Dallas Oculoplastic Surgeons

Day 5 After Botox....absolutely No Difference in Glabella!

I had 16 ccs injected between my eyebrows 5 days ago. It is now day 5. I see nothing like the results on the BotoxCosmetic pamphlet. In fact, I can still frown just the same...with the same speed and intensity. I've heard of waiting 2-7 days for full effect...well I haven't seen ANY effect yet. I should mention that I'm only 31 and I workout about 5 days/week, but I followed my dr's post-injection instructions to a T. What gives??

Botulinum toxin (Botox) has a variable onset in different patients.  Typically changes are noted between 3 and 7 days, however full effect can take 10-14 days.

Ronald Mancini, MD

Dallas Oculoplastic Surgeon

Botox 1 Wk Ago - Brows Now Asymmetrical. Is 1 Wk Long Enough to Tell or Should I Wait to Go Back?

I got botox for lines on forehead & bunny line on 1 side. I felt my dr put more on 1 side of my forehead than the other (assumed there was a reason). Now,1wk later,brow on side she favored is very lifted (esp. outer 1/3, esp. when I raise them). I dont care if both brows angle up like that 1 or both are normal like the other-as long as theyre a matching pair. Its the gross asymmetry I cant do. Is 1wk long enough to give? Should it be fixed free? Should I just go elsewhere after such bad results?

Botulinum toxin (Botox) typically has it's maximal effect at 10-14 days.  If asymmetry persists beyond this time it is best to revisit your physician and discuss options.  Typically these asymmetries can be addressed with additional, appropriately placed botulinum toxin injections.

Ronald Mancini, MD

Dallas Oculoplastic Surgeon

Can I Reverse Effects of Restylane Injected Above my Lips?

Not happy with results of injectible above mouth seems too heavy and when I smile you can tell I have had fillers, can it be reversed?

Restylane, Juvederm, and the other Hyaluonic Acid Gel fillers will eventually be broken down and absorbed by the body over time.  An enzyme called hyaluronidase, however, can be injected to speed this process.

Ronald Mancini, MD

Dallas Oculoplastic Surgeon