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Semi-permanent result after continuous use of Botox and lip fillers?

Yes, routine botox treatments will atrophy and help retrain the muscle resulting in weaker muscles than if you did not have regular treatments. Filler provides temporary fullness as the hyaluronic acid will be metabolized naturally by your body over 6-24 months, depending on the product and placement. In some people it can last longer, but the results are not permanent. If you are interested in a longer lasting result, you may want to consider fat grafting to the cheeks and lips. Please make sure to consult a board-certified plastic surgeon.

Clinical Context

With ongoing Botox and filler use, results don't become truly permanent, but the timeline does shift: muscles treated repeatedly can weaken enough that smoothing lingers longer between sessions, sometimes letting you stretch appointments out over months rather than restarting from scratch. Lip filler, meanwhile, keeps breaking down at roughly the same pace each time, though repeated layering can make volume feel like it lasts longer simply because you're topping off before it fully disappears.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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