Site Logotype
Dermal Fillers

How Often Do You Need Botox?

Doing touch-ups helps maintain the effects of botulinum toxin injections and slow its wear-off rate. Herein is about how often a patient needs botulinum toxin treatment,including benefits, procedures, and how long they last.

Temporal cosmetic procedures are the new norm for clients who want enhanced looks. The skin develops wrinkles, fine lines, and crow’s feet due to low collagen. Patients use botulinum toxin treatments to treat facial scars and inborn asymmetry. Botulinum toxin wears off a few months after injection. Patients should do touch-ups to maintain looks. This article explains how often patients need botulinum toxin injections and why.

What is Botulinum Toxin Injection

According to Satriyasa (2019),botulinum toxininjection is a cosmetic substancetreating wrinkles, crow’s feet, and fine lines by blocking signals from the nerve to the muscle; this prevents muscle movements. Botulinum toxin treatment is injected into thefacial muscles of the chin, cheek, forehead, and jawline, depending on the treated area. A cosmetic doctor or aesthetic practitioner does botulinum toxin injection.

Benefits of Botox

Arora & Arora (2019) suggested that botulinum toxin injections can deal with the following;

Soften a square jawline

Correct a gummy smile

Diminish neck bands

Smooth crow’s feet, forehead furrows, frown lines, bunny lines, and lip lines.

Botulinum Toxin treatment Procedure

A cosmetic doctor examines a patient’s face and maps areas of injection.Ananesthetic is unnecessary sinceit numbs the skin tissues making the process less painful.A cosmetic doctor injects the mapped areas with the botulinum toxin injection of choice. Pons et al. (2019) suggested that patients see botulinum toxin injection results after three to five days of treatment. The results depend on the type of treatment, metabolism, and cosmetic doctor. Patients can resume work immediately after botulinum toxin injection if it does not involve heavy lifting.

How Does BotoxWork?

Botulinum toxin injections stop muscle movements creating relaxation.According to Carré et al. (2022),botulinum toxin treatment binds with SNARE, carrying signals from nerves to muscles. Patients can seebotulinum toxininjection results after a few days because it takes time for communication to shut down completely.

How Long Does Botulinum ToxinLast?

Botulinum toxin injections do not last; hence patients need to do touch-ups to maintain looks. According to Striyasa (2019), botulinum toxin treatments can last for three to five months, depending on the area injected, the amount injected, the rate of metabolism, the cosmetic doctor, and how oftena patient does touch-ups. Botulinum toxin injections wear off after a few months, and clientscan notice signs of skin aging reappearing again; the treatment does not last long in patients with a high rate of metabolism. Patients with lower metabolism may have longer-term effects of botulinum toxin injections. Clients treating deep wrinkles need a higher dosage for results to last.

How Often Do You Need Botulinum Toxin Injections?

Clients can do touch-ups a few months after botulinum toxin injections. Metabolic rates determine when the results will fade.This helps patients schedule another touch-up session with a cosmetic doctor.

Side Effects and Possible Complications of Botulinum Toxin Injection

According toWitmanowski&Błochowiak (2020),botulinum toxin treatment is safe with minor side effects such as nausea, headache, redness, flu-like symptoms, bruising, and temporal facial weakness. These side effects last for a few hours to days. Kroumpouzos et al. (2021) suggested that patients should see a  cosmetic doctor if the effects last more than two weeks. Sever (2020) suggested that clients could minimize side effects like bruising by avoiding alcohol and thinning pills for at least  48 hours and a week before botulinum toxin injection. According to Ausen et al. (2022), thinning medication makesblood clots hard.

Complications with botulinum toxin treatments are rare, but they can occur if they spread beyond the treated area leading to botulism-like side effects such as trouble swallowing, breathing problems, slurred speech, and muscle weakness. Avoiding touching, massaging, or sleeping on your face can prevent botulinum toxin injections from spreading beyond the treated area.

The Cost of Botulinum Toxin Treatment

Wu et al. (2021) stated that the average botulinum toxin injection cost is £500, depending on the type. Medical insurance does not cover cosmetic procedures; this can also contribute to the cost of botulinum toxin injections. A cosmetic doctor charges clients depending on experience and location. The number of injections, the injection area, and the time spent determines the cost of botulinum toxin injection.

Frequently Asked Questions about Botox

How Does Botulinum Toxin Injection Work?

Biello et al. (2021) suggested that botulinum toxin treatments stop muscle movements causing skin contractions. The study above also noted that botulinum toxin injections prevent nerve signals from contacting the treated muscles.

Who Is the Right Candidate for Botox?

According to Hui &Argáez (2021), a client should be at least 18 years of age with good health and no history of muscle weakening to get botulinum toxin treatment.

What Should I Do After Botulinum Toxin Treatment?

Hegazy et al. (2022) suggested that patients should keep their heads upright for at least 4 hours after botulinum toxin injections.

Sito et al. (2019) suggested that patients should avoid exerting pressure on the treated area, like sleeping on a face for at least 48 hours.

Avoid extreme heat and cold temperatures after botulinum toxin injections.

After How Long Will I See BotoxResults?

According to Comella et al. (2021),  results for botulinum toxin treatments are not immediate, and patients can see results after three to five days.


Patients can do touch-ups after a few months because botulinum toxin injections wear off after a few months. Metabolism, the area treated, and the dosage injected determine how long the botulinum toxin will last. Botulinum toxin injections last longer in clients with a slower metabolism and do touch-ups more often than in those with a faster metabolism. Botulinum toxin treatments are safe with minor side effects like nausea, bruising, headache, and flu-like symptoms. Complications with botulinum toxin injections can occur if they spread beyond the treated area. Only qualified cosmetic personnel or aesthetic practitioner should do botulinum toxin injection.


Ausen, K., Fossmark, R., Spigset, O., &Pleym, H. (2022). Safety And Efficacy Of Local Tranexamic Acid For The Prevention Of Surgical Bleeding In Soft-Tissue Surgery: A Review Of The Literature And Recommendations For Plastic Surgery. Plastic And Reconstructive Surgery, 149(3), 774.

Biello, A., Volner, K., & Song, S. A. (2022). Laryngeal Botulinum Toxin Injection. In Statpearls [Internet]. Statpearls Publishing.

Carré, D., Martin, V., Kouidri, Y., Morin, R., Norlund, M., Gomes, A., … &Lezmi, S. (2022). The Distribution Of Neuromuscular Junctions Depends On Muscle Pennation When Botulinum Neurotoxin Receptors And Snares Expression Are Uniform In The Rat. Toxicon, 212, 34-41.

Comella, C., Ferreira, J. J., Pain, E., Azoulai, M., & Om, S. (2021). Patient Perspectives: The Therapeutic Profile Of Botulinum Neurotoxin Type A In Cervical Dystonia. Journal Of Neurology, 268(3), 903-912.

Hegazy, A. H., Elmohandes, W., & El Feky, A. H. (2022). Evaluation Of Botulinum Toxin Injection In Masticatory Muscles For Managing Temporomandibular Disorders Pain. Al-Azhar Journal Of Dental Science, 25(3), 301-310.

Hui, D., &Argáez, C. (2021). Onabotulinum Toxin A (Botox) For Spasticity Associated With Multiple Sclerosis. Canadian Journal Of Health Technologies, 1(3).

Kroumpouzos, G., Kassir, M., Gupta, M., Patil, A., &Goldust, M. (2021). Complications Of Botulinum Toxin A: An Update Review. Journal Of Cosmetic Dermatology, 20(6), 1585-1590.

Nestor, M. S., Arnold, D., & Fischer, D. (2020). The Mechanisms Of Action And Use Of Botulinum Neurotoxin Type A In Aesthetics: Key Clinical Postulates II. Journal Of Cosmetic Dermatology, 19(11), 2785-2804.

Satriyasa, B. K. (2019). Botulinum Toxin (Botox) A For Reducing The Appearance Of Facial Wrinkles: A Literature Review Of Clinical Use And Pharmacological Aspect. Clinical, Cosmetic And Investigational Dermatology, 12, 223.

Sever, L. (2020). Nonsurgical Aesthetic Procedures (Doctoral Dissertation, University Of Zagreb. School Of Medicine. Department Of Surgery).

Sito, G., Manzoni, V., &Sommariva, R. (2019). Vascular Complications After Facial Filler Injection: A Literature Review And Meta-Analysis. The Journal Of Clinical And Aesthetic Dermatology, 12(6), E65.

Witmanowski, H., &Błochowiak, K. (2020). The Whole Truth About Botulinum Toxin – A Review. PostepyDermatologii I Alergologii, 37(6), 853–861.

Barbara Santini
Latest posts by Barbara Santini (see all)