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Bad Botox?

asked 1 year ago by Baberham in MN
Latest answer by John Philip Connors III, MD
Question viewed 885 times
Tags: bad, effective, results

Is there such a thing as a bad,non affective dose of Botox. Its been 10 days and I see no difference in my forehead and crows feet..

12 answers to Bad Botox?

+2

Bad Botox?

Baberham, Good question.  there are many factors that can lead to botox therapeutic failure.  As you probably already know, it may take up to a week to see the effects of botox.  It is wise to keep close record of the number of units required to treat a given area.  If too few units are used, you will see a lesser effect.  3-5% of chronic Botox users develop antibodies that inactivate the toxin.  This is rare.  The potency of Botox diminishes with... more
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

Bad Botox

Effectiveness of Botox depends on the source (Allergan in Us vs other source), concentration of the product and the doctor's level of expertise and ability to effectively deliver the dose to the correct muscle to bring about the goal. These aspects are controlled by the physician....shipping conditions, manufacturing conditions, expiration, etc. are controlled by the manufacturer.  We inject a significant amount of Botox in our office and have occasionally noticed variable effect more
John Philip Connors III, MD

Atlanta Plastic Surgeon
+1

Bad Botox

I do not know of "bad botox" but if it did not work fo ryou, you amy wnat to go back to your doctor to be reevaluated and possible re-injected.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Botox wasn't effective.

These issues should be examined to see why your Botox didn't work.  1) Was it real "Botox", purchased in the U.S. from Allergan,  2) had it expired,  3)  was it diluted correctly so you recieved enough units and injected correctly.  There is also a rare patient who does not respond to Botox.  Best to return to your injector and discuss how best to correct the problem.
Jeffrey M. Darrow, MD

Boston Plastic Surgeon
+1

Botox did not work; Try Dysport!

Generally botulinum toxin is very effective and it would be unusual for it not to work. However, I have had the experience and it may be attributable to transportation, storage, preparation, dilution or injection technique. Therefore, it is generally worth another attempt. You may want to try Dysport, another preparation of botulinum toxin.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Botox taking

Botox can take weeks to see the full results but you should be starting to see the beginning of the effects after 10 days.  If you are having any decrease in the muscle movement of the treated areas than either it has not had a chance to completely take effect, or you need more units injected.  It is rare, but possible, to have a "bad batch of Botox".  Botox is sent to your physician on dry ice by Allergan, if the vials are allowed to warm during... more
Neil J. Zemmel, MD

Richmond Plastic Surgeon
+1

Bad botox?

There are many reasons why you are not seeing any action of the Botox. There may not be enough injected/you may need more, it may not be diluted correctly, it may be expired, it may not be real "Botox". This issue would be better addressed by your injecting physician
Purvisha Patel, MD

Germantown Dermatologist
+1

? bad botox

Assuming that the Botox was ordered from the only approved US scource: Allergan, then the following could happen: if the vial had no vacuum at dilution than it was a "spoiled" (deactivated) vial and should have been discarded (possibly the diluter did not notice this), the dilution took place several days, perhaps longer than 2 weeks before so it got deactivated, some people do need higher than the usual dose (? 5%) and quite unlikely the injection was not done in the proper... more
Andrew Pichler, MD

Sacramento Facial Plastic Surgeon
+1

Reasons for botox not to be effective

Why might you not see benefit from your Botox treatment 10 days after? Before this question can be answered, it is important to know if the Botox has inhibited the muscle movement. If the eyelid crows feet muscles and the forehead muscles aren't moving then the Botox was effective but the skin creases won't go away "overnight" if they've been caused by years of sundamage and muscle motion. You may see benefit as much as two to four weeks after Botox, and in some... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

No reduction of wrinkles with Botox

It's true that in some patients, the muscle relaxation is not fully seen for up to 2 weeks after injection.  However, the efficacy of Botox depends on several factors.  Presuming that the injectable was Botox Cosmetic, the amount of muscle relaxation depends on the number of units injected and the site of injection. If the number of units placed in each muscle is too low to overcome the signal the nerve sends the muscle to contract, there will be minimal effect on the... more
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Issues with Botox are usually injector, not product, related

It would be unusual to get "bad" Botox. If it's legitimate product and was reconstituted properly and stored properly it should be good. Usually issues with Botox are related to how the product was injected. Please return to your injector and discuss your lack of improvement and they should be willing to reinject you. If you're uncomfortable with the response, find a facial plastic surgeon that you're comfortable with. Best, Dr. Stephen Weber Portland Facial... more
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon
+1

Botox's effect is dose dependent.

Perhaps you need more units of Botox to get the effect you desire.  Go back to your doctor and ask him or her to put more in.  Rarely in my experience, I have had a patient who does not respond to Botox, this is believed to be due to anti-bodies against Botox.  This is very rare.  The usual issue is that the patient needs a stronger dose with more units to get the desired effect. Good Luck. Dr. Sikorski
Lenore Sikorski, MD

Laguna Niguel Dermatologic Surgeon

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