Does skin sag after Botox?

Author: Ephraim Willms  |  Last update: Monday, September 29, 2025

Botox relaxes the jaw muscles, but depending on your skin's elasticity, it could either improve or slightly worsen sagging. Your provider can help you understand what to expect.

Can Botox make skin saggy?

Another thing to consider when getting this treatment is the potential loss of facial volume. Because Botox relaxes the muscles and can even shrink an overdeveloped muscle, you may experience loose skin that could result in needing supplemental filler, which can add to the price tag.

Does Botox affect skin elasticity?

Some people think that getting injections for many years has caused their skin to get thinner in the area of their injections, though there's no scientific data to prove a connection. On the other hand, some studies suggest that Botox injections may improve your skin's elasticity.

Does drooping from Botox go away?

If you notice a droopy eyelid after a Botox treatment, there is no need for concern. This is a temporary side effect which will resolve without any intervention, usually within a couple of weeks.

Does your skin go back to normal after Botox?

Firstly - for most people, when Botox wears off, their skin will not suddenly go back to what it was before. In fact, the opposite is true; for most people after resting the skin for 3 months, the skin is likely to look smoother and fresher, even though the muscle movement is back.

How to Get Rid of Sagging Jowls from a Dermatologist! | Dr. Shereene Idriss

What do years of Botox do to your face?

However some studies have found that long-lasting cosmetic use of botulinum toxin can trigger permanent changes in facial expression, with persons no longer able to flex their facial muscles.

What is the biggest risk of Botox?

Serious adverse effects after cosmetic use of botulinum toxin include dysphagia, muscle weakness, and allergic reactions [22, 23].

How to fix a dropped eyebrow from Botox?

What Can I Do About Drooping Eyebrows After Botox? Since Botox is a temporary treatment, this problem will usually go away on its own over time without any treatment necessary.

How to make Botox wear off faster?

Intense exercise or anything that speeds up the body's metabolism. HIIT (high-intensity interval training) and hot yoga are good examples of this. Having a faster metabolism can help break down your bad Botox as the body's natural process is sped up.

Where not to inject Botox?

The key danger zones of botox include the areas around the eyes and mouth, specifically involving the orbicularis oculi muscle, the facial artery, and the temporal artery. Think of these zones like a “no-go zone” on a map—trespassing can lead to hazardous results.

What are the downsides of Botox?

Botox injections are usually safe when you're under the care of a licensed and skilled health care provider. The procedure can result in unwanted results or even cause harm if it's given incorrectly. Possible side effects and unwanted results include: Pain, swelling or bruising at the injection site.

What do celebrities use instead of Botox?

Celebrities often pick alternatives like Dysport, Xeomin, and Juvederm. These fillers add volume or reduce wrinkles differently than Botox. They're popular for their varying effects and durations.

Does Botox deplete collagen?

Sustained Botox injections have been shown to increase collagen production in the skin. Collagen is responsible for maintaining skin elasticity, and it gradually reduces with age. As collagen production decreases, it can lead to dry skin and wrinkles.

Can Botox make your face droop?

Brow Droop

If a Botox provider injects too much above the brow, they can paralyze the frontalis muscle.

Is Botox once a year enough?

The effects of Botox wear off after approximately 3 to 4 months and once the effects have worn off, the treatment can be repeated. For some patients, this may mean receiving treatment every four months or so but for some, Dr. Green may recommend more time in between.

Why not get Botox on forehead?

The potential side effects of the Botox procedure in the forehead include pain in the injected area, bruising, swelling, and inflammation.

What vitamin helps Botox last longer?

Take a Zinc Supplement

In a study from the Journal of Drugs in Dermatology, researchers found that people who received Botox and then took a 50-milligram zinc supplement saw a significantly longer duration in their results.

What if I don't like my Botox?

Botox results are not permanent

Botox is not permanent. However, if you don't like the initial results, you will need to allow the effects to wear off. On average, the effects of Botox will last around four months in the forehead and two to three months around the eyes.

What causes Botox to wear off faster?

For those with a faster metabolism, the effects of Botox may wear off more quickly as their bodies metabolize the toxin at an accelerated rate. The process by which the body breaks down and eliminates Botox involves digestive proteins in nerve endings, which can vary between individuals and thus affect Botox longevity.

Can Botox cause hooded eyes?

Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks.

Why do eyebrows look weird after Botox?

Incorrect Placement: If injections are placed too low, or in incorrect muscles, the upper forehead muscles may relax too much, further drooping the eyebrows. Over-Treatment: Excessive botox can over-paralyze these muscles, diminishing their ability to lift, thereby contributing to a heavier-looking brow.

How to fix spock eyes after Botox?

Yes, Spock eyebrows after Botox can often be reversed. This issue occurs when certain forehead muscles are over-relaxed, causing an unnatural arch in the eyebrows. To correct this, a skilled injector can administer additional Botox injections in strategic areas to relax the overactive muscles pulling the eyebrows up.

What can ruin Botox?

7 Things Not to Do After Botox
  • Rubbing Your Face. ...
  • Sun and Heat Exposure. ...
  • Intense Exercise. ...
  • Taking Blood Thinners. ...
  • Alcohol Consumption. ...
  • Washing Your Face With Soap. ...
  • Applying Topical Products.

What is the best alternative to Botox?

Below are 10 alternatives to BOTOX® that might help if you're seeking smoother or firmer skin on your face.
  • Cosmetic Acupuncture. ...
  • Microneedling. ...
  • Chemical Peels. ...
  • Laser Therapy. ...
  • Cryotherapy. ...
  • Facial Creams. ...
  • Neuropeptides. ...
  • Face Patches.

What happens after 10 years of Botox?

Muscle Atrophy and Adaptation: After long-term Botox use, some facial muscles may experience mild atrophy due to limited activity. This can actually benefit patients who prefer a smoother look, as muscle activity that causes wrinkles is minimized.

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