If I stop botox or dysport, will the lines get worse?

Dermatologist Dr. Heidi Waldorf explains whether or not facial lines will get worse if a patient stops using Botox or Dysport. Watch Dr. Waldorf's video for tips and information on cosmetic dermatology and skin health.

Using Botox and Dysport will not make the lines in your face worse. When the Botox or Dyport wears off, you will have your old wrinkles back. Sometimes patients think that the lines are worse, but this is generally because they have forgotten how bad they used be before they starting using the injectables. Rest assured, you can only go back to baseline.
Dr. Ellen Marmur, MD

The lines don't get worse because Botox has immobilized them. But once it wears off, you go back to baseline - back to the lines you already had, to your own reality. The disturbing, Dorian Gray–like experience of seeing those lines and wrinkles return seems to happen overnight. This is why, for many women, the treatment becomes an act of routine beauty maintenance. Relaxing one muscle may cause some people to begin using other muscles in their face to compensate for the ones that are paralyzed. If you seem to notice new lines, go in for a touch-up. Since Botox and Dysport stop dynamic muscle contractions that create creases and furrows, the treatment can be relatively preventive. If you stop doing Botox, you go back to making the muscle movements that gave you some of those lines. Repeated treatments do cause the muscles to atrophy, which naturally weakens them and suppresses their movement. For this reason, the trend among young girls in their twenties wanting to have Botox as a preventive measure is disturbing.

Simple Skin Beauty: Every Woman's Guide to a Lifetime of Healthy, Gorgeous Skin

More About this Book

Simple Skin Beauty: Every Woman's Guide to a Lifetime of Healthy, Gorgeous Skin

What if a leading dermatologist just happened to be your best friend and you could ask her anything? DR. ELLEN MARMUR, a world-renowned New York City dermatologist, answers all your questions with...

Continue Learning about Wrinkle Treatments

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.