How long must you continue with Botox treatments for glabella lines?


I am 34 years old and am considering Botox injections for my frown lines between my eyes.  However, Botox is quite pricey and I will not be able to afford treatments for years and years.  Would the frown muscles not become "de-trained," or inactive after a few (5 or 6) treatments?  I do not want to waste my money if the treatments will not help in the long run.


The effects of Botox are temporary and usually only last 3 to 6 months. It is unlikely that Botox treatments will have the long term effect you desire.  However, there are several different surgeries that can ablate frown line muscles.



Gary R. Culbertson, MD, FACS


How to Make Botox Last.

Although Botox is relatively short acting (3-7 months, with an average of 5), if injected continuously before the muscle recovers any function for about 18 months or a little longer, the muscle can atrophy and cease or markedly reduce function. This may be enough to satisfy you. You may thereafter need injections only occasionally. The other option is a surgical procedure to remove the muscle. This can be done through several approaches.  See an experienced surgeon to discuss your options.


Lifespan of Recurrent Botox Treatments – Botox usually lasts 3-4 months. After repeated Botox injections over a time period of several years, it may extend up to 4-6 months as the muscles tend to atrophy. However, they do not completely atrophy or go away. Repeated Botox injections diminish the strength and need for Botox treatment from 3-4 times per year to twice a year.

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