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Had 36 Units of Botox in Frown Lines and it Started Wearing Off After 3 Weeks, Normal?

I recently had 36 units of botox for frown lines and 3 weeks later I am still able to scrowl. I went to a "spa" type place, and when I called them, they said to come in and I would need more?!?! I have been getting botox for a couple of years and this is the first time I have ever had so much in that area.Is this normal?

Updated Information 11/30/11

Thank you all for the helpful replies. I went back today and recieved another 10 units, totaling 46 units just for frown lines another 110.00. I used to go to a plastic suregeon in Texas, 25 units for frown lines and eyes. The best results I have ever had!I will only go to a plastic surgeon from now on, and with the replies, I dont know if they didnt hit the muscles, diluted it or have bad Botox. I have picts from pre and post Botox. No difference! I will have to find a plastic surgeon here.

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8 Doctor Answers | Asked by Julsibe in Centuria, WI

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Botox should last more than 3 weeks

There are three areas that Botox can be placed: In the wrong muscle, in no muscle, and in the correct muscle. Only the last gives you a good result. I'd recommend seeing an injector with a large amount of experience with Botox, and a great understanding of the aesthetic field. You can usually find these specialists as board certified facial plastic surgeons, plastic surgeons, or even some dermatologists. Registered nurses directly associated with these types of specialists can be... more

Botox for frown lines

Another advantage to seeing board certified dermatologists and plastic surgeons for your botox of the frown lines is that there is a higher standard of providing care and ensuring that the Botox is only from U.S. Allergan sources, the Botox is diluted appropriately and that the Botox has not been allowed to sit for too many weeks after dilution. see video

Had 36 Units of Botox in Frown Lines and it Started Wearing Off After 3 Weeks, Normal?

Many factors contribute to the effectiveness of neurotoxin (Botox, Dysport or Xeomin) injections: Experince of the MD doing the injections. Where and how much (number of units) of the Botox, Dysport or Xeomin used. How long has the neurotoxin been re-constituted. If greater than 2-3 weeks, most experienced injectors believe the potency decreases. I have used Botox (for over 20 years) and the other neurotoxins since they were approved here in the US and 36... more

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Botox not working?

Thirty six units is a lot of Botox for the frown lines. I don't want to impugn all spas but Botox injections are a medical procedure which in my opinion should be performed by a medical physician adequately trained in this field. We cannot tell why 36 units are not working when it is more than an adequate dose. Perhaps they are not being forthright with the amount of units you are receiving or perhaps you received Dysport and they are quoting you the number of Dyport... more

Botox not working

The first question is whether you had Botox from Allergan Corp and not a substitute or overly diluted formulation. When I hear spa,I do not assume that you were injected by a board certified plastic surgeon or dermatologist. If you were injected by someone without those credentials, it is possible that the injections were not properly placed. Rather than returning to the spa, I recommend that you see a well credentialed physician for evaluation.

Botox treatment for frown lines

Botox is an extremely common treatment in the United States with roughly 5,300,000 procedures performed in 2010 according to the ASPS. Every injector probably administers the medication a little differently. For moderate to severe frown lines, I typically start with 20 units total and make five separate injections each with 4 units. It usually takes a day for the medication to start working and one week for it to have its final effect. As a board certified... more

Hey how about going to a real doctor?

You probably got more water than botox. 36 units of botox is a pretty weird dose given how the vials are set up. I think the spa may be pulling your leg regarding how much botox you are getting. Small doses of botox wear off quickly. Sometimes you get what you pay for.

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

For Botulinum Toxin Treatments, Seek an Experienced Injector and Establish a Relationship

It is important to seek an injector who is experienced and has good knowledge of facial anatomy. I read your synopsis and several thoughts and questions came to mind – mainly those I would ask you if you were in my office with the same concerns. It sounds as if you have been satisfied with your previous BOTOX injections. Were you recently treated by the same injector that has treated you in the past? If not, why did you change? You know that you were treated with 36 units this last... more

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