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Botox. I Am 43 and Had my First Botox Treatement 8 Weeks Ago (50 Units)

asked 1 year ago by melaldo in south wales
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 614 times
Tags: crows feet, female, normal, not working

The area of my brow worked but crows feet and bunny lines didnt.(well,very slightly) I went back 2 weeks later for top up (40 units) - still no change. Another two weeks on for further top up (30 units) - still no change. This is getting very costly now but I dont want to give up as it will be a waste of what I have paid already. I have read that the technique could be wrong or its has been stored correctly but the nurse is adamant she follows all training guide lines.

14 answers to Botox. I Am 43 and Had my First Botox Treatement 8 Weeks Ago (50 Units)

How Much Botox is Needed for Crow's Feet?

Hi Melaldo. 120 units of Botox for the crow's feet is way too much. Everyone on the panel agrees with that. But in looking at your picture, you are squinting very hard and the muscles in the crow's feet area do appear to be relaxed. And herein may lie the problem. Just because you have Botox at the crow's feet does not mean that all lines will be completely smoothed away. The wrinkles at the eyelid and below the eye are not appropriate for... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Nurses and Botox

The amount of botox used is inappropriate for the crow's feet. This is an example why it is often more cost effective to have an experienced and expert physician injector perform the treatment. It sounds like either poor technique or improper handling of the botox.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

www.drkrisreddy.com

Nurses and Botox

For what you've paid, you should have a dermatologist or plastic surgeon injecting the Botox. Injection technique is very important and there is a reason why board certified physicians who have trained in the anatomy of the face have better outcomes than non-physicians. I am very wary of the medispa approach to patient care. I agree with other posters than, in that environment, you don't even know if you've been injected with Botox from Allergan Corporation, a... more

Robert L. Kraft, MD
New York Plastic Surgeon

Excessive amounts of BOTOX® Cosmetic do not give greater results.

BOTOX® Cosmetic is a muscle relaxant and does not diminish the appearance of lines that are visible at rest. It is meant to prevent the further deepening of the lines and, over time, soften the appearance of the lines at rest (due to the diminished muscular contractions in that area). 50 + 40 + 30 is an excessive amount of BOTOX® Cosmetic for the crow’s feet area (the outer eyes). It is important to understand that if the lines at rest are bothersome and not eliminated... more

Manish Khanna, MD
Montreal Dermatologic Surgeon

www.peaumontreal.com

Botox not working

You have been injected with a lot of something, but it is not Botox... or at least it's not active Botox. It is either something else or it is expired Botox that has been open a long time. There is no other explanation why you would not have had any response. Given zero response, I think it's time to ask for your money back and move on to a reputable board certified specialist Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Botox treatment not satisfactory

I must agree with all of the comments from my colleagues. Time to leave that clinic go to a physician or surgeon for your injections. Botox should be opened and used the same day and should be diluted to a certain standard which may not be the case where you are going . Either way that is a lot of botox to have no result or minimal result. Some wrinkles do not respond to botox and are caused from muscular action in areas that are not treated. As well some patients who do not respond to botox... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

michaelelammd.com

Yes the technique may be wrong, but more likely your lines are not suitable for Botox

Your picture shows a very hard "squint' where the muscles which is being created by muscles which are not treated by botox. The advice given by others that you need to be seen by a physician who can analyze what your needs really are. There are some patients who do not get adequate response to Botox - not due to the product but rather their syle of using the muscles about the eyes. Dr. Mayl Fort Lauderdale

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Botox didn't work

I am sorry you had an unsatisfactory result from your Botox treatment. However, I am not a believer in nurses or physician assistants treating patients with Botox (neuromodulators) or fillers. They usually work in "medispas", and are ill-prepared to deal with complications. Most patients do very well with Botox, and it has been very rare over the past 20 years for me to see someone with no response (if ever). I suggest you go to a "core four"... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Botox didn't work

I've used Botox injections to soften lines and wrinkles of the forehead and face for over 20 years and 120 units is quite a large dose. You need to go elsewhere from now on for your Botox. The other thing, Botox relaxes muscles to soften lines and wrinkles but it can't remove folds that are a result of excess skin. If Botox isn't the solution, perhaps another MD or clinic will tell you saving you money, time and effort.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

When To Find a New Clinic for Botox

50 units of Botox followed in two weeks by 40 units followed in two weeks by another 30 units? That makes 120 units in all over 4 weeks? Treatment for crow's feet usually takes relatively small doses of Botox (8 to 12 units per side). You need to find a new clinic.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Botox. I Am 43 and Had my First Botox Treatement 8 Weeks Ago (50 Units)

After receiving 70 units and still not happy, seek a new clinic. The Botox was defective and you either need to ask for a refund or report the clinic to medical board.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Something is up with this place.

OK you have a very heavy brow. However, you should see something. If this clinic did not take any before and after photos, it will be very hard to determine what is going on. You may be on to something questioning how they are mixing the BOTOX. Perhaps you are not getting all the BOTOX you are paying for. 70 units of BOTOX is a pretty big dose. I think it is time to find a new clinic for BOTOX.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

"Crows feet" may not be all treatable with Botox

All wrinkles around the outer aspect of the eye do not respond to Botox. Some of these lines are created by the lift of the cheek. Only those created by the orbicularis muscles can be treated. Having said that, there is a small pecentage of people who do not respond to Botox. In those case, changing to Dysport or Xeomin can sometimes be helpful.

Steven F. Weiner, MD
Pensacola Facial Plastic Surgeon

Too much Botox, stop!

Please see a second opinion, preferably an experienced physician who knows the anatomy, dilution, dosage and can evaluate your response. Granted some of the Crow's feet lines can be made by a wide smile without squinting, and these lines, which usually extend over the cheekbone, are not treated, otherwise there may be a problem with the shape and function of the lips. Your photograph, though, demonstrates wrinkles mostly from squinting it appears, and so the Botox is not... more