What does your face look like after years of Botox?

Author: Gavin Kutch DVM  |  Last update: Saturday, January 24, 2026

The question of whether Botox changes your face over time is nuanced. While Botox can indeed alter facial appearance temporarily by reducing wrinkles and lines, prolonged and excessive use may lead to more permanent changes such as muscle weakness or a mask-like appearance.

What does Botox do to your face after years?

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.

What does Botox look like in 10 years?

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.

Will my face go back to normal after bad Botox?

In short, yes. Unless a person has been getting extensive, excessively dosed treatments on multiple parts of the face for decades, Botox wears off after a couple of months. A lot of people notice small indicators that show the treatment wearing off, like the appearance of some wrinkles or fine lines.

What does your face look like when you stop Botox?

When you stop, your face will gradually regain its full range of motion, and the natural aging process will continue. However, wrinkles that Botox had previously minimized may slowly reappear as your muscles begin to function normally again.

BEST Before & After BOTOX: Natural looking at age 38: First Time, Cost, forehead only

Do you look older after Botox wears off?

The answer is simple: nothing much. When applied in the right doses and with a consistent schedule, missing a single session of Botox doesn't really make the face age all of a sudden. Even as the frozen neurotransmitters wear off, your body still needs to condition the frozen muscles and tissue to start moving again.

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 is the biggest risk of Botox?

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

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 your face sag more after Botox?

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.

Do you age faster after stopping Botox?

No. Even after you stop using BOTOX, you will still look younger than you would have if you had never been injected. One study of twins found long-term BOTOX use led to fewer and less severe wrinkles in the long run, effectively slowing the aging process.

What is a pillow face?

“Pillow face” occurs when too much filler is injected into areas like the cheeks, nasolabial folds (the lines from your nose to the corners of your mouth), lips, and under-eye area. This repeated overfilling can result in a bloated, round appearance that looks far from natural.

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.

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.

How many years younger do you look after Botox?

That's why millions of people a year look to erase wrinkles through Botox® injections. A 10-minute procedure that can make you look 10 years younger.

What is the newest competitor to Botox?

DAXXIFY is the newest available Neuromodulator. The ones that have been available previously include Dysport, Jeuveau, Botox, and Xeomin. DAXXIFY helps to reduce wrinkles by administering a small dose of botulinum toxin into the underlying muscles.

What is Target's Botox in a bottle?

Argireline: What Is Is and How It Works

It's often dubbed “BOTOX in a Bottle” because it works by disrupting the signals that cause facial muscles to contract, giving a temporary break to the muscles. This helps soften expression lines and wrinkles, offering a non-surgical option to BOTOX injections.

Do the Kardashians do Botox?

Botox is FDA- approved and Kardashian-approved since almost all sisters have gotten an injection at some point. The beauty of Botox is that it can also delay any new lines, which is a win for anyone concerned about aging, which is probably everyone.

What happens after 10 years of Botox?

Long-term effects

A 2022 review study found that people who regularly received Botox injections showed changes in their muscle composition, function, and appearance up to four years after their last injection. "If you didn't use your abs [abdominal muscles] for 10 years, they would waste away," says Mosahebi.

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.

Can Botox cause hooded eyes?

While BoNT is generally safe, it's important to note that, ​as with​ any cosmetic treatment, it can have potential complications. One such rare issue is the droopy eyelid or eyelid ptosis. This occurs when BoNT migrates to unintended areas, affecting the muscles that control the upper eyelid.

Who shouldn't get Botox?

Botox injections are relatively safe. Still, you shouldn't get this treatment if you're pregnant, breastfeeding or have: Neuromuscular disease. Drooping eyelids (ptosis).

Is Botox safe for the liver?

Both Botox and dermal fillers are eventually metabolized by the body and safely excreted through the liver and kidneys.

Is Dysport better than Botox?

When comparing the efficacy of Dysport and Botox, much depends on personal preference. Both have proven effective in diminishing wrinkles and fine lines. Some individuals might appreciate Dysport's swifter action, while others might gravitate towards the precision Botox offers.

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