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Day 5 After Botox....absolutely No Difference in Glabella!

asked 1 year ago by Swirlmommy in Northern NJ
Latest answer by Ronald Mancini, MD
Question viewed 2,503 times
Tags: age 25-34, eyebrows, female

I had 16 ccs injected between my eyebrows 5 days ago. It is now day 5. I see nothing like the results on the BotoxCosmetic pamphlet. In fact, I can still frown just the same...with the same speed and intensity. I've heard of waiting 2-7 days for full effect...well I haven't seen ANY effect yet. I should mention that I'm only 31 and I workout about 5 days/week, but I followed my dr's post-injection instructions to a T. What gives??

30 answers to Day 5 After Botox....absolutely No Difference in Glabella!

No Botox Results After 5 Days?

Hi Teaneck. Although you should see results after 5 days, we do not bring our first time patients back for a checkup until 14 days. In addition to waiting a bit longer, it sounds like you may not have enough product. Usually at least 20 units (not cc's) are used in the glabella. Finally, for deep creases, it may be required to use a dermal filler like Restylane. If you have this sort of crease in your forehead it should have been discussed... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox timing

Botulinum toxin (Botox) has a variable onset in different patients. Typically changes are noted between 3 and 7 days, however full effect can take 10-14 days.

Ronald Mancini, MD
Dallas Oculoplastic Surgeon

No Changes with Botox After 5 Days

Hi, I think you may have meant 16 units instead of ccs since Botox is measured in units. We tell our patients to expect the Botox to start working in 3-4 days but the full result will not be apparent until 14 days. We also tell them that if the area is not blocked to their satisfaction at 14 days, we always perform a free touch-up within a week after the 14 days. You may need more than 15 units for your glabella. Allergan initially obtained FDA approval for Botox... more

Grace Liu, MD
Newport Beach Dermatologic Surgeon

Wait ten days and then revisit your doctor.

I always inform my patients that Botox and Fillers are "works in progress". If they are not 100% pleased in 10 days, they should return in 10 days for a follow up procedure. I try to be "perfect" at the first visit, but I would rather undertreat thelateral side of the eyebrows to not cause droop. It is very easy to treat your problem by injecting more Botox. We do not charge for this follow up procedure

Michael Tomcik, MD
San Ramon Dermatologist

Botox starts to work after

Three to five days. For some people it may even take longer. The effect builds up in the first 14 days.

Robert Kasten, MD
Mainz Dermatologic Surgeon

No botox effect yet? (5 days after treatment)

Hang in there...some people take up to 7-10 days to show the effect, after Botox injections. If you haven't seen any effect by two weeks post injection, then return to see your injecting physician. All the best,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

No noticeable response from Botox

You may not see any effect for at least 4 - 5 days after Botox(R) injections with a full effect usually at 2 weeks so this lack of response should not be worrisome. Botox(R) is given in "units" and not noted as "cc's" so I would interpret that your received 16 units of Botox(R) which is a fairly low dose on average and may not ultimately be adequate enough for what you would require. I would suggest following up with your doctor at 3 - 4 weeks after the... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

When does Botox start to work

The onset of action of Botox is highly variable among patients. Some patients experience near full correction in 48 hours while others take as long as 2 weeks to see improvement. Five days may be too soon to judge whether or not the treatment is effective. Give it another week or so.

Corey L. Hartman, MD
Birmingham Dermatologic Surgeon

Botox to glabellar frown lines did not work

You may want to contact your physican's office to notifyt them. Some have a policy of waitng 2 weeks but you might as well schedule an appointment

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox, wrinkles, and how long it takes

It may take a bit longer than a few days for Botox to work, as has been mentioned, so patience is a good idea. It is possible that there is an effect already, but it is subtle at this point. You may want to check some pre-Botox pictures of yourself to make sure. That is one of the reasons we take pre-procedure photographs in most cases because we don't always appreciate gradual or subtle changes as they are happening. However, if you look back far enough instead of... more

Srdjan Ostric, MD
Chicago Plastic Surgeon

No results from BOTOX

Wait!!!! Takes between three to fourteen days to get results, so I would wait the full 14 days. It is important to know how much BOTOX you were injected, the best way to quantify this is in UNITS, not CC's, since every Doctor uses a different concentration. Dr Siegel Houston, TX

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

How long does it take to see results after Botox treatment?

5 days is a little too soon after Botox treatment to see any results. Botox is a delayed gratification procedure. It can take at least 5 days, but usually more like 7 or 10 days, to see the results. We do not assess the effects of the treatment until a full 14 days have passed. The amount of Botox that you had is also very important. The dose is measured in units and I suspect that you had 16 units, because 16 cc is a very large volume. 16 units is a... more

Jordana Gilman, MD
New York Dermatologic Surgeon

Botox effect

You should have some effect by now. It would be interesting to see your before and after. Many times, this can be due to improper depth of injection and perhaps the product did not make it to the muscle. In this rare case, I always offer a touch up. I would also like to know how many units, and not cc's were injected. There is a major difference in these units. Dr. Malouf

Peter Malouf, DO
Dallas Dermatologist

mytotalskincare.com

Botox 5 days post-injection

There are 2 responses to help you with your question. Most patients respond to Botox within the first several days after injection. If this is your first time receiving a Botox injection you may fall into a small subset of patients that have a delayed response. It can take a full 2 weeks and sometimes even a few days longer to respond in these patients on their first injection. Subsequent injections respond without delay. The second... more

Lisa Kates, MD
Annapolis Dermatologist

No result with Botox

If you don't see any improvement by 7 days, you should be able to discuss this with your doctor. However, be sure that the frown lines are not the lines that appear at rest, as those don't improve with Botox (a filler would be more appropriate). The intended results should be to block the muscles that cause active frown lines. When you see your doctor, an additional Botox injection may be considered. Some patients see a result in the frown lines with 12 units while others... more

Karol A. Gutowski, MD
Chicago Plastic Surgeon

"Day 5 After Botox....absolutely No Difference with Botox

Regarding: "Day 5 After Botox....absolutely No Difference in Glabella! I had 16 ccs injected between my eyebrows 5 days ago. It is now day 5. I see nothing like the results on the BotoxCosmetic pamphlet. In fact, I can still frown just the same...with the same speed and intensity. I've heard of waiting 2-7 days for full effect...well I haven't seen ANY effect yet. I should mention that I'm only 31 and I workout about 5 days/week, but I followed my dr's post-injection... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Botox not working after 5 days

You should definitely see an improvement by now. While it may sometimes take a couple of weeks for a complete response, it is not typical for there to be no improvement after five days. Even if you were under-treated, you should notice some difference. I would recommend seeing your injecting physician for an evaluation.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Botox relaxes muscles in 5 days

In my experience botox relaxes muscles in 5 days. The dose of botox and the distribution into specific muscles determines its effectiveness in treating frown lines

Edward Lack, MD
Chicago Dermatologist

Botox injections for the glabella

Peak effect of botox injections may only be seen as long as two weeks or more after treatment. It is possible that the muscles will start to be inhibited from moving in the next week or more. The variable to judge Botox's effect is not the crease but the muscle movement. Some people will demonstrate that the Botox worked by full immobilization of the muscle but the crease may take months of this muscle inactivity to fade. It is possible, that you require more units. You mentioned ccs,... more

Ronald Shelton, MD
Manhattan Dermatologist

You should see your doctor if your Botox has not had any effect 10 days after your procedure.

I read your concern, and you should notice at least some improvement in your appearance. and weakening of your frown muscles by now. The full effect of your Botox will be seen in another 5 days. If it's not working, you should visit your physician for evaluation.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

How long for Botox to work

Typically, we see the effects of Botox treatment within 3-5 days. I have seen patients not respond however until day 7. If you have not responded after that , I would return to your surgeon.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Not Enough Botox

My initial treatment dose for Botox between the eyebrows in women is almost always 20 to 24 units so you were under dosed. I also tell all my Botox patients to call me in one week if the results are not as they expected so that I can reevaluate them and inject more Botox if necessary.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

16 ccs? Did you mean 16 units?

Botox dosing is in units. 20-25 units is typical for female glabellar (THE FROWN LINES). If you did get 16 units, that is under-dosing and that is the most common reason for poor response.

Mary Lupo, MD
New Orleans Dermatologist

Botox and effects

Botox usually takes 5-7 dyas for it to work. It is a bit early to worrry that it is not working. The lines also may not completely disappear.

Steven Wallach, MD
Manhattan Plastic Surgeon

You may need a redo Botox injection!

Though Botox can take up to two weeks to see full effect, most patients see some changes by 5 days, and if additional time does not give you the results you wished, this may have been due to a number of causes. First, as others have stated, you didn't have 16cc, you may have had 16 units, or 1.6cc of a particular dilution yielding a specific unit dose. This may be inadequate; if you have had this exact amount here before with good results, then it's not an "amount" issue.... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Botox effect not seen 5 days after injection

It takes from 7 to 14 days to see the full effect of botox. So it may be too early to see it. I presume you mean 16 units of botox, not 16 cc. Normally the glabella requires between 15 and 30 units depending on the strength of the procerus and the corrugators, the muscles that make wrinkles between the brows. The amount of botox may not have been sufficient for you. Anecdotally, patients who do strenuous exercises have their botox wear off faster but it does not affect... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox Treatment of Glabella

Thanks for the question. It is difficult to give you an accurate assessment without knowing how many units you were treated with. Additionally, I don't know the skill level of your injector which could effect the end result. In general, you must wait a period of 2 weeks before you see full effects of your Botox Cosmetic treatment. Be patient and re-evaluate your glabella in a week. If you still don't see results, you may need a further treatment in this area. The glabella... more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

Botox not working

It is too early to see the results of the injected neurotoxin at 5days. I usually tell patients they will be at maximum effect at 2weeks. At this point if you are not happy, you should discuss your expectations with your injecting physician.

Purvisha Patel, MD
Germantown Dermatologist

Botox not working

Hello Sometimes it takes longer than 5 days for Botox to work. However, in my experience, the single most common reason fro Botox "not to work" is under dosage. Patients and doctors try to do the most with the least, saving the patient a little bit of money. I find that many patients need 20 to 25 units in the glabella , especially if they have very strong muscles. I believe it is better to pay a little extra to get the correct dosage rather than go with the minimum... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon