So, you’ve started Botox—or you’re thinking about it—and now you’re wondering: “How often do I need to keep coming back?”
It’s a smart question. Botox isn’t a one-and-done treatment, and your 40s are a pivotal time to get ahead of deeper lines while preserving a natural look.
At Lasting Impressions Medical Spa in Fair Lawn, NJ, we help women and men throughout Bergen County build realistic, personalized Botox maintenance plans that actually work.
Let’s break down what the ideal timeline looks like in 2025—and how you can get the most out of every visit.
Why Botox Maintenance Matters More in Your 40s
Your 40s are when collagen slows down and expression lines settle in more quickly. You might notice:
- Frown lines that stay even after you stop frowning
- Forehead lines becoming more visible under makeup or in photos
- Crow’s feet showing up earlier in the day, not just when you smile
Consistent Botox treatments can help soften and prevent these signs of aging—but the key is consistency.
Botox Frequency: Annual vs. Quarterly
Quarterly Maintenance (Every 3–4 Months)
- Keeps muscles relaxed before wrinkles form
- Ideal for those who want smooth, steady results year-round
- Prevents lines from “retraining” muscles during gaps
- Recommended if: you have deeper expression lines, visible movement at rest, or want maximum prevention
Annual or Twice-a-Year Touch-Ups
- More affordable and lower commitment
- Works well for first-timers or those with minimal lines
- May allow some wrinkle reappearance between visits
- Recommended if: you're focused on subtle changes or treating a single area (like the “11s”)
What We See in Practice
Most patients in their 40s get the best results with Botox every 12–16 weeks—but tweak that schedule based on muscle movement, metabolism, and personal aesthetic goals.
Botox Maintenance Timeline: 2025 Update
Here’s a general guideline for keeping your Botox results consistent:
MONTH
January
April
July
October
TREATMENT
Start fresh for the new year
Spring refresh (before allergy eyes!)
Summer boost (weddings, vacations)
Holiday prep for smoother selfies
Want to stretch it to 2x a year? Aim for April + October. Need more support? Quarterly visits (Jan/Apr/Jul/Oct) will keep you looking consistently fresh.
Real Client Experience: One Year of Botox
“I started Botox at 42 and was nervous about looking frozen. The team at Lasting Impressions created a quarterly plan that kept me looking like myself—just smoother. No one knew I was doing it, but I kept getting compliments.”
—Client, 43, Glen Rock NJ
“After trying once-a-year Botox, I realized I wanted more consistent results. Now I come every 3.5 months and love how natural I look.”
—Client, 47, Fair Lawn NJ
How to Know If It’s Time for a Touch-Up
Here are signs it might be time to schedule your next visit:
- You’re noticing muscle movement creeping back in
- Lines reappear by midday
- Makeup is settling into creases
- You want to look more awake or polished for an event
- You feel like your results just don’t last as long anymore