7 Facts I Wish I Had Known Before Getting Botox (2022)

Being anti-Botox is easy in your 20s, but that could also lead to misinformation.

7 Facts I Wish I Had Known Before Getting Botox (1)Share on Pinterest

I always said I wouldn’t get Botox. The procedure seemed vain and invasive — and seriously? Deadly botulism toxin injected in your face?

Though cosmetic Botox has been approved by the Food and Drug Administration since 2002, it can sound pretty extreme. But anti-Botox opinions are easy to tout when you’re the 22-year-old owner of baby-smooth skin.

Rounding the bend on the second half of my 30s, I’ve gradually changed my tune. I’m currently on my first round of cosmetic Botox.

It’s not that I don’t want to age, or appear the age I am. I’ve actually enjoyed many things about the physical process of getting older. I don’t suffer from debilitating menstrual cramps anymore, I don’t break out with embarrassing Mount Vesuvius–level zits, and I even kind of dig the strands of silver coming in at my temples.

But lately, every time I’d see a picture of myself, I couldn’t help noticing the “elevens” entrenched between my brows. This tiny picket fence indented on my face made me look angry — a lot angrier than I actually feel most of the time. I didn’t love the idea that I might come across as frustrated or irritated when I’m really not.

Knowing that a few shots of Botox could help with this issue, I decided it might be worth a try.

I use makeup every day to enhance my appearance. Is there really such a difference between that and the temporary aesthetic boost of Botox?

And now that I’ve done it, I’ve been pleased overall with my experience. However, there are things I was definitely in the dark about prior to my first appointment.

If you’re contemplating Botox, here are some things to consider:

Since Botox is, of course, a treatment for wrinkles and fine lines, I initially figured a few injections would pull these unwanted imperfections right off my face.

But as it turns out, for most patients, Botox is more preventative than restorative. Its active ingredient “freezes” facial muscles to keep you from contracting them in ways that deepen lines and wrinkles.

“Any line that is present at rest, whether it is an etched in frown line, or a deep wrinkle, is not going to disappear with Botox. Botox is not an iron,” says medical, cosmetic, and surgical dermatologist Dr. Estee Williams, MD.

Therefore, the earlier you get Botox, the more preventative its effects — hence the trend of getting Botox as early as your 20s.

(Video) What i wished i knew before having BOTOX & WHY I'LL NEVER GET IT AGAIN

With my limited knowledge of Botox, I assumed its miraculous effects would last indefinitely. But this simply isn’t true.

“The average duration for Botox for glabella [the lines between the brows], forehead, and lateral crows’ feet is approximately three to four months,” says Dr. Williams. And there are certain factors that may make Botox fade faster.

“Patients who exercise a lot or who are very expressive may feel that the Botox lasts closer to three months,” she says.

(Video) What I Wish I Knew BEFORE Getting Botox \ Filler ...

Not unlike my approach to my first childbirth, I arrived at my Botox appointment with a dim notion that it might be painful, and a needle would probably be involved.

But theoretical pain and real-life, needle-to-the-head pain are two very different things.

While experiences vary, I found the multiple injections to be significantly more intense than the “mosquito bite” pinprick I expected. Despite the ice pack applied to my head, I felt pain for at least half an hour after my injections.

I was also unprepared for the sound the syringe made as it plugged its contents into my skin: like crunching boots on snow or the signature crack of bending a glow stick. (Not a sound you normally want applied to your head.) Thankfully, however, this disturbing auditory aspect lasted just a few seconds.

I wasn’t planning to run a marathon on the Thursday afternoon after my dermatologist appointment, but I do wish I’d known that certain activities are not recommended immediately after Botox.

My doctor instructed that, for the next six hours, I was not to exercise, lie down, or take Ibuprofen (or any other blood-thinning medications), which could increase bruising at the injection sites.

(Video) Preventative BOTOX IN YOUR 20s| Dr Dray

Dr. Williams confirms these guidelines, and adds, “Immediately after your Botox injections, keep your head level and do not bend your head forward for two hours. No heavy exercise until the next day.”

Judging from the flat foreheads of most Hollywood A-listers, Botox is a given among celebrities. While weighing the decision whether to get it myself, I tried casually bringing it up in conversation in my own social circle.

In doing so, I was surprised to learn how many of my friends and acquaintances had already had it. Apparently (at least in my age and financial bracket) it’s really not that uncommon.

Though Botox injections are certainly costly, they’re nowhere near the pricing realm of plastic surgery or even injectable fillers like Juvederm or Restylane.

At around $10 to $15 per unit, you can expect to pay between $200 and $300 for the 8 to 20 units of an average forehead treatment. I paid $260 for the injections to my forehead and between my brows. Expensive, yes, but not Oscars-red-carpet expensive.

Because of my previously held opinions about Botox, a part of me felt that to try it would mean selling out on my principles. Plus, as a deeply religious person, I’ve always subscribed to the belief that vanity is a sin.

(Video) BOTOX BEFORE & AFTER | Come with me to a Botox Appointment!

But I’ve come to believe that the desire to look attractive (or at least not look angry) is natural and good. If I could prevent myself from frowning on my own power, I would do so! It doesn’t bother me to use a little medical help to get there.

If there’s one thing everyone seems to fear about Botox, it’s looking like an expressionless robot. Isn’t it freaky not to be able to move certain parts of your face?

In my experience, no.

The inability to knit my brows together when my husband makes a snarky comment or my kids grind couscous into the carpet has actually been a kind of relief.

The faces we make carry emotional weight. You’ve probably heard that simply smiling more can make you feel happier — and it turns out that not frowning can have the same effect.

A 2009 study in the Journal of Cosmetic Dermatology found that when people had Botox that prevented frowning, they had reduced negative mood.

These days, when I catch a glimpse of myself in the mirror, I see I look happier than I used to. If I look this way to myself, I imagine I look this way my family and friends, too. That’s enough for me to say I’m happy with Botox.

Sarah Garone, NDTR, is a nutritionist, freelance health writer, and food blogger. She lives with her husband and three children in Mesa, Arizona. Find her sharing down-to-earth health and nutrition info and (mostly) healthy recipes at A Love Letter to Food.

FAQs

Did you know facts about Botox? ›

8 Facts About Botox
  • Botox injections take less than 15 minutes. ...
  • More men are getting Botox than ever before. ...
  • Botox is older than you think. ...
  • Botox is safe and effective. ...
  • The cosmetic applications of Botox weren't realized until the 1990s. ...
  • Botox is long-lasting. ...
  • Botox can treat excessive sweating.
30 Sept 2020

Does Botox prematurely age you? ›

As top dermatologist David Colbert, M.D. is quick to note, however, too much Botox and filler distorts the face and as a result will make you appear older.

Does Botox make you look older after it wears off? ›

There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.

Can people tell I got Botox? ›

When a qualified injector administers BOTOX, it can provide excellent results that no one will even notice. Typical sessions take about 20 – 30 minutes with some patients even doing it over their lunch hour. BOTOX injections generally last about 3 – 4 months but vary by person.

What happens if you don't keep up with Botox? ›

"Many people fear that their faces will become dramatically wrinkled when they stop Botox. If you choose not to continue, those muscles staying out of use while Botox is active can delay the aging process; it reduces movement when injected, slowing the formation of wrinkles," Farber explains.

Does Botox change your face? ›

Just as Botox can slim your face, often by reducing the size and tension in the masseter muscles, it can also change the exact shape and exaggerate jawline by adding more firmness to an undefined jaw or by fixing asymmetries in the jaw. In fact, this is a common procedure for men.

Who shouldn't Botox? ›

People who are pregnant, breastfeeding, or have a neurological disease shouldn't use Botox. Because Botox doesn't work for all wrinkles, check with a doctor first.

How long does Botox last? ›

In general, Botox lasts 3-4 months. There will certainly be patients in which in lasts longer, in that 4-6 month range, or shorter, in that 2-month range. It is also common for first-timers to notice that it may not last as long initially but may last longer after the second treatment.

Why does Botox make your forehead shiny? ›

Why Does Botox Make Your Forehead Shiny? Light naturally reflects off of smooth surfaces, so the smoother your skin, the more light will bounce. Botox injections smooth the skin, which can cause it to appear shinier, especially if it is overdone.

What is a good age to start Botox? ›

If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative Botox can be the solution. Botox is approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

What does Botox under the eyes do? ›

Those who had them in the lower eyelids and crow's feet area were more likely to report positive results than those who only received injections in their lower eyelids. These results suggest that Botox injections can make the lower eyelid appear fuller and plumper, helping to reduce wrinkles and bagginess.

Can Botox make you look prettier? ›

Botox is most commonly injected around the eyes and forehead

It may be a favourite among stars such as Kylie Minogue, but Botox jabs do not make you better looking, according to new research.

How do you make Botox last longer? ›

If you have treatments at regular intervals, then your muscles will become weaker over time. This means that the effects will last longer. Try to avoid the sun, especially on the day of treatment. Sun exposure boosts blood circulation, causing blood vessels to dilate, potentially dispersing Botox faster than normal.

What are the long term effects of Botox? ›

There are no long-term or life-threatening adverse effects related to botulinum toxin treatment for any cosmetic indications. Moreover, the risk of possible complications can be reduced by means of a thorough analysis of the patient's medical history and the use of the appropriate dose and technique for the injection.

Does Botox make you shiny? ›

When someone is receiving too much treatment with anti-wrinkle injections, the skin can become extremely smooth and the light bounces off in a uniform way. So, the skin appears shiny, which is why it can look 'frozen'.

How can you tell if a girl has Botox? ›

How to tell if someone has botox or not - YouTube

Does Botox look weird at first? ›

Within First Hour after Botox

Botox takes between 3-7 days for the results of treatment to be fully noticeable. At times, results may look slightly uneven at first, because the Botox may “kick in” at different rates.

Can Botox affect your heart? ›

The research shows that having facial Botox injections for cosmetic reasons can also produce side-effects including muscle stiffness, pain, dizziness and even a heart attack.

What can I have instead of Botox? ›

Botox alternatives
  • Other injectables. Dysport, like Botox, is a neurotoxin. ...
  • FaceXercise. If exercise can help ward off aging in the body, why not in the face, too? ...
  • Acupuncture. Acupuncture as an anti-aging treatment is a relatively new procedure, but it's a promising one. ...
  • Face patches. ...
  • Vitamins. ...
  • Facial creams. ...
  • Chemical peels.

Do wrinkles come back worse after Botox? ›

Once Botox wears off, wrinkles begin to reappear again and do not become worse after the treatment. However, since you have become used to smoother skin and a youthful appearance, it might come as a shock when the Botox wears off.

Does Botox make your eyes smaller? ›

Botox is a great facial injection and can "open up" the eyes and make you look more refreshed. However, if Botox is injected too low in your forehead it can make the eyes appear smaller and cause lid "heaviness". The results will last about three months and get much better over time and will not be permanent.

When should I not get Botox? ›

If you are in poor general health, your skin is very thick or you have existing muscle weakness in the proposed injection site, you may not be a good candidate for Botox. Patients with sensitive skin may experience an allergic reaction at the injection site.

Is Botox worth it in your 40s? ›

Using Botox® After Your 40s: Part Of A Wider Treatment

If you consider starting Botox® after the age of 40, you should be aware that Botox® works better with the fine lines due to repetitive movement of the face (smiling, frowning, etc). It works much less for muscles that become heavy or sag from age.

What are the 3 common side effects of Botox? ›

Possible side effects and complications include:
  • Pain, swelling or bruising at the injection site.
  • Headache or flu-like symptoms.
  • Droopy eyelid or cockeyed eyebrows.
  • Crooked smile or drooling.
  • Eye dryness or excessive tearing.
2 Feb 2021

Is Botox hard on the liver? ›

Answer: Botox not harmful to liver or kidneys

It is designed not to travel systemically. The quantity of Botox even if it does get into the blood stream is very small. As of this writing, the drug has been used millions of times without reports of kidney or liver damage.

Does your skin look worse after Botox wears off? ›

When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.

When is Botox at its peak? ›

It can take two to four days before the weakening of the muscle begins and movement is stalled. You can see the maximum results of your treatment anywhere from ten to fourteen days after treatment. The best part is that maximum results can be seen up to three months after your treatment.

Which Botox lasts the longest? ›

The main difference between the DAXI and Botox (Dysport, and Xeomin) is how long it lasts. “Instead of having your treatment last about three to four months, we've seen that DAXI lasts a lot longer at about six to eight months,” Dr. Katz says.

How should I sleep after Botox? ›

For this reason, patients should plan to sleep on their backs with their heads slightly elevated for at least 1 – 2 nights after getting BOTOX injections.

Can Botox make my eyes look bigger? ›

Yes, Botox can give an illusion of bigger looking eyes by treating the 11 lines (between the brows) as well as the crows feet (around your eyes) and leaving the forehead alone or treating it very conservatively. This allows for the brows to be pulled up making the eyes appear wider and more open.

Can Botox make you look less tired? ›

Simple injectable treatments like Botox and dermal fillers can be a quick, easy solution to improve these signs of tiredness, leaving you looking fresher and more alert, as if you've just come back from a good holiday. Gradual treatment over 5 years gave this wonderful lady a less tired look.

Why does Botox make your eyebrows higher? ›

When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open.

Is 50 too late for Botox? ›

People who are between 30 and 50 generally have strong enough muscle tone for the Botox injections to be effective. Unfortunately, from age 65 upwards, facial muscle tone may be too weak for the treatment to show the desired results.

Is 42 too late for Botox? ›

Botox at 42 Is Just in Time. You're really never too old for Botox, as long as you have wrinkles. If you are seeing some minor wrinkling now, Botox can prevent the creases from becoming worse. A board-certified dermatologist will be able to help you improve the condition of your skin with Botox and many other methods.

Can Botox affect the brain? ›

Myth: Botox causes brain damage.

Although there have been recent lawsuits in the media attempting to link Botox to brain damage, there's no concrete evidence to suggest that Botox actually causes brain damage.

Can Botox make eye bags worse? ›

Botox, when placed in the crow's feet can have several unintended consequences. First, eye bags can worsen. This is due to relaxation of the orbicularis muscle, causing the fat bag retained now only by the orbital septum to bulge.

Can Botox cause sunken eyes? ›

What causes droopy eyelids after Botox? When Botox migrates to one or both of two specific areas, Botox injections can result in a droopy eyelid — also called ptosis. These two areas are the forehead and between the eyes.

Is Botox or fillers better for under eye wrinkles? ›

Botox and dermal fillers work differently which is why they're best used in specific parts of the face. A filler is great for restoring facial volume under the eyes, while Botox is effective for smoothening the dynamic wrinkles like glabellar lines and crow's feet.

Why do my eyes look weird after Botox? ›

This happens because the muscles that raise the eyebrows have been relaxed by the botox. Unfortunately this can occur when botox is injected into the forehead muscles. Sometimes injecting into the lateral edge of the brow may help to lift the eyes and sometimes eye drops will counteract the effects of the botox.

Is it harder to cry with Botox? ›

Answer: Will crying affect botox

No, crying will not affect your Botox injections. Once Botox is injected nothing will affect it.

Why does my Botox wear off after 6 weeks? ›

Why does Botox eventually stop working? Your body makes new neurotransmitters all the time, so the “blocking” effect of Botox gradually wears off as these chemicals start circulating in your body again. The muscles are no longer inhibited.

What vitamins should you not take before Botox? ›

In the week prior to the Botox® treatment, avoid taking aspirin, anti-inflammatories (such as Advil or Aleve), ginkgo biloba, vitamin E, or fish oil supplements. Compounds in these oral supplements and medications may increase bruising and bleeding.

What should you not do straight after Botox? ›

The don'ts
  • Do not rub or massage the treated area and avoid make-up if possible.
  • Avoid sleeping on your face the first night.
  • Do not exercise or partake in any strenuous activity for the next 12 hrs.
  • Avoid excessive alcohol consumption for the next 24hrs.

Does Botox cause hair loss? ›

Botulinum toxin A can increase blood flow to the follicle, thus stimulating hair growth. However, in patients repeatedly treated for forehead wrinkles, it can induce hair loss.

What happens if Botox hits a vein? ›

If the Botox injection is allowed to pierce a vein and travel to other areas of the face, partial temporary paralysis may be the result. Some patients have experienced difficulty with speech or freezing of facial muscles after a Botox injection was erroneously allowed to migrate to other parts of the face.

Do I need to do anything to prepare for Botox? ›

You really don't need to take any steps to prepare your body for Botox injections. In fact, practitioners typically recommend that you avoid taking any painkillers before your appointment. Common medications, such as aspirin and ibuprofen, will actually increase your chances of bruising.

When should you get Botox for the first time? ›

The first thing you'll notice immediately after Botox injections are little bumps and dots of blood that look just like mosquito bites. These go away in 20 minutes to half an hour. But you won't notice the skin-smoothing effects between three to five days (and up to two weeks).

Who shouldn't Botox? ›

People who are pregnant, breastfeeding, or have a neurological disease shouldn't use Botox. Because Botox doesn't work for all wrinkles, check with a doctor first.

What are the risks of Botox? ›

Possible side effects and complications include: Pain, swelling or bruising at the injection site.
...
Call your doctor right away if you notice any of these effects hours to weeks after receiving Botox:
  • Muscle weakness.
  • Vision problems.
  • Trouble speaking or swallowing.
  • Breathing problems.
  • Loss of bladder control.
2 Feb 2021

What should you not do the night before Botox? ›

Before BOTOX
  • Do Not Drink Wine for One Week Before Your Appointment. ...
  • Don't Take Anti-Inflammatory Medications During the Week Before BOTOX. ...
  • Avoid Foods That Contain Garlic (and Consider Using Arnica) ...
  • Save the Workout. ...
  • Wait to Apply Makeup. ...
  • Use a Gentle Facial Cleanser.

What should you not eat before Botox? ›

No there are no specific foods that you should avoid prior to Botox injections. To limit the risk/amount of any bruising with injections though you should not take aspirin, drink alcohol or other be taking other blood thinners prior to Botox/filler injections. Best of luck.

Can you drink caffeine after Botox? ›

For 24-48 hours, avoid caffeine, high-sodium foods, refined carbohydrates, alcohol, cigarettes, high-sugar foods, Niacin supplements and spicy foods because they contribute to increased swelling and irritation.

What happens if you only get Botox once? ›

Once Botox wears off and you don't get any top ups, you will eventually go back to baseline. Baseline means you will have the wrinkles you had before getting treatments. It can be disturbing, and it might seem like your wrinkles are worse than what they were before.

What does Botox under the eyes do? ›

Those who had them in the lower eyelids and crow's feet area were more likely to report positive results than those who only received injections in their lower eyelids. These results suggest that Botox injections can make the lower eyelid appear fuller and plumper, helping to reduce wrinkles and bagginess.

Why does Botox make your forehead shiny? ›

Why Does Botox Make Your Forehead Shiny? Light naturally reflects off of smooth surfaces, so the smoother your skin, the more light will bounce. Botox injections smooth the skin, which can cause it to appear shinier, especially if it is overdone.

Is Botox hard on the liver? ›

Answer: Botox not harmful to liver or kidneys

It is designed not to travel systemically. The quantity of Botox even if it does get into the blood stream is very small. As of this writing, the drug has been used millions of times without reports of kidney or liver damage.

Does your skin look worse after Botox wears off? ›

When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.

Can Botox affect your heart? ›

The research shows that having facial Botox injections for cosmetic reasons can also produce side-effects including muscle stiffness, pain, dizziness and even a heart attack.

What happens if Botox hits a vein? ›

If the Botox injection is allowed to pierce a vein and travel to other areas of the face, partial temporary paralysis may be the result. Some patients have experienced difficulty with speech or freezing of facial muscles after a Botox injection was erroneously allowed to migrate to other parts of the face.

What can I have instead of Botox? ›

Botox alternatives
  • Other injectables. Dysport, like Botox, is a neurotoxin. ...
  • FaceXercise. If exercise can help ward off aging in the body, why not in the face, too? ...
  • Acupuncture. Acupuncture as an anti-aging treatment is a relatively new procedure, but it's a promising one. ...
  • Face patches. ...
  • Vitamins. ...
  • Facial creams. ...
  • Chemical peels.

Videos

1. BOTOX- Everything You Need To Know
(Andriana Cellini)
2. Stop wasting your Botox. 7 things you can do.
(Dr Tim Pearce)
3. Botox & Filler Over 60: When It Works & When It Just Doesn't Cut It Anymore
(Reflections Center for Cosmetic Medicine)
4. I Got Botox and No One Noticed...
(Lauren Lipman)
5. 4 fast facts you'll want to know about Botox
(Cityline)
6. Why I Don’t Get Botox! | The Budget Dermatologist Explains
(The Budget Dermatologist)

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