paralyze muscles and prevent wrinkles. However, this may result in some facial expressions being lost. If it's not injected properly, Botox can freeze certain facial muscles and cause a constantly surprised look.
Why Does Botox Make Your Forehead Shiny? Light naturally reflects off of smooth surfaces, so the smoother your skin, the more light will bounce. Botox injections smooth the skin, which can cause it to appear shinier, especially if it is overdone.
If you use Botox for ten or more years, your skin will appear brighter and smoother with fewer wrinkles. Even after stopping Botox injections after years of use, you'll still notice fewer wrinkles between your eyes or on your forehead, which means you'll continue to age gracefully.
The average age for people to receive their first BOTOX treatment is, generally, at some point in their 30s. Most women, and some men, begin to notice a few fine lines or wrinkles around their eyes or forehead area at this age.