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Why Doesnt Botox Last More Than 2 Months on Me? I Have Had It on Four Occasions with a Rep Injecting Very High Doses Same Result

asked 6 months ago by romi74 in Sydney
Latest answer by Ronald Shelton, MD
Question viewed 319 times
Tags: forehead, causes, glabella, longevity, unhappy

I have had botox on my forehead and in between eyes and on each occasion the botox has worn off in less than 2 months,The botox company rep cam out twice and injected high doses herself to resolve the issue free of charge however the results are the same.She recommended I just get botox once a year for special occasions but otherwise its not for me. I dont understand why? I am 37 with relatively great olive skin, just wanted to start working on my forehead.

12 answers to Why Doesnt Botox Last More Than 2 Months on Me? I Have Had It on Four Occasions with a Rep Injecting Very High Doses Same Result

Why doesn't Botox last for me?

Hi Romi. The first question we would have is how many units were injected and which areas? The amount of product will affect the results. The second issue is technique. We have had other patients tell us that they were resistant to Botox and when we dug a little further (asking them about where they were injected for certain areas of the face) we found that the technique was not appropriate for their concerns. Finally, there are some patients who for one reason or... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

How many units of botox is considered high?

Interestingly in the United States we don't have reps inject anything! Your shorter than desired longevity of the Botox duration may be your norm. It can last up to four months but in some patients only three and a few I've seen only six weeks. Your metabolism of the product is different than the next person. possibly your doctor and the rep used high units but in reality they weren't high. Some women need more than 25 units for just the glabella (in between the... more

Ronald Shelton, MD
Manhattan Dermatologist

How long does Botox last and what factors affect its duration?

Botox is averaged by the FDA to last “up to” three months. Everyone’s body is different and the strength of your muscles will determine how long Botox will last. The stronger your muscle, the more you will need. In my practice, we always schedule follow-up appointments two weeks after the initial procedure to make sure the product has reached it maximum effect. Then when the patient needs more, we will tailor their injected amount based on how long the product lasted.... more

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon

Botox not lasting as long as expected.

Botox usually lasts 3-4 months in most patients but numbers such as these are average figures and there is always some patient to patient variability. Another matter is how you define "working". The effect of these products are "worn off" gradually and do not disappear overnight. It is difficult to say what is going on without photographing your face at several treatment points to judge if the product is just starting to lose efficacy or whether it's effect has completely disappeared. I... more

Ted Brezel, MD
Long Island Dermatologist

Botox Lasts 2 Months

We can all speculate, but none of us have the answer to your question. Recent studies suggest that the duration of Botox is not related to the dose administered. You can try the other neurotoxins or simply have the Botox injections more frequently.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Botox not lasting long

Luckily for you there are other neurotoxins out there if Botox does not seem to be lasting as long. Ask your injecting physician about Dysport and Xeomin.

Purvisha Patel, MD
Germantown Dermatologist

Some people become resistant to Botox

Some people will develop antibodies and become resistant to Botox. I personally became resistant to Botox about 5 years ago. I switched to Dysport which works great for me. The New Xeomin is protein free and would be another good choice for you to try. see video

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Why Doesnt Botox Last More Than 2 Months on Me? I Have Had It on Four Occasions with a Rep Injecting Very High Doses Same Result

The effects of Botox like the other neurotoxins Dysport and Xemomin, are dose dependant and do vary between individual patients. You didn't mention the number of units of Botox injected into the forehead and glabellar areas. High doses would be 50-75 units of Botox, IMHO. Another solution may be to have the injections done more frequently until the muscles become weaker and more prone to the effects of a lower dose of Botox.

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

Remember the length for duration is an AVERAGE

First, please remember that with any injectable the duration of effect is an average. That goes for Botox, Dysport, Juvederm, Restylane, etc. The durations that we give patients is an average for the lifespan, meaning that some people may be lucky and have it last extra time, and some will be shorter. Thus, you seem to just be one of the patients it lasts a shorter amount of time for. Second, Botox reps should NOT be injecting - this is NOT part of their training. It used to be years and... more

F. Victor Rueckl, MD
Las Vegas Dermatologist

www.lakesdermatology.com

Botox without results?

Unfortunately, you haven't indicated the dosage or shown us the condition. If Botox is properly injected, it should not create a frozen face but, rather, the musculature should be mobile---but in the positive direction only! I don't you what your expectation level but would suggest that the only persons who should be injecting you would be board certified dermatologists and plastic surgeons. Cosmeticians, nurses and drug reps may not have the same technique and understanding of the facial... more

Robert L. Kraft, MD
New York Plastic Surgeon

What makes you think the rep actually knows what she is doing?

One thing is clear, there are a whole lot of goofy BOTOX treatments out there and a whole lot of goofy BOTOX injectors out there. WIthout before and after photos which I don't suppose you have, it is very difficult to precisely know what is going on. Our memory plays tricks on us. BOTOX is maximal at 3 weeks in its effect. It may be that you associate complete paralysis with BOTOX effectiveness. Any movement and you think the BOTOX has worn off. This... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Is the rep licensed?

This is a real concern - the botox rep should not be injecting anyone unless they have a medical license and are legally qualified to do so. In any case, you may just be one of the very rare people who do not respond well - I would suggest trying the new XEOMIN which is a naked neurotoxin with no associated proteins to which you may develop antibodies. I would also suggest having only a board certified dermatologist or plastic surgeon do your injections from now on. Good luck! more