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Frown Lines Still Visible After Botox

asked 3 years ago by grays in PA
Latest answer by David Shafer, MD
Question viewed 1,432 times

I received 40 units of Botox in my frown lines in mid-February, but I can still frown a bit. Do you think that the Botox was not reconstituted properly?

4 answers to Frown Lines Still Visible After Botox

+1

Botox requirement are different for different people

Botox requirements are different for different people. 40 units is usually a good amount for the glabella to prevent frown lines. It is important to remember that Botox works by paralyzing the underlying muscles to help prevent wrinkles of the overlying skin. Botox does not work on static wrinkles - that is, wrinkles that are present at rest. For these wrinkles, you may need dermal fillers to help "push out" the wrinkles. Over time, with continued use of Botox, the dermal... more
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Recheck with your Botox specialist

40 units for the "frown" is more than usually needed. Seems like the Botox was used to help you with your strong frowns. You may need some filler if the crevices are fixed. Juvederm or Restylane can work very well for this. However, these are off label uses and the rest of the filler could be used in your nasolabial folds. You may have an unusual configuration of your corrugator and procerus muscles. The Botox may need to be spread out more and not placed in a concentrated area... more
Keith Denkler, MD

Marin Plastic Surgeon
+1

Botox but frown lines still visible

Hello Grays, Your question is not an easy one to answer, as there are at least a handful of variables to consider, including the reconstitution of Botox. These include your muscle bulk, location of injections, previous Botox injections in the area, etc. Were you able to make a frown at the peak of action of the Botox? We take a conservative approach, so as to avoid the "done/frozen" look. I perform touch-ups as needed, when our patients come in for their 2 week follow-up... more
Anifat Balogun, MD

Seattle Facial Plastic Surgeon
+1

Botox and Persistent Frown Lines After 40 Units of Botox

Hi grays, As they say, not enough information. There are many variables including dilution, time since dilution, placement, and strength of your frowning muscles. It is best to discuss with your injecting physician. Next treatment, check out how you are doing at about 2 weeks after your injections, then if you are dissatisfied you can return to your injector for a touch up. Our office does the touch up for cost or about 5 to 6 dollars per unit. Good luck and be well. Dr. P... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

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