How Long Will My Botox® Results Last?

You’ve finally taken the plunge and gotten Botox®, or maybe you’re just doing your research before scheduling your first appointment. Either way, one of the most common questions we hear is: How long will my results last?

It’s a great question, and the answer depends on a few factors. Botox may be one of the most popular and effective treatments for smoothing lines and wrinkles, but like any cosmetic treatment, it’s not permanent. 

Our board-certified dermatologists at Sanford Dermatology are here with a sneak peek at what to expect once you’ve invested in Botox injections. 

Botox: A quick skin refresher

Botox is a purified form of botulinum toxin that works by temporarily relaxing the muscles responsible for expression lines like frown lines, crow’s feet, and forehead wrinkles. When those muscles stop contracting as much, the overlying skin looks smooth and refreshed.

Botox is quick, minimally invasive, and requires zero downtime. That’s part of why so many people love it.

So, how long does Botox last?

On average, Botox results last between three and four months. For some people, the effects can stretch closer to five or even six months, especially after repeated treatments. Less often, some people find that their results start to fade around the three-month mark. 

In general, here’s what you can expect:

• Day one to three: Subtle skin-smoothing changes emerge

• Week one to two: Full results are visible, lines soften, and skin looks smoother

• Months two to four: You’ve hit the peak of your Botox results

• Month four and beyond: Muscle movement gradually returns, and lines start to reappear

Remember: Botox doesn’t “freeze” your face permanently — it simply blocks nerve signals to targeted muscles for a limited time. As your body naturally metabolizes the injectable, muscle activity slowly returns.

That’s actually a good thing. It allows you to maintain a natural look and adjust your treatment areas over time.

Factors affecting Botox duration

Several factors can influence how long your Botox results stick around. Here’s a closer look. 

Your metabolism

People with faster metabolisms may process Botox more quickly. If you’re super active or have a naturally high metabolism, you might find your results wear off a bit sooner.

The treatment area

Some areas, like around the eyes, may wear off faster than others due to frequent muscle movement. Larger or stronger muscles (such as those in the forehead) may also require more product to last longer.

Dosage and placement

Your injector’s technique and the amount of Botox used matter. Too little Botox might not last as long, while proper dosing from one of our experienced providers can offer more durable results. 

Frequency of treatment

People who get Botox regularly may find that their results last longer over time. That’s because the treated muscles can “learn” to relax and contract less, even between sessions.

Lifestyle factors

Sun exposure, smoking, and high stress can all impact your skin and potentially affect how long your Botox results last.

Tips for making Botox last longer

While you can’t stop your body from metabolizing Botox, you can take a few steps to help preserve those smooth results. 

First, we recommend sticking to a consistent schedule. Don’t wait too long between Botox “boost” appointments — regular treatments help train your muscles to relax.

You should also follow aftercare instructions. Avoid rubbing your face, lying down for several hours, or hitting the gym right after your treatment.

Quality skincare can go a long way, too. A good daily skincare routine with broad-spectrum sunscreen (SPF of 30 or higher), antioxidants, and moisturizers can help maintain your skin’s overall health.

Finally, avoid harsh environmental stressors (think excessive sun, smoking, and poor sleep habits). 

Is it time for your next Botox session?

If you’re seeing lines start to reappear or feel like your results are wearing off, it’s a good time to check in with us. You don’t have to wait until everything wears off — many people come in for touch-ups around the three- or four-month mark.

Every face is different, so our team will help create a personalized injectable plan based on your goals and how your body responds to Botox. Whether you’re new to Botox or a seasoned pro, we’re here to help you look and feel your best — one treatment at a time. 

Ready to schedule your next session or have more questions? Call or click online to schedule an appointment at your nearest Sanford Dermatology office in Sanford, Pittsboro, or Lillington, North Carolina, today.