Under-Eye Dark Circles: Causes and Treatments by Type
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How often should you repeat Botox, filler, lasers and facials? Dr. Robin Arora maps out a realistic yearly maintenance calendar built around the seasons.
One of the most common questions I hear after a first treatment is simple: “When do I come back?” The answer depends on the treatment, your body and the season. Some treatments wear off on a predictable schedule. Others build results that last a year or more. And in Northeast Ohio and the Tri-State area around Huntington, sun exposure varies enough across the year that timing really matters.
Here’s how I think about a year of maintenance, starting with how long common treatments tend to last, then breaking the calendar into seasons.
These are typical ranges, not promises. Metabolism, activity level and product choice all affect how long your results last.
I also encourage patients to think in terms of a yearly budget rather than one appointment at a time. When you know roughly how often each treatment repeats, it’s easier to decide which ones matter most to you and which can be spaced out or dropped. Our pricing page is a helpful starting point for that planning.
With less sun and shorter days, fall is the ideal time to start treatments that make skin temporarily more sensitive:
Summer is for maintaining, not transforming. Neuromodulator treatments, filler and gentle facials fit well. I generally postpone aggressive resurfacing, and anyone with a tan or recent sun exposure may need to wait for laser and light treatments to reduce the risk of burns and pigment changes.
Aesthetic maintenance should sit alongside medical care, not replace it. Once a year, I recommend:
Put maintenance on hold if you become pregnant or are breastfeeding, if you’re being treated for a skin infection or significant illness, or before surgery, and tell us about any new diagnosis or medication. All injectables and lasers at Serene are performed or supervised by trained medical professionals under my oversight.
Muscle movement gradually returns and lines go back to their untreated pattern. Stopping doesn’t make aging worse.
Often, yes. A small touch-up before volume is completely gone can maintain results with less product.
Some gentle treatments are fine, but resurfacing and light-based treatments are safer in fall and winter, when sun exposure is lower.
For someone using a neuromodulator plus one seasonal treatment, four to six visits a year is common.
We’ll help you build a calendar that fits your goals, schedule and budget. Schedule a complimentary, no-commitment consultation:
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References: Allergan. BOTOX Cosmetic (onabotulinumtoxinA) prescribing information. U.S. Food and Drug Administration. · U.S. Food and Drug Administration. Dermal fillers (soft tissue fillers). fda.gov · American Academy of Dermatology. Sun protection and skin cancer screening. aad.org
This article is for general information only and is not medical advice. Treatments are provided only after consultation and evaluation by a licensed provider. Individual results vary.

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