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Dermal Fillers

Why Does Botox Take Five Days to Work?

Botox injections may take a maximum of five days to start working due to several factors, such as the site to be injected, the needle size, your aftercare routine and body metabolism.

The early signs of ageing can be countered by using botulinum toxin injections. Your appearance, especially the face, becomes noticed first on the first glimpse.Most clients wish to maintain a rejuvenated look and ayouthful appearance. Botulinum toxin treatmentcan help you tackle the early signs of ageing, such as wrinkles. Once the aesthetic injections are administeredinto the skin tissues, they relaxthe muscles, preventing their movement as you smile or frown. This stops the formation of more ageing symptoms and leaving you with smooth skin.

Why Do the Effects of Botulinum Toxin Treatment take Five Days to Become Noticed?

According to Arora (2021), botulinum toxin eliminates wrinkles. The wrinkles and smiles will not disappear immediately since the toxin takes some time to be effective. It may take two to five days for a client to start noticing the effects. Some effects will become noticed after 10-14 days, and the maximum benefits of the treatment will become noticed after thirty days.

If you plan on having botulinum toxin treatment for an occasion and need the effects as soon as possible, you should get the injections daysbefore the day of the event. Getting the injections two weeks before the event will help you get the full results much early, and you will also have enough time for your recovery period. Thebotulinum toxin treatment recovery period is short since no major complications exist. One may experience minor swelling that may appear on the injected area that lasts for a short period before they disappear.

The Longevity of the Results

The longevity of botulinum toxin treatment depends on various factors, which differ from client to client. According to Wright,Lax & Mehta (2018), the effects last for three to six months. However, if it is your first session, they may break down quickly. You may go for top-ups before the results start fading. The appearance of the results may occur at different times. Below are factors that may affect the longevity of botulinum toxin results;

The Dose Injected

Whentaking this treatment for the first time, a small amount is preferred for your aesthetic practitioner to notice how you are reacting to the treatment. As you go for different sessions, your cosmetic doctor will keep increasing until you reach the perfect dose that will give you long-lasting results.

The Metabolism Rate

Your metabolic rate will highly determine how long the results will last. If your metabolic rate is faster or higher, the effects will be broken down easily, quickly fading the results and returning your previous conditions. If your metabolic rate is slow, you will enjoy the effects for a longer period. Engaging in different physical exercises increases the metabolism rate. Therefore, if you decide to get the botulinum toxin injections, you should take a break from heavy exercise and only engage in simple exercises like walking if necessary.


Collagen is a protein produced naturally by the body to maintain smoothness and rejuvenatethe client’s appearance. As we age, the generation of this protein reduces, and the skin becomes inelastic, resulting in early signs of ageing like smile lines and wrinkles. The wrinkles and smile lines deepen with time and become more permanent. According to Nestor,Arnold & Fischer (2020), botulinum toxin injections are ineffective for clients above sixty-five years due to the less elastic skin and the formation of deeper wrinkles.When the toxin is injected, results do not last long; they fade away easily.

The Area Injected

The site being treated is also a factor that determines the longevity of the results. Big muscles,such as those found on the head, attract short results, while muscles that form smile lines and crow’s feethave long effects.

Frequently Asked Questions about Botox

When Do I Go for Top-ups?

Botulinum toxin results last for 3-6 months. After that, you can opt for top-ups. The longevity of these results varies, but in most cases, the results start fading away after three to four months. When the body starts breaking down the anti-wrinkle treatment, you will notice the wrinkles start appearing. It is advisable to go for top-ups before the botulinum toxin is broken down completely..

Are Botulinum Toxin Injections Painful?

Anti-wrinkle injections are not painful. Clients who are not used to needles may feel discomfort during the procedure. According to Satriyasa (2019), there are no risks or complications after getting this treatment. However, some minor effects, like bruising and swelling,result from scratching the skin. These effects disappear on their own after some hours.

Do Botulinum Toxin Injections Always Work?

The reason why toxins have become so popular is because of their effectiveness in treating some symptoms like smile lines. However, the anti-wrinkle injection cannot treat some conditions like skin sagging. When you go for your appointment, you should tell your cosmetic provider the results you expect, and they will tell you whether they can be achieved or not to avoid getting undesired results.


Botulinum toxin effects are not immediate, and it takes about five days for the results to appear. The maximum results are obtained after one month. Begin the botulinum treatment early if you are getting them because of an event or occasion to have enough recovery period and obtain the full results. The results are temporary, but you can use top-ups to maintain and prevent them from fading away. The treatment is painless, and there are no life-threatening issues, only minor side effects like bruising and swelling, which last for a few hours before they disappear.


Arora, G. (2021). Botulinum toxin–Know the product before injecting. Cosmoderma1.

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 dermatology19(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 dermatology12, 223.

Wright, G., Lax, A., & Mehta, S. B. (2018). A review of the longevity of effect of botulinum toxin in wrinkle treatments. British Dental Journal224(4), 255-260.