Dermatologist on what NOT to do after your Botox injections

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  • čas přidán 22. 05. 2024
  • Here’s everything you need to know to make sure you don’t MESS UP your Botox!
    In this video, I answer Q’s such as:
    Can I (or should I) use ice after Botox?
    Can I lie down or get a facial?
    What about yoga or exercise?
    FOLLOW ME:
    / drwhitneybo...​
    / drwhitneybowe​​​
    / drwhitneybowe​​​
    Want to take a deeper dive? Check out my best-selling book, The Beauty of Dirty Skin:
    amzn.to/3nzyw3I​​​
    Now out in paperback as Dirty Looks:
    amzn.to/2WvbM9s
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Komentáře • 377

  • @jorydany
    @jorydany Před rokem +6

    Thank you so much for this. I saved it so I can rewatch it when I get it for a few times until I am super confident on the process. Subscribed!😊

  • @logansmama3333
    @logansmama3333 Před 2 lety +4

    Fantastic information! Thank you.

  • @woolzem
    @woolzem Před 10 měsíci +1

    Thanks for the awesome tips!!

  • @emesebujtas833
    @emesebujtas833 Před 2 lety +1

    Thank you for sharing it! It was very useful. :)

  • @DrUndoTattoo
    @DrUndoTattoo Před 3 lety +30

    I can see why you are so popular This video came up as a suggestion and it was refreshing clear and delightful besides very informative.

  • @rolandrothwell4840
    @rolandrothwell4840 Před 2 lety

    Good work and very knowledgeable

  • @daphnen5296
    @daphnen5296 Před 2 lety +3

    Great info.

  • @deborahmorrison6092
    @deborahmorrison6092 Před 2 lety +2

    Your eyeshadow is beautiful! May I ask the color and company? Great video. Thank you

  • @rachelgutierrez4353
    @rachelgutierrez4353 Před rokem +2

    Omg your skin is beautiful!!!!! 😍

  • @jayden7041
    @jayden7041 Před 2 lety +1

    Super helpful 🦋✨

  • @QueenJessica
    @QueenJessica Před 2 lety +182

    And don’t schedule a hair appointment right after either. I was in the shampoo bowl too long and the dysport traveled to my eye and affected my vision for a few months

  • @CremeBrulee543
    @CremeBrulee543 Před 2 lety +34

    Thank you for this video! I just got my first forehead botox today. You look so healthy and beautiful! Looking forward to watching more videos.

    • @odettg9106
      @odettg9106 Před rokem

      Di you got lil pimples rash on the area of botox..this is my 2nd time after a year to see if I'm allergic but I got lots of tiny pimples my forehead looks bad no wrinkles but with that allergic reaction..

    • @CremeBrulee543
      @CremeBrulee543 Před rokem

      @@odettg9106 no I did not

  • @kellyw4445
    @kellyw4445 Před rokem +6

    This is so helpful thanks! Thinking about getting botox before I get wrinkles

  • @frs535
    @frs535 Před rokem +11

    Thanks for your nice advice! When can you go back to sleep on your face after the Botox injections, when can you lift heavy weights again after the same process, and how long does Botox last for those who work out 6 days a week? Thanks indeed!

  • @zoehearn4169
    @zoehearn4169 Před 11 měsíci

    Fantastic tips, thanks very much 😊x

  • @vickyzhu4890
    @vickyzhu4890 Před 2 lety +3

    thank you so much for the video! I was actually gonna schedule a facial after treatment. LOL

  • @seramccann9757
    @seramccann9757 Před rokem +3

    Thank you for the information. The clinic I go to still has a nurse ice your forehead after the doc has injected 😳😱

  • @wendy8561
    @wendy8561 Před 9 měsíci

    Thank you would have never thought This

  • @michy2630
    @michy2630 Před rokem +14

    Very helpful. My derm gives me mini ice packs when I leave. I will fill him in on this or just leave the ice packs there :). Your skin is stunning!

  • @sarahmillson1594
    @sarahmillson1594 Před rokem +9

    Thanks very much for the video! I was wondering if you could make a video how to make botox&derma fillers last longer? Or which exercises not to do if we want to have botox&derma filler stay longer on our faces. Yoga, swimming, etc?

  • @asmrjudie
    @asmrjudie Před 2 lety +1

    New subscriber! Going in for a consultation tomorrow! Nervous...

  • @natasavucinic3866
    @natasavucinic3866 Před 11 měsíci +2

    Hi, this was very useful. Just one question, can I excercise 24h after the botox treatment?

  • @katherinenolasco672
    @katherinenolasco672 Před 2 lety +66

    Non of this was discussed when I got my botox yesterday 🤦‍♀️ the only thing they said not to do any vigorous exercise

    • @jillmarie3841
      @jillmarie3841 Před 2 lety +8

      Right?! I took a nap right after… hoping it won’t impact me!

    • @monicasalazar5345
      @monicasalazar5345 Před 2 lety +2

      @@jillmarie3841 how did it turn out?

    • @czarinah854
      @czarinah854 Před 2 lety +1

      @@jillmarie3841 same here i took a nap right after please someone lmk what could happen

    • @czarinah854
      @czarinah854 Před 2 lety +2

      I got mine for tmj

    • @rhendyism
      @rhendyism Před 2 lety +8

      Right! First time getting Dysport and I actually had to be the one to ask if there were any restrictions now that I’ve got this done. All they said was “stay upright for 4 hours, no napping.” That’s it. I would have thought an informational pamphlet would be a good idea so people don’t ruin their Botox/Dysport job!

  • @LouveniaMusic
    @LouveniaMusic Před 2 lety

    Appreciate this! Also, you’re beautiful!

  • @lacey7569
    @lacey7569 Před rokem +20

    Hi Dr. Bowe !
    Thank you so much for this video !
    I had my first round of Botox in my forehead, glabella , and straw lip lines, yesterday ! 😬
    Are there any recommendations for sleeping positions and elevating the head. If so, how long is that recommended?

  • @danneldoyle122
    @danneldoyle122 Před 2 lety +4

    Thanks so much! You are gorgeous too!

  • @xxxmoexxx1
    @xxxmoexxx1 Před rokem

    Oh god… I already pushed my mosquito bite down a bit! I hope it will be okay, I didn’t push to much because I wasn’t sure if I should or not….

  • @cynthiasumpter8966
    @cynthiasumpter8966 Před 2 lety

    Does it matter what time u go to have it done ✅✅

  • @kaoanamartins4931
    @kaoanamartins4931 Před 8 měsíci +1

    Hi there, I get botox around my eyes and have recently started getting micro needling... I'm a bit concerned about using these together... could you do a video on this :)? thank you!

  • @apersonnamedemily5443
    @apersonnamedemily5443 Před rokem +1

    Timelines would be good..like no exercise, rubbing, etc. but for how long?

  • @musicjonk2701
    @musicjonk2701 Před rokem

    Hi there, thanks so much. What will heat do?

  • @voorilevi2709
    @voorilevi2709 Před 3 lety +5

    There are no studies showing laying down after botox can cause drooping eyes. This is something doctors said way back in the day when botox was new for cosmetic use

    • @DrWhitneyBowe
      @DrWhitneyBowe  Před 3 lety +23

      While I love to take an evidence-based approach whenever possible, I also rely on clinical experience and candid conversations I have with my colleagues. I have heard of enough cases of ptosis that happened to correspond with the patient lying flat that I take a better safe than sorry approach. It’s all about a risk/benefit ratio, and in this case, staying upright for a generous window (4 hours) is probably overly cautious but easily justifiable to minimize any possible risk.

    • @Alexandra_Wolf
      @Alexandra_Wolf Před 2 lety +8

      There are many things that studies don’t correlate but you have to understand who is funding the studies, who stands to lose from certain studies and how many studies are stoped or people drop out due to unfavorable results. My dads a doctor and he has many cases and correlations that he has seen over his 47 years of practice that aren’t in studies because drug companies wouldn’t benefit from said studies or there isn’t enough interest in that area of research. He also relies on his colleagues and his own experiences with patients to give solid advice about do’s and dont’s in his area of practice.

  • @user-qh9uk6ic4o
    @user-qh9uk6ic4o Před rokem

    I used to Botox 15 yrs ago at multiple places they all said to massage 😳 thank god I never got the lid drooping

  • @mariamenani1536
    @mariamenani1536 Před 3 lety +9

    Wow you look amazing

    • @DrWhitneyBowe
      @DrWhitneyBowe  Před 3 lety +1

      Thank you!!

    • @karencarney7595
      @karencarney7595 Před 2 lety +3

      @@DrWhitneyBowe why do u only respond to people who compliment u on ur looks?

    • @shavonneschofield1207
      @shavonneschofield1207 Před 2 lety +1

      @@karencarney7595 I was just thinking this, haha. That’s the only time she replies.

  • @cudderkid1336
    @cudderkid1336 Před 2 lety +2

    I took a nap but I propped my head up which was uncomfortable but I was tired af

  • @Ana44446
    @Ana44446 Před 8 měsíci

    Thanks for this video I am getting Botox soon 🙂 what about medicines?

  • @christinatruchon1924
    @christinatruchon1924 Před 2 lety +5

    Can you go over best way to treat lip lines. Different options

  • @Makeupzised
    @Makeupzised Před 3 měsíci

    How about correcting tests? My doctor said not to look down...and for how long? She also said not to sleep on one side or facing down. Thanks!

  • @neetuh4850
    @neetuh4850 Před 2 lety

    What about the sauna. I go to the sauna daily and don't think I can skip more than 1 day. Thanks.

  • @xana5649
    @xana5649 Před 2 lety +13

    Wow, your skin is so beautiful.

  • @user-cp2bi2cz3k
    @user-cp2bi2cz3k Před 2 lety +5

    Thank you for your video... I got filler and botox today... I kinda wanna drink a 25 Oz, 5% Budweiser, michelada but I'm afraid it'll mess up my work

  • @carmenrosario7560
    @carmenrosario7560 Před 2 lety +11

    I would like to know what is considered too much Botox? Doing too many units , doing for many years or to soon?

  • @PixieDusted72
    @PixieDusted72 Před 11 měsíci +8

    I got Botox 5 weeks ago. It looked fantastic for 2 weeks but I now have mobility back. Extremely bummed out that I spent that much money for 3 weeks of results.

    • @monikasadowski4006
      @monikasadowski4006 Před 9 měsíci

      Same here, i only look good like for few weeks :(

    • @niecek.6473
      @niecek.6473 Před 3 měsíci

      My place says to come back before 14 days if you are not satisfied. They will add to those areas at a discount price, but not after 14 days. Yikes, mine usually last for 6-8 months.

    • @PixieDusted72
      @PixieDusted72 Před 3 měsíci

      @@niecek.6473 we get a free touch up at 2 weeks which I absolutely take advantage of. I’m going to try a different place next time.

  • @odettg9106
    @odettg9106 Před 2 lety +6

    Im 29 I got botox and I think I got an allergic reaction on my forehead I have a rash or lil pimples ..and I have never had pimples ..Has this happened to any one else?..oh and it's been like a month and they don't go away 😏

  • @Constantin9va
    @Constantin9va Před 2 lety +22

    Thank you so much! Have you done a video on long term Botox for migraine? I’ve been getting it since I was 20, so for 10 years now. Are there any studies done on this? Thank you so much 💓🌺💖

    • @lucillebennet4233
      @lucillebennet4233 Před 2 lety +1

      Thank you so much Dr. Aloha. Here is a permanent Solution to Eliminate Herpes 1 & 2, lupus, Acne, shingles and HPV and It's 100% money back guarantee. czcams.com/channels/_YFEEZEr1BxGkNg1d4vqww.html 👈🍃💛✅

    • @JanitaGutierrez
      @JanitaGutierrez Před rokem

      I just had my first round, I got a droopy eyelid 😢and Dr. lifted my left eyebrow so so much!

  • @FloGrown626
    @FloGrown626 Před 2 lety

    What about tanning in a tanning bed ??

  • @heyeveryone
    @heyeveryone Před 2 lety

    How long until you can get a facial??

  • @jesuismieux0136
    @jesuismieux0136 Před 11 měsíci

    How long after botox treatment may I start doing cardio workouts?

  • @kkyulmin
    @kkyulmin Před 2 lety +1

    What about gua sha and face massages some time after botox? Like not in the first 48h but a after a few days/weeks?

  • @ef3438
    @ef3438 Před 2 lety +9

    Great video, I get botox for migraines. Not thinking I had cosmetic botox done then 2 weeks later had the medical botox. Because of the dilution for the medical botox, Poof, all the cosmetic botox gone.

    • @MaraMarieBeauty
      @MaraMarieBeauty Před 2 lety +1

      I don’t understand?

    • @devin7703
      @devin7703 Před 2 lety +2

      This is not how it works hun

    • @ef3438
      @ef3438 Před 2 lety +1

      @@devin7703 Actually it is, always do your migraine botox first. (It is diluted differently than cosmetic botox) wait a few weeks then do your cosmetic botox.

    • @devin7703
      @devin7703 Před 2 lety +3

      @@ef3438 dilution matters to the area and muscle it’s acting on only! botox for migraine , regardless of dilution or bc of dilution could never inactive other botox strength, it would only add to it. There is no anecdote for botox,so right there disproves your theory. I’m a long time injector so I’m quite experienced in this area!

  • @claudiayanirarojas1808
    @claudiayanirarojas1808 Před 2 lety +1

    What!! My doctor said place ice after procedure 😱and I did for 30 mins

  • @jboogie8908
    @jboogie8908 Před 10 měsíci

    I wish my doctor told me this!!! Now I have ptosis on my right eye 🤦🏻‍♀️😩

  • @Yentra163
    @Yentra163 Před rokem +2

    Lol, the wine is worth the bruising😆. Thank you!!! Unfortunately most doctors rush u thru and attempt to upsell you on "other treatments" or more Botox than what's needed, INSTEAD OF DOING WHAT THEY'RE SUPPOSED TO DO WHICH IS telling you the things you NEED TO KNOW.

  • @charlottebradbury4123
    @charlottebradbury4123 Před 9 měsíci +1

    Anybody had experience with iceing an unwanted botox area? How much quicker would you get the action back? Interested to know x

  • @Liv9660
    @Liv9660 Před rokem

    How long after getting Botox injections is it safe to sleep with your face against the pillow?

  • @irinasonkina5168
    @irinasonkina5168 Před 2 lety +2

    What can happen if Botox gets into a vein?

  • @Raaadome
    @Raaadome Před 2 lety +1

    My question to you is have you had any Botox and I may come back with more questions after ?...oh two being what were the other two treatments you mentioned at beginning of this video?... Thanks Rachel

  • @karinahernandez875
    @karinahernandez875 Před 2 lety +2

    What do i do if i put botox d'urine winter would the cold weather ruing the effects if i have to go outside to get to my car 😥

  • @claudinehellmuth
    @claudinehellmuth Před 10 měsíci

    I’m having Botox for migraine for the first time. Is one week long enough to wait for massage/PT appointment? My neurologist said I only needed to wait a few days but online there are such varying answers.

  • @doloresgil1328
    @doloresgil1328 Před 2 lety +1

    I have a question is it OK to get a face massage one week after getting Botox

  • @sjksimplysimran
    @sjksimplysimran Před 2 lety

    Mam whar is the difference between botox lesor and prp

  • @kiarstin9043
    @kiarstin9043 Před 2 lety +45

    So I’m just done my first ever treatment and I’m sitting on the couch with a big bag of Ice on my face and a glass of white wine and I start watching your video…..👀😱😂😂😂 I’m batting 1,000 doing everything I’m not supposed to do !!😂 I guess it could be worse, No Downward Dog for me !!”Thank You so much for sharing this very important info , especially for idiots like me who should have watched Pre treatment !!😉lol

    • @fierce4393
      @fierce4393 Před 2 lety +1

      Lol 😂

    • @worldsgreatestfight2132
      @worldsgreatestfight2132 Před rokem +1

      I hope your ok

    • @raspberrykisses7174
      @raspberrykisses7174 Před rokem +1

      Lmfao!!!

    • @kiarstin9043
      @kiarstin9043 Před rokem +1

      @@worldsgreatestfight2132 😁If you call my face looking like a twisted up Picasso Painting for two weeks 🥴and drooling on myself when I tried to drink water 🤤and 9 out of 10 people asking me if I had Bells Palsy OK, then I was just Dandy 😬…😂🤣😂lol, But thank you for asking 😊

    • @ravicasi
      @ravicasi Před rokem +1

      ​@@kiarstin9043 did all of that really happen to you? omg how scary. can you go more into details of what happened?

  • @adrijanarozek1153
    @adrijanarozek1153 Před rokem

    What about sunbathing after botox?

  • @Smile-yw9wr
    @Smile-yw9wr Před 2 lety

    Can I apply my hylournic acid after a day

  • @ryanm7654
    @ryanm7654 Před 2 lety

    Dysport didn’t do much of anything for me, and now I have two big “lines” or skin folds underneath of my eye :(

  • @sunstar781
    @sunstar781 Před 5 měsíci

    How long to wait to wax the upper lip after botox lip tratment

  • @rosesolis1868
    @rosesolis1868 Před 2 měsíci

    Is there anything a person can do to numb area?

  • @jennifercliett8364
    @jennifercliett8364 Před rokem

    Hi. I have an apt tomorrow but also have a tooth infection. On antibiotics. Should I reschedule?

  • @daniquitter8963
    @daniquitter8963 Před 2 lety +4

    I just made an appointment to get botox for the first time! I'm excited to have fuller lips

  • @fluidartbycarrieann3886
    @fluidartbycarrieann3886 Před 7 měsíci

    What about under the eyes

  • @loricole1299
    @loricole1299 Před 2 lety +4

    Thank you for your video! Can you work out, sweat, go in the ocean or pool?

    • @HankScorpio468
      @HankScorpio468 Před 2 lety +3

      Not for the first 48 hours as anything that increases blood flow to the face in this time will either wash away the product or increase your risk of ptosis

  • @tahliamaree
    @tahliamaree Před 2 lety +9

    I literally did ice, massage when I washed my face and almost did yoga. The doc did not tell me damn it.

  • @debradasaro2155
    @debradasaro2155 Před měsícem

    Can I use my red light after dysport?

  • @JessiV111
    @JessiV111 Před rokem

    Can you help me ? I got Botox for the first time 4 weeks ago , for my 11s. I went back after 2 weeks for Spock brow , then a week later she corrected the top of my forehead . Then , 2 days ago I started having a twitch in my lower lip and then slightly under my left eye while putting my make up on . It’s so weird ! Now my lip is driving me crazy this morning it won’t stop twitching ! I have a dr appt this afternoon but they don’t do Botox I’m not sure if it’s even connected what do you think? I’m not asking for a diagnosis or anything but have to heard of this ? Like I said I haven’t gotten it done anywhere but above my brows - my upper nose I think where the 11s were and the very top of my forehead

  • @irinasonkina5168
    @irinasonkina5168 Před 2 lety

    How to get rid of the Botox completely? I am tearing Botox having crusted area around eyes and between my eyebrows.

  • @vazefiluca3298
    @vazefiluca3298 Před 2 měsíci

    NO cold, but what about sauna?

  • @connysieben
    @connysieben Před 3 měsíci

    Thank you Dear ! How abour RedLightTherapy (NIR) after Botox ? tY

  • @SaraH-gi4pm
    @SaraH-gi4pm Před 2 lety +1

    U look fantastic

  • @dianem8018
    @dianem8018 Před rokem

    I've had botox in the past for my 11 so decided to do it again the lady didn't give me botox she gave me a different kind.It works but not as good and the points where she injected at still hurt .I'm not going back didn't have that problem with botox.Now I'm totally scared 😬

  • @lanakrtolica9852
    @lanakrtolica9852 Před rokem

    Is there any connection between Botox and cancer? I remember I read somewhere that people with cancer can’t have Botox, is it true?

  • @meganhenry5795
    @meganhenry5795 Před rokem +7

    Hey Dr. Bowe! Can Botox set off autoimmune reactions?

    • @hatecovid182
      @hatecovid182 Před 10 měsíci

      If you have autoimmune disease to begin with then yes it might set off a reaction

  • @1gamz
    @1gamz Před rokem

    My masseter botox left me with a crooked smile almost bells palsy like face for like 6 months. When i called the esthetician twice she was like no worries it'll go back to normal in 3 weeks. Lol it didnt. Now ive got my normal smile back. But i wasnt happy at all. Ive slept on my back for 3 nights right after. I didnt touch my face or anything. But needles werent in so deep , botox was applied too in the surface. Thats why i ended up havingg a crooked smile. Even though i still clench my jaw at nite, i wont ever get it again.

  • @katiavillegas-mc2mx
    @katiavillegas-mc2mx Před rokem

    Honest question. I ride motorcycles but wait 4 or 5 weeks before I put a helmet on and ride again. Am
    I waisting my money by getting Botox and fillers then weeks layer wearing helmets ? I feel
    It doesn’t last long

  • @rucci7530
    @rucci7530 Před 2 lety

    Thankyou doctor, but for how long should we take these precautions?

  • @odettg9106
    @odettg9106 Před rokem +1

    Hii I just got botox 2 weeks ago my forehead was clear but I got allergies lots a lil pimples again ..is it normal that people are allergic to botox or fillers..1 year ago I try it and it happen again when the botox was gone the lil pimples go away no pimples on my face I naturally have skin like a bby super clean ..they on November I try chin filler so now in that area I hv lil pimples..I wanted to try again botox but in another place and again it's like a fungus lil pimples..should I get a medication for allergies or what should you recommend

  • @cerianne2783
    @cerianne2783 Před 8 měsíci

    Ive had botox 3 times and it never works i can still move all my forehead and my eyelids are so heavy. Im going to try someone eles next time

  • @leialow9169
    @leialow9169 Před 3 lety +2

    U are so pretty

  • @estrella123ificatify
    @estrella123ificatify Před 2 lety

    I have a bruise from it it’s big below my eye what you Recomend it’s bee 3 days still bruise appreciate

  • @josephjohnson8353
    @josephjohnson8353 Před rokem

    You are so good looking!

  • @rociopadilla3308
    @rociopadilla3308 Před 2 lety

    I had Botox in my jaw by my dentist and now I can smile and have some speech problems. What can I do ?

  • @cesarpisa6964
    @cesarpisa6964 Před 2 lety +1

    Can you do high frequency/Galvanic after botox and if so how long should you wait? Thanks!

  • @marykeerasmus4817
    @marykeerasmus4817 Před 2 lety +1

    You have beautiful hair

  • @kg2509
    @kg2509 Před 6 měsíci

    Will my nuface device ruin my dysport injection?

  • @elizabethwilk9615
    @elizabethwilk9615 Před rokem +11

    Had the eyelid droop twice and I was very careful. It’s a very depressing thing to happen!

    • @JanitaGutierrez
      @JanitaGutierrez Před rokem +1

      How did take care of the droopy eyelid?

    • @justQuiQui
      @justQuiQui Před rokem +4

      ​@Janita Gutierrez i know my dermatologist had me come in and he put a lil botox in specific area and it lifted few days later :))

    • @JanitaGutierrez
      @JanitaGutierrez Před rokem +2

      @@justQuiQui my droopy eyelid came from my neurologist, Imma look for a dermatologist see if they can help me. Thank you

    • @cisstar8647
      @cisstar8647 Před 11 měsíci

      Me too, so depressing and uneven eyelid space. Can't wait for the botox to wear off so I can have my movement back

  • @thereneemh
    @thereneemh Před 10 měsíci

    I get Botox for chronic migraines. My neurologist said it was ok to ice after 2 hours. You say not to. I'm confused...

  • @antoniavalencia9582
    @antoniavalencia9582 Před 2 lety +1

    What do you think about Botox around the aye??

  • @Christinaejohnson
    @Christinaejohnson Před 6 měsíci

    Ok I need help lol I posted two. week ago. I got disport between my eyebrows for that huge line that I have so I went for my follow up appointment today and she added a couple more units and the line is still there. She has me coming back next week again does this seem normal? I’m only 41 with not that many wrinkles I just have that huge line in between my eyebrows above my nose I don’t know if she’s just trying to limit how much dysport she’s using to save money. But shouldn’t the line be gone by now?? It was 550$

  • @tamrakane6161
    @tamrakane6161 Před 3 měsíci

    Can a lip flip reduce lines above your lip ? I have very minimal ones

  • @heathermoultrup1168
    @heathermoultrup1168 Před 3 lety +4

    How long should I wait until I 🍸?

  • @xpost92
    @xpost92 Před 2 lety +1

    Hi I have a question. I’ve had a little bit of Botox in my sternocleidomastoid muscles for neck pain but it is now understood that the muscles is actually weak, causing the problems in the neck. So now I have to strengthen it. Will Botox not allow strengthening and disable the muscle? Thanks you 🙏🏼

    • @mortisure4081
      @mortisure4081 Před 2 lety +2

      Nurse here. Not a derm, but I do know some about muscles (I do orthopaedics) and can try to help. So Botox paralyzes the muscles. Which is why it’s so great for wrinkles, it paralyzes your muscles so that you can’t use them, thus… eliminating the wrinkles. The same would be the case for your neck. Over time, your muscles become “trained” in a way to contract less. Which is why a lot of people need less Botox after several rounds of it. But as far as muscles, yes, you would need to strengthen them, because what’s happening is they are paralyzed and thus, not contracting like they normally would, and your muscles need to contract in order to gain mass.