I'm really concerned about why the botox seems like it's not working after the second time around? (photo)

If you're concerned, I would raise your doubts with your original practitioner. The Botox should have kicked in somewhat by now. It's possible that your lines require more than Botox alone. You may benefit from a combination of treatments including: PRP, Chemical Peels and fillers for optimal results. If the fault does in fact lie with your injector, the technique or the substance, there is no way to really identify this unless you visit another practitioner and compare the results. Always ensure that you visit a practitioner with plenty of experience in a clinic environment (the price will also be an indicator of the results; do not be lured in through discounts). 

There is a lot of nonsense that goes on out there.  You need to see a competent injector. This means working with an aesthetic core physician (dermatologist, plastic surgeon, facial plastic surgeon, or oculoplastic surgeon). Real service is often more expensive because you are not just paying for the product but also the time of an experienced physician or surgeon. Do not let well meaning individuals inject you with fillers in the 11 line areas.  This is a very vascular area and treatment here can cause blindness and stroke.