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Botox Does Not Work for Me - What Can I Do?
I tried Botox four times and only the first time I saw that my face was peaceful looking but this lasted two days only. What can be done to help me be rid of my angry expression that I constantly have? I feel my muscles in my eyebrow area are so tense and I can't do anything to relax them.
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21 Doctor Answers |
Asked by
Sydney5110
in Sydney, 02
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If Botox doesn't work try adding filler or using Dysport instead.
Sydney,
I hope along with your Botox trials you are also doing things in your life to make sure you can feel relaxed and not feel tense. If your eyebrow muscles really are tense and a neuromodulator is what you need, it's possible your injector is not using ENOUGH Botox in the right locations, or else you may do better using Dysport instead. Some patients respond better to that when Botox doesn't seem to take.
Finally, if the Botox prevents you from moving the muscles, but you...
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Botox is best injected over multyiple treatment sessions.
Botox is best injected over multiple treatment sessions. The total dose and the placement of botox determines the effectiveness of the treatment and therefore better results may be achieved with multiple injections over a period of weeks.
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BOTOX working
The angry look to which you refer is usually due to the "number 11" lines forming between the eyebrows in an area referred to as the glabella. If you notice decreased movement of the muscles in that area, the problem may be that not enough BOTOX was injected, too much time passed after the BOTOX was made , and/or that it was not injected in the right location. If the issue of concern are the lines that remains even after minimal or no muscle movement...
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Botox on the glabella
Botox is usually very effective on the glabella region. Maybe enough was not inejctd. You may also want to consider Dysport instead.
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Botox Treatments
Thanks for the question.
I have never heard of anyone having such minimal effects to Botox Cosmetic as you are describing. Perhaps you are being under treated. Without knowing your exact dosage for the given area, its difficult to say. You may want to try an alternative to Botox Cosmetic such as Dysport. Alternatively, you may want to consider a different clinician to get your treatment.
Best of luck,
Glenn Vallecillos, M.D., F.A.C.S.
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Botox usually works
Some people need a high dose of Botox to achieve a good result. We have not had any patient who did not respond to Botox treatment.
Mainz Dermatologic Surgeon
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If Botox "doesn't work", try Dysport
Botox that is injected in the correct dosage, location, and is not "old", should work on almost everyone. In some persons, whom have usually had previous injections of Botox, antibodies may inactivate the Botox. You might try Dysport, another botulinum toxin that has recently been approved for use in the US, (although it has been in use in Europe for longer than Botox has in the US). Some clients that are "resistant" to Botox have had good results with it, and many...
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Botox not working for you
It sounds like you are describing Botox for the treatment of frown lines. I am sure that there are some patients who will not respond to Botox in this area (this is biology after all), but I have not found one yet. The incredible thing about Botox (especially in this area) is how incredibly consistent the results are (how long it lasts is not as consistent).
If you have had more than one respected physician (preferably dermatologist or plastics) inject you...
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Botox Does Not Work! What to Do?
Hi Sydney. In the hundreds or thousands of Botox patients we have treated, we have had only one that seems to be resistant to Botox and this is actually one of our nurses that used the product more often than is recommended.
So, with that said, it could be one of three things.
Improper injection technique
Not enough Botox
Dermal filler needed because frown lines are too deep.
Regardless of which one of these it is, we think it warrants getting...
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Botox doesn't work for everyone
Botox is an excellent treatment for dynamic wrinkles, but there are several reasons why it may not have worked in you. First, the injection technique and expertise of the injector. The number of units used, ideally determined by an expert injector like a dermatologist. Rarely, some people do develop antibodies to Botox and in this case it stops working; use of a different botulinum toxin would be suggested in this case.
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BOTOX does not work for me?
I would definitely agree with the previous posts in that BOTOX is rarely ineffective if the right amount of units are used and injected in the right areas. The problem is that many people simply go to an injector because they offer BOTOX and they have a good price.
To find an experienced injector, ask them how many years they have been using BOTOX (or a similar product), and ask them about their background and training. You may be surprised to hear the variability...
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Botox Not Working
I would advise you to try a different physician injector and to request that Dysport be injected instead of Botox.
There are many reasons why Botox may not have worked which vary from your treatments being incorrectly done to the unlikely possibility that you are resistant to treatment.
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Botox helps the angry look
Evaluating the effectiveness of Botox injections involves examining the muscle during active contraction. If you can't contract the muscles several days after the Botox was injected, but the skin creases are still present, vertically between the eyebrows, you will still look angry. This doesn't mean it won't work. As the muscle stays relaxed by continuing more Botox every four months, then the grooves improve. Some people need to have a filler injected into these lines, but...
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Botox ineffective
For someone new to Botox, it should work if the right dose is applied correctly. Go to someone else with a good reputation.
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Make sure it is the real thing
As everyone has said, "no response" is unheard of with correct dilution and dosage. Some patients with very etched lines may also need HA filler the first time with the Botox, but certainly, you should get some kind of response. Verify that the product has the Allergan hologram to make sure it is not conterfeit drug. Dysport may also be tried if the Botox result is still muted.
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Botox works for almost everyone with proper dilution and injection technique
Different people require different amounts of botulinum toxin A to relax the muscles. If muscles are overdeveloped or very strong, more units of botox are needed to affect them. If the botox is too dilute or improperly placed or outdated, it will not work well.
With all that, there are people who have antibodies to botulinum toxin A that will make the botox much more short-lived. Those are usually patients that have had large (non-cosmetic) doses of botox injected for...
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Botox Not Working
Ineffective results from Botox injections may be seen for a variety of reasons; Improper dilution, poor injection technique, outdated medication may all contribute to less then ideal results. Also keep in mind that Botox is a neurotoxin that weakens muscles thereby smoothing dynamic wrinkles but may have no or minimal effect on static wrinkles and deeper creases from prolonged sun exposure, smoking , etc.
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BOTOX works for almost everyone
BOTOX is a powerful neurotoxin - its works on everyone. Sure, some people( very rare) have a immune response to it and treatment is less effective, but its more likely that you were
1. injected by a provider that does not understand facial anatomy
2. injected with an insufficient dose
3. injected in the incorrect location to treat the wrinkles you are concerned about
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Botox Duration
A duration of effect of 2 days is very unusual with Botox. As other posters have noted, there may be an issue with the way the Botox is being reconstituted. Alternatively, in rare circumstances, some patients don't get as impressive results with Botox as others. It may be worthwhile to try Dysport, which binds the receptor in a slightly different fashion. Anecdotally, I have seen patients respond well to Dysport when response to Botox was less than satisfactory.
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The MYTH of "Botox does NOT work on me" - You are probaby getting INSUFFICIENT, DILUTED or OUTDATED Botox
Regarding: "Botox Does Not Work for Me - What Can I Do?
I tried Botox four times and only the first time I saw that my face was peaceful looking but this lasted two days only. What can be done to help me be rid of my angry expression that I constantly have? I feel my muscles in my eyebrow area are so tense and I can't do anything to relax them."
With everyone and his sister injecting Botox and with the ease with which Botox can be watered down without the patient actually...
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Botox lasting for a few days only.
Dilution can be a factor in the longevity and effectiveness of the injection. Practitioners vary in their preparations and may add anywhere from 1 to 10 cc with the package insert advising administration of 2.5cc in order to achieve a concentration of 4 units per 0.1cc.
Discuss your resutls with your surgeon, I have occationally seen variations in the effectiveness of different lots which I cannot explain even when the dilutions are prepared identically.
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