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Thursday, November 5, 2026Local news for Burlington and Vermont.
Burlington Herald · 1 Lawson Lane, Suite 170, Burlington, VT 05401

Botox last about 120 days before effects fade

Medical professionals in the Burlington area outline the clinical applications and safety checks required for botulinum toxin treatments.

By Trevor Wilson ·

Illustration for: Botox last about 120 days before effects fade
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In Burlington, healthcare providers are advising patients to view botulinum toxin injections as a form of medicine rather than a cosmetic luxury. The treatments have gained traction for managing various medical conditions associated with aging. Local experts have detailed how the compounds function within the body and what patients should consider before scheduling an appointment.

Dr. Rhea Rogers, a board-certified physician, explained that these injections work by relaxing overactive muscles. The procedure temporarily blocks nerve signals to weaken specific muscles. This mechanism allows the medication to treat forehead wrinkles, crow’s feet, and the area between the eyebrows. Rogers noted that it acts as a muscular toxin that forces contracting tissues to relax.

Beyond cosmetic adjustments, Rogers identified several medical conditions treated with botulinum toxin. These include migraine headaches, overactive bladder, and temporomandibular joint issues. The medication is also used to treat vulvodynia and painful intercourse by relaxing the involved muscles. Excessive sweating is another common reason for its use. Rogers stated that insurance often covers many of these medical applications.

Amy O’Rourke, an aging expert, shared an anecdote about a client who received treatment for an overactive bladder. The client had previously been confined to a single room due to the condition. After the injection, the client began attending programs and traveling. O’Rourke said the case demonstrated that the treatment serves strong medical reasons beyond cosmetics. She emphasized the need to investigate the therapy as a potential solution for mobility issues.

Sam Cradduck, a gerontologist, stressed that patients should treat the injectable as medicine. She advised against choosing a provider based solely on price. Cradduck recommended seeking out the best available practitioner rather than the cheapest option. She noted that the medication has interactions with other drugs. Older adults who take multiple prescriptions require extra care because their bodies process the toxin differently.

Cradduck warned that injections can affect the wrong muscle. If the medication is administered in the neck area, it may impact swallowing. The effect is temporary but persists until the drug wears off. Patients who experience trouble swallowing must manage the symptom until the medication exits the system. Rogers added that the face contains many muscles with different functions. The person administering the injection must understand how these muscles work together.

The duration of the effect varies by treatment type. Rogers said botulinum toxin usually lasts about three to four months. Fillers can last between six and 24 months depending on the specific product used. Fillers are often used to restore volume in the face and hands. Rogers noted that fillers do not dissolve and remain in the body even after their primary effect has worn off. This permanence requires careful consideration during the consultation process.

Patients are encouraged to vet their providers thoroughly. O’Rourke suggested researching how frequently a practitioner performs the treatment and checking references. Rogers highlighted the importance of informed consent and understanding the reason for the procedure. She also mentioned noninvasive machines that use electromagnetic technology to tighten skin and address wrinkles without a needle. One such machine targets the pelvic floor to help with bladder control.

Rogers noted that people with neuromuscular disorders such as ALS or myasthenia gravis should not use the medication. Those with an active infection should delay the injection until the infection clears. The Aging Untold program provided this information for educational purposes. It does not constitute medical advice, diagnosis, or professional services. Individuals seeking personal medical advice should consult a licensed physician regarding their specific condition.

Source: WCAX-TV · original report published

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