A: Botox is a very safe cosmetic procedure for wrinkle reduction that has not been shown to have adverse long-term consequences. You may feel like your wrinkles look worse after stopping Botox, simply because after stopping Botox use your normal wrinkles will return, but you will not be used to seeing them. However, there is no evidence that Botox causes worse wrinkles upon stopping use. Botox can cause muscle atrophy when used in large doses over a long period of time, and can be intentionally used for this purpose (i.e. slimming the jawline), but in normal doses for wrinkles in the forehead, crow’s feet, or frown lines, this should not be a problem. In fact, we have published a long term safety study on the 10 year use of Botox in the Journal, Dermatologic Surgery in 2015.
I recommend visiting a skilled, board certified dermatologist for an in-person consultation, where you can discuss your concerns and get all the answers you need before having your treatment.