Scarsdale Botox doctors

Unfortunately, having increased under eye wrinkles when Botox (or Dysport) was used on the lower lid itself is not an uncommon problem. Botox only works by weakening muscles, and the skin under the eyes is very delicate and susceptible to overweakening of the muscles there that hold some appropriate tension. I personally would recommend you do not have your dermatologist add hyaluronic acid filler to the area, because that could last up to two years, while your Botox, as unsightly as it may be right now, will wear off in a few months.

There could be three reasons you still see the same wrinkles present two days after your first Botox injection. First, Botox does take several days to achieve maximal muscle-weakening effect, as the other answers state. But more importantly, many patients have unrealistic expectations about what Botox can do right away, or at all. It's very important to understand that Botox only weakens muscles under the skin. It does not have any immediate direct smoothing effect on the top of the skin. This means that if your lines are very deep, from many years of making the same expressions, at first the Botox or Dysport may only stop you from making the expression, and folding the skin there, as deeply. You can imagine that it would take a long time, weeks to months, to maybe even years, for deep creases to smooth on their own after the muscles don't fold the skin anymore. This is why it's important to make a bit of a commitment to trying these treatments repeatedy (every three months or so) for at least a few cycles, so you can eventually see the cumulative effect of the long term relaxation. Bear in mind that the popular online myth about anything ending up worse off if you start and then one day stop is just that, a total myth.

Finally, a third reason your wrinkles are still there, is that sometimes doctors try to use Botox to do more than it can really do. If you have a lot of excess skin and deep folds, not just lines, it may be that you do need surgery to lift or tighten the area, and that Botox weakening the muscles under there just can't do enough to make a difference. This is why it's so important to go to a legitimate, honest, trained physician who can properly identify this situation, so you don't waste months and money when Botox or Dysport can't really do the full trick, and they can guide you in a more useful direction.

I'm glad you asked this question. It gives me an opportunity to clarify which injectables are used for different lip issues. Botox, Dysport, and the new Xeomin are botulinum toxins which don't take up space, but do weaken nerve/muscle interaction. In lips, they can be used very sparingly to soften the wrinkling action of the lip muscles (with caution: they can also cause weakness that hinders speaking and eating properly if overused). The hyaluronic acid fillers Restylane and Juvederm don't have any action on nerves or muscles, but do take up physical space and are what is often overused to fill lips. The right physician injector trained in the surgical anatomy of lips (dermatologist, plastic surgeon, or ENT/facial plastic surgeon) can safely use a combination of these two treatments (or just the fillers), to gently enhance your lips without making them look fuller than you want. Lip shape and fullness is VERY subjective, so make sure your doctor is on the same page you are in terms of the desired outcome.