Does Botox Make Wrinkles Worse? What Really Happens When You Stop
Botox cosmetic is the most popular nonsurgical cosmetic treatment worldwide, trusted by millions and supported by FDA approval and years of clinical trials. It’s made of botulinum toxin type A, a neuromodulator that temporarily relaxes the facial muscle contractions responsible for dynamic wrinkles. Still, one of the most common questions we hear is: does botox make wrinkles worse if you eventually stop treatments? Let’s take a closer look.
By relaxing the muscles beneath the skin, Botox smooths wrinkles that appear during expressions such as smiling, frowning, or squinting. Patients notice visible improvements in aging skin, fine lines, and wrinkles, whether used to correct existing signs of aging or as a preventative measure before wrinkles become deeply set.

Common Botox Injection Areas
- Forehead wrinkles
- Severe frown lines
- Crow’s feet
- Other facial areas
In addition to aesthetic benefits, Botox can also treat medical conditions like:
- Excessive sweating (hyperhidrosis) in the underarms
- Chronic migraine headaches
- Cervical dystonia (painful neck spasms)
- Lower limb spasticity
- Overactive bladder (urinary incontinence)
When you choose Botox treatment, you benefit not only from cosmetic improvements but also from the versatility of this treatment option.
Read on to learn more about the answers to this popular question.
It’s natural to worry that your face might become dramatically more wrinkled if you stop using Botox, but this isn’t true. Botox works by disrupting the communication between nerves and muscles, causing temporary muscle relaxation. Without these contractions, dynamic wrinkles don’t appear.
When the effects wear off, your muscles return to normal, and your skin returns to baseline—the way it naturally looked before Botox. Importantly, because you delayed wrinkle formation during treatment, you often still appear younger than your actual age, even once you stop. How long this benefit lasts depends on when you began Botox and how consistently you received treatments.
“For most people, I recommend starting Botox when fine lines begin to show at rest. Before then, facial movements are normal and don’t need correction. Botox also helps with more than wrinkles—it can lift the brows, give lips a fuller appearance, or even reduce sweating. If you’re unsure when to start, schedule a consultation so we can create a personalized plan.”
— Tara McDermott, Nurse Injector at Neaman Medi Spa
You May Lose Secondary Benefits of Botox Sooner
Many patients notice that Botox improves their overall skin quality. They describe their skin as smoother, with pores appearing smaller and texture more refined. When treatments stop, these secondary benefits fade, and natural skin texture becomes more noticeable again.
To minimize these changes, we recommend:
- Following a personalized skincare regimen
- Using professional-grade anti-aging creams and serums
- Keeping skin hydrated (dry skin can make wrinkles more visible)
- Protecting against sun damage with broad-spectrum sunscreen, protective clothing, and shade
- Overactive bladder (urinary incontinence)
These steps help maintain healthy, youthful-looking skin, even without Botox.
Breast Implants Before & After Results
Botox provides noticeable yet natural results. Here’s a look at typical outcomes patients experience:






























One of the biggest misconceptions is that stopping Botox will leave you looking “older than before.” In reality, your face simply returns to its natural baseline. Because you may have grown used to seeing your smoother skin, the return of your natural wrinkles can feel more dramatic than it truly is.
There is nothing harmful about stopping Botox. Once it wears off, you’ll regain complete mobility in treated areas, allowing for natural facial expressions. Whether you used Botox for a short time or many years, there are no dangerous long-term effects of stopping.
Understanding the Cost of Botox
Kelsey’s journey at Neaman Medi Spa included Botox and lip filler treatments that highlighted her natural beauty while boosting her confidence. Beyond the results, she shares how the welcoming energy and supportive team at Neaman Medi Spa made every visit enjoyable. Her story reflects the warmth, professionalism, and personalized care that make our patients feel like family. Watch her testimonial to see why Kelsey loves being part of the Neaman community.
So, does botox make wrinkles worse when you stop? The answer is no. Botox is a safe, effective, and reliable option for smoothing fine lines, reducing deeper creases, and maintaining a more youthful look over time. Treatments are quick, require no downtime, and side effects are minimal—typically just mild swelling or bruising.
If you’re ready to learn more about Botox or explore whether it’s the right treatment for you, schedule a consultation at Neaman Medi Spa in Salem, OR. Our Nurse Injectors will tailor a cosmetic plan to your goals, and virtual consultations are also available for your convenience.
📞 Call us today at 844-338-5445 or 📅 Book your consultation today to get started.