Can Botox make you a cold bitch?

ARLINGTON, VA - JUNE 05:  Recently laid off worker Lyn Talent receives a free Botox injection during an event called the 'The Botox Bailout' where the first 50 recently laid-off workers could exchange their resumes for free Botox injections June 5, 2009 in Arlington, Virginia. The event, which took place in a Reveal store, also featured recruiters to help job seekers network, collect resumes and offer on-site interviews.  (Photo by Win McNamee/Getty Images)
The use of Botox not only impairs a user’s ability to express emotion, it also impairs her ability to feel emotion and process and understand emotion in others. In other words, use of Botox can impair emotional experience and the ability to empathize. There have been two independent studies done on this recently that I’ve read about. One, at the University of Wisconsin – Madison testing new Botox users’ ability to understand anger and sadness, and another, at Barnard College in New York City, testing ability to feel emotion.

At the University of Wisconsin, researchers found that new users of Botox were significantly less able to understand emotions in others, presumably because they lack the ability to make the expressions that allow them to mimic those emotions. If a friend described how she broke her leg in a accident, for instance, Botox users might not feel as much empathy because they wouldn’t be able to properly wince and vicariously feel her pain. A study at Barnard College in New York came to a similar conclusion: that Botox users didn’t feel emotions as deeply as non-users.

Here’s a link to a description of the University of Wisconsin’s study, which focuses more on empathy. [thanks to Eyes for Lies]

And here’s more on the study at Barnard College, which is about participants’ ability to feel emotion, an essential component of empathy:

Scientists think that facial expressions themselves may influence emotional experiences, so a person with a limited ability to make facial expressions may also have a limited ability to feel emotions.

“With Botox, a person can respond otherwise normally to an emotional event, [such as] a sad movie scene, but will have less movement in the facial muscles that have been injected, and therefore less feedback to the brain about such facial expressivity,” said researcher Joshua Davis, a psychologist at Barnard College in New York. “It thus allows for a test of whether facial expressions and the sensory feedback from them to the brain can influence our emotions.”

Davis and his Barnard colleague Ann Senghas led a team of researchers who showed people emotionally charged videos both before and after they were injected with either Botox, or Restylane — a substance injected into lips or facial wrinkles that fills out sagging skin. Restylane was used as a control because it simply adds filler but doesn’t limit the movement of muscles.

Compared with the control group, the Botox participants “exhibited an overall significant decrease in the strength of emotional experience,” the researchers wrote in a paper published in the June issue of the journal Emotion. In particular, the Botox group responded less strongly to mildly positive clips after they had the injections than before the Botox.

The findings tie into an idea suggested more than a century ago that feedback from facial expressions to the brain can influence the experience of emotions, the researchers said. The simple act of smiling, for example, can help make you feel happy, while frowning can bring down your mood.

“In a bigger picture sense, the work fits with common beliefs, such as ‘fake it till you make it,'” Davis said.

[From MSNBC]

I’ve mentioned before that I’m considering Botox now that I’m looking at the other side of 35, but this news makes me wonder if it’s worth it. I would love to see follow up studies looking at what kind of implications long term Botox use has on emotional experience. Can it make you depressed or less caring, for instance? Does that in turn have positive clinical applications, for instance in people who are depressed or grieving? More than that, is Botox turning an entire generation of well off women into cold ass bitches with blunted personalities? Can this explain Nicole Kidman’s personality and Renee Zellweger’s bitchface?

40023, NEW YORK, NEW YORK - Thursday April 29 2010. Kylie Minogue at the DKMS 4th Annual Gala: Linked Against Leukemia at Cipriani in New York. Photograph: Darla Khazei, PacificCoastNews.com

34732, NEW YORK, NEW YORK - Wednesday October 7 2009. Nicole Kidman pays a visit to the Omega flagship store on New York's swanky Fifth Avenue. Kidman is a brand ambassador for the luxury watch company. Photograph: © Darla Khazei, PacificCoastNews.com

37147, SANTA MONICA, CALIFORNIA - Monday January 25 2010. A bare-faced Marcia Cross enjoys a walk on Santa Monica Pier with her two-year-old daughter Savannah Mahoney. The flame-haired Desperate Housewives actress was very loving, giving Savannah many kisses on her forehead and carrying her everywhere. Photograph: Ben Dome, PacificCoastNews.com

May 03, 2010 - New York, New York, U.S. - Actress RENEE ZELLWEGER attends the Metropolitan's Museum of Art Costume Institute Gala Benefit for the opening of the new exhibit 'American Woman: Fashioning A National Identity. © Red Carpet Pictures

L.A. Gay & Lesbian Center's An Evening with Women Celebrating Art, Music & Equality held at The Beverly Hilton Hotel in Beverly Hills, California on May 1st, 2010. Renee Zellweger               Fame Pictures, Inc

HONG KONG - MAY 20: Actress Nicole Kidman attends the launch of the new Omega Boutique on May 20, 2010 in Hong Kong. Kidman and her husband Keith Urban will raise funds for UNIFEM through watch auction and a private concert. (Photo by Victor Fraile/Getty Images)

HONG KONG - MAY 20: Actress Nicole Kidman attends the launch of the new Omega Boutique on May 20, 2010 in Hong Kong. Kidman and her husband Keith Urban will raise funds for UNIFEM through watch auction and a private concert. (Photo by Victor Fraile/Getty Images)

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48 Responses to “Can Botox make you a cold bitch?”

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  1. zen says:

    that study is BS. Ive used both botox and filler in the past still felt emotions. I didnt do the entire forehead so I didnt have that frozen forehead look but I used at eyes and the “11’s” btwn brows (Botox actually helped my headache issue in that area as well). The Dr. that does it for me is a heavy user but I can still see his expressions. Some celebs like NK go overboard in the forehead but I dont think it actually stops you from feeling ‘feelings’, not for me or anyone I know that uses them anyway.

  2. bb says:

    Those women all just have badly done botox – they get way too much, way too often. If done correctly you don’t get that frozen, waxy look at all.

  3. Dorothy says:

    ooohhh good story! I predict this is going to piss A LOT of people off!

    Don’t do it CB!! It never looks right. I am 36 and am learning to embrace the wrinkle !!!

  4. crash2GO2 says:

    Wow, that is really fascinating!!! And totally makes sense. I haven’t been able to afford botox for a few years now, and so have been learning to embrace my brow furrows. This will help even more. It will be interesting to see the follow up/fall out on this.

  5. NayNay says:

    I do not know too much about botox, but perhaps some of the injection seeps in and somehow messes with your hormones. Not sure about that, it is just a guess.

  6. Anna says:

    This is truly fascinating information.

    And @zen: these studies aren’t BS. If you had bothered to read the article correctly, the studies never say that subjects don’t feel any emotion/stop feeling emotions, they say that their ability to feel emotions is lessened and hindered. To what degree is probably dependent on the individual and how long they’ve been using Botox.

  7. GC says:

    I’ve had botox for my “11’s” for the past couple years and haven’t noticed any difference in my emotions – and I don’t care what you say about it! (kidding!)

    Seriously, it’s the best thing I’ve ever done. The only comments I’ve gotten from people is that I look relaxed (ironically enough!) because it doesn’t look like I’m scowling all the time now. I don’t get anything else done, and probably won’t, but have been really pleased that people don’t think I’m pissed off or stressed out all the time.

  8. viper says:

    Can a person age gravefully when you stick a lens up their noses 24/7? I think not.

  9. mary jane says:

    I am with zen….

    I started using botox about 2 years ago. I had a habit of frowning down so I looked angry/unhappy when I was just feeling serious. I decided to try botox before I got permanent, deep wrinkles from this nasty habit, which hadn’t happened yet.

    The weird thing is, not only did it work really nicely (I look more relaxed, cooler, frown completely erased) I actually FELT kinder, softer and “prettier”.

    My mom, who doesn’t know I use it recently commented on how I seem more relaxed than I used to, that I don’t worry as much as I used to… I DO worry, I DO empathize but I reflect a more content person to my family now. I feel more in control when I yell at my teenage daughters 🙂 And no depression, btw. Normal range of emotions.

    I’ve got a great doc, he doesn’t overdo it…those celebrities go overboard. My forehead still moves. I got rid of some, but not all, crows feet wrinkles as well. My make-up goes on nicer.

    I love the stuff, it’s literally been a positive experience for me. Honest to God, I think I’m happier now, not kidding.

    I always allow it to wear off almost completely, reassess my face and look for negative side-effects. So far, all I see is the older version of me so I go back!

  10. Whitey Fisk says:

    There’s a line from an old Indigo Girls song – “With every lesson learned a line upon your beautiful face.”

    I’m on the wrong side of 35 now too, and I’m lucky enough to have a living grandmother. Her wrinkles are so beautiful and dignified to me, she looks content and compassionate and graceful and wise. (Of course, I might be a BIT biased!)

    I don’t know about Botox stunting emotions, perhaps people around heavy Botox users aren’t as apt to share emotionally with someone they perceive as less empathetic? When you tell someone your dog died and they don’t furrow their brow but instead stare at you with a serene face, that might make you turn to someone else next time you are looking for an emotional connection.

    All this said, most of the women I know have Botox and none seem to be any shallower emotionally. Maybe because I’ve known them all long before they had Botox as well…anyway, very interesting, thanks for covering it CB…

  11. zen says:

    @ Anna
    I did read it correctly.
    I didnt mean it stopped them completely (its early for me) but I havent had anything lessened or hindered either and I do not know of anyone that has had the effect either. still say its BS.

  12. Lady Jane says:

    At around 500 euro (maybe it is cheaper in the states) per treatment, I think ‘to have’ or ‘not to have’ is surely a conundrum of the financially blessed. I will remain blissfully, naturally lined.

  13. Maritza says:

    Just knowing that Botox is produced by a toxin that causes the food poisoning of botulism is enough to scare me away from that stuff.

  14. WYIJM says:

    I used Botox for a while after my mother had a stroke and my husband left me – I think the fact that I couldn’t frown (which was a constant habit) made me feel happier and more relaxed, despite the fact that I didn’t actually look very different. Apparently the muscle movement when smiling releases endorphins, so maybe constant frowning has a similar (but negative) effect on your mood?

  15. jane says:

    I just dont understand how injecting botulism into your face is going to have an effect on your emotions. Just doesnt make any sense to me. I’m not a scientist, though. I’d think you’d be more likely to get ill from the injection than have your emotions dampened. Its something interesting to read upon, though.

  16. Ogechi says:

    People can go to the extreme just for beauty huh? Just call me a village girl, i prefer natural beauty. Any cream that has sheer butter is ok for me. During harmattan, i use the locally made type, aloe vera is also ok. Above all, eat more fruits, vegies and drink lots of water- am not an expert but what one eats determines how fresh the body would look. Botox is not the answer to a perfect skin.

  17. Malorie says:

    I´m on the wrong side of 35 too and I tried Botox for the first time in my life a month ago. Didn´t tell anyone but my husband.
    I gave up smoking too (though I didn´t smoke much, but it did disgust me).
    Now people say I look fresher and more relaxed, and I always say it´s because I´m not smoking anymore.
    Not smoking is GREAT and I feel very happy about it, but I look that way because of Botox.
    And I still have all my feelings and empathy.

  18. bubbs says:

    I’ve done it for 2 years now.
    I know other people who have used it as well. I don’t feel emotions any less and have not noticed this in other people. study seems stupid.

  19. Lady Jane says:

    I love it! For all you botox users – to your face they say, “You look fresh and relaxed!” Behind your back, they say, “She looks frozen!” (I have seen it happen in my circle of friends). There is no way to halt the aging process. As you age, you can look one of two things: older or weirder. Case in point: Madonna, Joan Rivers and the other celebs outlined in the post above. With all their money, personal stylists and beauty experts they still can’t get it right. They don’t look old per se, but they don’t look young and sexy either. They just look alien. Woe to the poor, tired ‘civilian’ women who get injected in their local strip mall thinking they are tapping into the fountain of youth.

  20. Bellatrix says:

    It’s a simple science of living through others by mimicking: empathy shows through an immense change in your face features and the facial expressions (which almost always correlate with empathic actions) are a very important point of observation when it comes to testing children and adults for the kindness factor (I suggest trying to watch the Big Personality Quiz the BBC put out earlier this year to understand this in a fun and enjoyable way).
    Basically, if you freeze up these muscles, you cannot mimick certain emotions and that is reflected in the levels of empathy and emotions you are tested for.

    A face isn’t just a face, it literally is a moving portrait of truth, lies, feelings, emotions, etc. I know CB loves Eyes for Lies so can’t be really surprised that disabling physically certain emotional give-aways can have a deep impact on the emotions you experience inside. That doesn’t mean a tiny bit of Botox will make you an emotionless fembot. However, some places in one’s face and the duration of freezing those places (the longer it lasts, the more you are inclined to not even feel the urge to mimick certain emotions) can have deeper impacts on your personality. It simply is an effect of your environment on yourself.
    Add to that the fact that people showing little emotion in the face aren’t very trusted and welcoming when you are suffering thus will likely not be the first person someone turns to in case of sadness and you have a secondhand factor leading to being less involved in emotional situations and events.

    I’m not judging those who do Botox but these studies are definitely not cowcaca.
    These effects are to be expected… And as Botox has become very common, it is now possible to start testing such hypotheses.

    Genuine smiles, genuine eyebrox and fronthead signs of sympathy, etc. Those are all human factors of social life and putting oneself in place of another. Botox doesn’t make it impossible but if used to some extents (of the face and in time), it can provide serious obstacles to that.

  21. pinns says:

    I have to disagree! Did they asses emotional response by *looking* for it or something?

    When I first got botox done, I still really felt like my eyebrows were frowning/knitting together/scowling, etc. I had to stand in front of the mirror to check because it still felt like I was pulling the same faces, even though I wasn’t!

    I’m with GC and Mary Jane, Botox is great in small doses, I have never regretted anything about it other than the cost! I have had my 11’s done (good name for it Zen) maybe two or three times a year, along with some tiny muscles at the outer end of each eyebrow that also react when I try to frown. Three or so years later I can still move my face and raise my eyebrows, even singly Roger-Moore-style (I’ve always been able to) and I can certainly still feel sympathy with the emotions of others.

    The biggest difference is that I just don’t look cross and tired all the time. When I look in the mirror I feel happier with my reflection, so I smile a lot more – it’s almost self-fulfilling really!!

    Don’t worry about being suddenly frozen CB, try it and see. You may not see much difference from the first appointment anyway, a good doctor will take it slowly, starting with a low dose (I started around 20mcl and am now on 35-ish) increasing it little by little each appointment. Celebrities are just the extreme end of the spectrum and no-one should suddenly look like a waxwork overnight.

  22. andrea says:

    if you use botox, i judge you, and im not sorry b/c its for your own good. the botox “debate” has nothing to do with vanity and everything to do with safety. do you know why it’s called botox? it is short for “botulinum toxin”. it is a neurotoxin. A NEUROTOXIN. paying a ton of money to inject a goddam neurotoxin into your face? yeah, that sounds like a really good idea. and dont tell me this or that says it’s safe. cigarettes were said to be safe in the first several years they were on the market. as evidenced by many, many examples, “they” often don’t know sh*t about what is or isnt safe, esp when there is money to be made, therefore you need to use a little common freaking sense. there are other ways to fight lines and i dont know what the “wrong side of 35” is, but i suppose it’s better than NOT making it past 35, just like i suppose it’s better to NOT inject poison into your head, ya friggin brightbulbs.

  23. pinns says:

    PS – Lady Jane (12) if you were looking, try checking a doctor’s practise. My regular medical GP charges less (£180) for Botox than I was quoted by the cheapest beauty salon, and I can trust him completely with the injections, fully trained, not just a night class – meow!

  24. GatsbyGal says:

    “More than that, is Botox turning an entire generation of well off women into cold ass bitches with blunted personalities?”

    YES.

    CB, you don’t need botox. My mom has had it done a few times, and the first time she did I told her, “Wow mom, your face looks so smooth!” and in my head I was thinking, “But it looks unnatural for you not to have any creases in your face.”

  25. Karin says:

    “that Botox users didn’t feel emotions as deeply as non-users”

    Interesting conclusion but it doesn’t explain the why of it. Did anyone measure the level of emotions in the subjects BEFORE Botox?

  26. aenflex says:

    It’s a personal choice. Like everything else. I personally would not want the substance in my body, no matter who is injecting it. I could see maybe getting some eyelid work into my 50’s, and a breast lift without implants. But never any foreign substance/implant into my body – too weird!

  27. Felicia says:

    Makes sense to me. Ask anybody who has ever had dental issues that prevented them from smiling. They don’t want to smile. They stop laughing at funny things to avoid showing teeth. Eventually is leads to actual depression from missing out on those experiences of happiness. I can see botox doing something similar.

  28. mary jane says:

    Lol!!

    Lemme guess, the angry, insulting posts are the empathetic, non-botox people??

    I’m so confused…..

  29. andrea says:

    @aenflex – i think the “its a personal choice” angle has been appropriated from deeper/more serious personal choice issues that call for great respect of individuality as a convenient talking point for other much less privacy-related issues. like say, botox. i think saying “oh, its a personal choice” and calling it a day on matters where individual health is very potentially at stake, is a copout. you can say “it’s a personal choice” about everything. doing crack is a personal choice, too. that doesnt make it a great idea or one that im goint to support or society should support.

  30. Anti-icon says:

    FUNNY!!! I’ve always felt botox probably had some dangerous MENTAL side affects, judging by the stupidity of its users……This stuff makes a person’s face look fake, I mean, that’s kinda mental to want to look not natural, isn’t it?

  31. Rosanna says:

    Aaaaw Nicole is PERFECT

  32. mary jane says:

    Andrea…if “individual health” is your concern then you’ve created quite the burden for yourself, an unnecessary humungous burden….. take care of yours and your families health… as I do.

    If you do that well, you will achieve your personal goal far better than posting about a dermatologic procedure on Celebitchy…

  33. caroline says:

    @bellatrix– i love you! well said!

  34. original kate says:

    once you start botox you have to keep doing it, and i don’t believe women need another self-esteem weight to carry around. i think it’s fine to look your age, whatever that age is.

  35. alexandra says:

    What a crock of sh*t study!!!!!!!!!!

  36. Eden says:

    @ Bellatrix, you make some really great and well said points..
    and “Karin” I totally agree with you! The intention of the botox user and who they were and how they dealt with their emotions and others emotions BEFORE getting botox is so key.

    If someone is dulled emotionally, lacks empathy or is not comfortable exploring their own and others feelings and pain then of course it would serve the intended purpose and allow their face to reflect a muted ability to feel or express.

    I have been getting botox for 4 years and admit that I feel conflicted about it..but not for the reasons stated.

    I have always been and continue to consider myself to be a highly emotional and sensitive person and botox hasn’t changed a thing. I would know for sure if there was any altering in my consciousness and there truly isn’t.
    I teach and practice Yoga/meditation full time and I feel as connected as I can be to that inner process and the fluctuations of being connected and disconnected.

    I work primarily with people and their loved ones who are dying, facing death or working to rebuild their life after Cancer and Aids and I don’t feel any lack of connection since I started getting injections, the opposite is the case if anything and I really believe I would know.

    Trust me, there is a much deeper place than the face that true empathy flows from that is communicated and picked up upon from others and especially people who are suffering or facing death.

    That said, I may not be who the article is speaking of because I do not get a full blown frozen face..none under my eyes or on the sides of my eyes and there is still natural movement in my forehead and “11”‘s..just a LOT less.
    That movement factor is extremely important to me and my Dr.knows this and injects appropriately.

    We all have vanity issues and ways we cater to them.. some more time consuming than others, and others more dangerous perhaps.
    It’s really not fair or honest to judge different peoples ways of expressing our collective discomfort with being totally naturally exposed.
    We all struggle in our own ways to be comfortable with what we look like and how we feel in our own skin.

    I totally understand the non botox users points and I hope to be as comfortable with my lines and signs of aging as I get older as some of the other people who commented..
    But for now, I will move my vain self through a few sun salutations and chant my slightly frozen face along into my day..:)

  37. Mentok the Mind Taker says:

    Zellwegger and Kidman were bitches long before anyone came near them with a needle.

  38. MsTriste says:

    Brava, Bellatrix, brava!

    And Pinns, the answer to your question is obviously “Yes”, as that was the purpose of the studies cited above.

  39. irishserra says:

    @Bellatrix: Absolutely. I came to similar conclusions while researching empathy in my studies for psychology. Our emotions are tightly knit with our movements and behaviors.

  40. Missfit says:

    Maybe it makes you look like a “stiff bitch” that’s what,lol. J/K I think it depends on the person, celebs or not, if you let it get to your head, I don’t know, can’t say, I’ve never used the stuff,lol. I’m 30 and I look 21 or maybe younger. I just don’t drink, smoke or use drugs. However, my stress does show up in my hair, the greys, AAHH! LOL

  41. Trashaddict says:

    Amazing. All of these posts, and nobody commented on how completely bullshit it is that these studies even got funded? Of all the things we could be studying, somebody gave these researchers the funds to find out if a frozen face could still feel? And research money is tight right now. If somebody gets tenure for this work, I’m going to puke.

  42. daisy424 says:

    I don’t know, but the teaser still has me laughing 😉

  43. Jag says:

    I wonder if they showed the exact same clips before and after, or just similar ones? Were I to see the same clip twice, non-Botoxed even, my response would be less. Pretty much anyone’s would be less. The studies are interesting, but not enough facts were presented about how they were done to convince me. Certainly, there are many valid points suggested above, and it’s interesting to think that if a face is frozen to the point of losing expression, that it would effect the emotions. They need to do these studies also with other “muscle freezers,” like Syn-ake, too, to see if it makes a difference; it could be the Botox itself.

    CB- You might want to check out products with Synake in them. Another one is Syncoll. I buy both serums at Platinum Skincare.com. I can tell a big difference when using the Synake, but the Syncoll isn’t supposed to be an immediate thing, since it’s supposed to rebuild collagen in the face. It says it helps wrinkles, too, and I use it after applying the Synake. Synake is a synthetic part of a venomous snake toxin that paralyzes muscles gently. (It’s not the poisonous part, or I’d react to it. lol)

  44. ChelseaD says:

    I’ve never had Botox, but I was born without the ability to use certain muscles on the right side of my forehead for some reason. I wouldn’t say I’m frozen-faced like Kidman or Zellwegger, but like with Botox, I can’t really furrow my brows properly, which is a pain when it comes to trying to show pain or empathy (though I can scrunch my face up and make the brow furrow, and it does do a little when, say, I’ve just woken up or I’m crying). But I would certainly say that I DO feel sadness or empathy to a strong degree when the moment calls for it, and I don’t think my moods are any more pleasant just because I can’t appear angry to a certain degree. So I don’t know how a non-botoxed person who can’t make ‘normal’ face expressions would correlate to this study. In my case though, it probably does seem like I can be a bit detached at times, even if that’s not how I’m feeling.
    On the plus side though, it’s going to take a lot more years before I get any creases between my eyebrows. 🙂

  45. Sara says:

    It’s too bad women are constantly told that the only things that matters is how they look.

    I’d rather spend my money on a vacation. Come on ladies, don’t feed the systen that’s making money by exploiting your insecurities.

    Of course, I might feel differently at 40.

  46. crash2GO2 says:

    @Sara: Your caveat made me LOL!

  47. Chest Rockwell says:

    This seems more like a “chicken or the egg” type issue–did these people become bitches because of botox, or are bitchy people just more likely to get botox?

  48. Jennifer says:

    @ Viper: age “gravefully”: funniest Freudian slip I’ve heard in a while 🙂