Botox: Q&A
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Why Didn't Botox Work?
I was treated with the maximun allowed amount of Botox. It was injected into my forehead, between the eye frown lines and the crows feet. There was NO improvement at all, I looked exactly the same. My Doctor said "It doesn't always work"....$600 later, and he tells me...."sorry, it didn't work for you, lets try Juvederm". I told him absolutely not and left his office extremely frustrated.
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10 Doctor Answers |
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spakulski
+2
Why didn't Botox work
Botox has to do with the number of units, the concentration of those units, and the technique of your injector. All of those play a role in how Botox works. However, Botox really only works well on dynamic muscles - the muscles that make you move your eyebrows, create wrinkles in your forehead, and pull your eyebrows together to furrow them. If you have static wrinkles - lines that are still there in the mirror even when you're not moving your face muscles - Botox doesn't work as well on...
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Botox for the deep glabellar lines
It is extremely rare that Botox, at the right dose, and right placement, won't inhibit the contraction of the frown muscles. Once the muscles are seen to be relaxed and can't contract with the attempt, the finer creases in the skin overlying those muscles often improve quicker than the deeper lines or folds. It might have taken years for the creases to develop after many contractions of the muscles pulling the skin into pleats. It could then take a long time for those lines to improve...
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No response to Botox
Is this your first time with Botox? Were you told how many units were used? There is no such thing as a maximal amount of Botox. It should be described as an optimal amount. There are several reasons Botox 'does not work'. One is that the solution was too dilute. The bottle could have diluted too long ago or stored inappropriately and therefore no longer active. If the doses of Botox were not placed directly into the desired muscle it could diffuse out into fat or...
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This is my first treatment. My Doctor used 20 units to treat the vertical lines between my...
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When Botox doesn't work...
There are a number of answers to your problem. First of all, a careful analysis of your pre and post injection photographs will help determine how much the Botox affected the treated areas. If you have reduced movement of the muscles now compared to before your injections, then the Botox is working to some extent. In this case I would recommend a thorough discussion with your injector in order to clarify the expected results in the treated area.
If indeed you...
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Botox Did Not Work vs. Managing Patient Expectations
Before and after photos are helpful in these situations to assess the results. It is rare that the type A botulinum neurotoxins (BoNT-A) do not produce any muscle paralysis at all. However, I have had about three patients over the years that seem to have a more blunted response. They have returned to the office stating that the product did not work at all. I have compared their post-treatment muscle movement to the pre-treatment photos and this has demonstrated that some muscle relaxation...
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Dysfunctional Botox...
It is very difficult to determine what the problem is based on your history. I have never had a "bad batch" of Botox, but it could happen. If it wasn't refrigerated and was allowed to deteriorate, it won't work. More often I usually discover when patients complain to me that it didn't work, that it actually did work, but that it didn't do exactly what the patient wanted. For example some patients have the 11s treated successfully but then recruit other muscle groups...
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Botox didn't work
I'm not certain as to what is meant by "Botox didn't work". Botox is a neuromodulator and it is intended to weaken the muscle being injected so that over time, the extent of wrinkles caused by the contraction of that muscle is reduced. One Botox injection is not going to correct your wrinkles, especially if they are static wrinkles which are easily visible fur roes or lines at rest. I expect that you have significant decrease in muscle activity in the targeted area if you were injected with...
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Botox and Efficacy
It is very unusual for someone not to respond to Botox, and very difficult to answer your question without seeing you in person and assessing your specific situation. Juvederm and Botox are two completely different products that aren't used interchangably.
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Botox with no results
There are a few factors that may have occurred causing you to receive “no results” following your Botox treatment. First is, there may have been a “bad batch” of Botox product and all the patients treated from that vial, would not have results. Check with the provider to see if that may have happen. Second, less than two percent of the population treated with Botox can build up a tolerance to the botulinum A toxin. If either of those were not the situation, you may want...
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Botox disappointment
It is very difficult to tell why you did not improve with your treatment. Usually a patient is evaluated to see whether relaxing muscular movement alone with solve their problem, but sometimes combined treatment with fillers is needed. If this was not made clear to you up front you should discuss it with your current physician or consult another experienced physician before you undergo further treatments.
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