Mayo Clinic: Does Botox work on deep forehead wrinkles, or do
you have to catch them early for it to make a big difference?
Is long-term use safe? What happens if I have the injections
regularly for a few years, but then quit? Will my forehead
look worse than if I had never gotten Botox?
forms of Botox injections approved by the U.S. Food and Drug
Administration for forehead wrinkles are intended for people
65 and younger. Beyond that, the medication may not be as
effective as it is for younger individuals. Botox is safe to
use long term, and you can stop using it at any time without
your skin looking worse than it did before you started Botox.
When used for cosmetic purposes, medical insurance does not
cover Botox treatments.
injections use forms of botulinum toxin to paralyze muscle
activity temporarily. This toxin is produced by the bacterium
that causes botulism, a type of food poisoning. Botox
injections are popular for reducing the appearance of facial
wrinkles. The injections are used to treat other medical
conditions, too, such as repetitive neck spasms, excessive
sweating, overactive bladder and lazy eye. The injections also
may help prevent chronic migraines in some people.
toxin injections block certain chemical signals from nerves,
mostly signals that cause muscles to contract. This
temporarily relaxes the facial muscles that underlie and cause
wrinkles, including forehead furrows. Studies show that people
who receive the most benefit from the injections are 65 and
not to say, however, that people older than 65 canít or
shouldnít use Botox. But, it is important to recognize that
the results may not be as effective as in a younger
population. For older adults to achieve the same results as
younger patients, Botox should be used in combination with
facial fillers injected into the skin to soften wrinkles.
Botox injections, your health care provider uses a thin needle
to inject tiny amounts of botulinum toxin into your skin. The
number of injections you need will vary, depending on a
variety of factors, including the size of the area being
treated. Botulinum toxin injections usually begin working a
few days after treatment. The effect may last up to three
months or longer. To maintain the benefits of Botox, you need
regular follow-up injections.
has been shown to be safe for both short- and long-term use.
Data for treatment of wrinkles with Botox only go back about
15 years. However, Botox for wrinkles uses a much smaller dose
than patients receive for other conditions, such as muscle
spasticity. Significant safety concerns have not been
identified in people who receive larger doses of Botox for
those other problems ó further supporting its safety.
ensure your safety, you should only receive Botox under the
care of an experienced health care provider, such as a
board-certified dermatologist, plastic surgeon, eye plastic
surgeon or otolaryngologist who has personally examined you.
These subspecialists have the most expertise to minimize
complications and treat them if a complication occurs. Botox
can be dangerous if itís given incorrectly. Although
uncommon, Botox injections can produce side effects, including
pain, swelling or bruising at the injection site, headache,
flu-like symptoms, and eye dryness or excessive tearing, among
decide to stop using Botox, your forehead wrinkles will go
back to the way they looked before you started the injections.
Your face will not become more wrinkled as a result of Botox.
Muscle strength and movement in your forehead also will return
to normal when you discontinue Botox use.