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What is the goal of long-term Botox use?

Arthur W. Perry, MD
Plastic Surgery
The goal of long-term Botox is to keep muscles from repairing themselves between injections. After a nerve injury, a physical therapist's job is to keep muscles moving and electrically stimulated. The goal is to prevent atrophy of the muscles while awaiting regrowth of nerves. The muscles will begin to work when the nerves connect. It is the opposite with Botox. We want to beat down the muscles to the point where they can no longer recover.

After a few years of continuous use, the Botox effect persists longer in many people. By repeatedly hurting the muscles, and assuring that they don't recover between injections, we can destroy them. Again, this concept is the opposite of what physical therapists do for patients with nerve injuries. They electrically stimulate the muscles to try and keep as much function as possible so that-when nerve regrowth occurs, the muscles haven't wasted away. On the other hand, some patients who have used Botox for a long time become resistant to its effects, because of antibodies that effectively neutralize the Botox.
Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)

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Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)

The public’s recent exuberance toward cosmetic surgery has spurred an unprecedented demand for appearance-changing procedures. But how can an average consumer discern the hype from solid truth? ...

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.