No Difference After 2 Botox Injections in Frown Lines? (photo) Doctor Answers, Tips
Botox: Q&A
Ask a Question

No Difference After 2 Botox Injections in Frown Lines? (photo)

2 Quick question: I had never had Botox before. One month ago I went for Botox to get rid of my frown lines. After 2 weeks I saw virtually no difference. I returned and he did a touch-up. I am on Day 8 of the touch up. The first photo show my relaxed face, and the second shows when I make a scowl. Do these results look typical? Do you think it can still improve without further treatment?

13 Doctor Answers | Asked by momof4en
+2

No response from Botox

From looking at your pictures it appears as if you still have quite a bit of movement. Before you give up on Botox try a different injector. Most of the time it is the placement and amount of the product used. Get a copy of your treatment chart and find out how many units are being used and what injection points. You may need more than the average client. I do want to caution you however on expectations. At rest you have a glabellar crease that would be... more
+1

I Can Still Frown after Botox

Hi Momof4. You have too much movement to have had a good Botox injection. It would be interesting to know how many units were injected as we do not know without that information whether this is a problem with the amount of product or a problem with your injector. If you had approximately 20 units of Botox, which is quite standard for what we see in the picture, you should have little or no muscle movement in the frown lines between the eyes. Given that you do... more
+1

Persistent glabellar furrows after Botox treatment

Your results do not look typical as you still have excessive movement of your corrugators (the muscles creating your 11s). Possible issues: poor injection technique/placement, insufficient dosage, and less likely - defective product or patient resistance to Botox. The most likely is related to technique or insufficient dose.

You might also like...

Real Stories

Botox Treatment - Day One - Mclean, VA

This is my first treatment. My Doctor used 20 units to treat the vertical lines between my...

Before + After Photos

View 430 Botox photos
+1

Botox for Frown Lines

Botox is very effective for treating the lines between your eyebrows when you frown. It is necessary to have the right dose and the right points of injection. The recommended dose to treat the glabellar frown lines (or 11's) which you are showing is 20 units. The dose may vary between individuals, but if a certain dose is not met, there will not be an effect. Also, if your lines remain at rest before treatment they may require additional treatments such as fillers, laser, or repeat... more
+1

No change after Botox is injected in the frown lines?

From the photos you provided, your frown lines do not appear to be an issue. But it is difficult to give you precise advice without seeing your before photos. Did you also have Botox injected to improve the appearance of your glabella, or what may also be referred to as the "11's" which are between the brow? Your result can be further enhanced by having this area treated. In general, Botox works great for the frown lines, smoker's lines above the upper lip, glabella, bunny lines, and crow's... more
+1

Botox and frown lines

It is unclear how many units of Botox you had injected into this area and where the specific injections were. If you are visiting a reputable, well-trained, and experience provider-they will know that there is typically a minimum amount that is effective for the glabella region. It can take up to two weeks to see the results, especially if it's your first time receiving treatment.
+1

Botox for frown lines

It appears that your frown has been minimized with Botox and you still have a bit of movement but you have deep creases that Botox alone will not help. You require filler to plump up the creases and perhaps more Botox to relax the frown movement.
+1

No response from Botox of frown lines

I agree with Dr. Janoff. This is an ideal area for improvement with Botox so I would try another injector before giving up on this option. In addition, once Botox properly takes effect you will notice the lines remaining noticeable. I would recommend a laser resurfacing treatment to help soften these lines while Botox is in effect. If in the end, Botox does not work for you, there are still many options available to help soften this area. Don't give up and good... more
+1

No Difference After 2 Botox Injections in Frown Lines? (photo)

Thanks for the question and posting excellent photos. What comes to mind is either your galbellar/corrugator muscles are SOOO strong or the injected BOTOX was took diluted. Try another injecting doctor and ask for freshly mixed BOTOX in front of you. Try another 20 units to begin with. If there is still no response than you might consider the need for fillers and possible incisional muscle surgery.
+1

Botox and glabella lines

Without performing the procedure for you, I can not say why it has not worked for you. Perhaps you need to see another injector.
+1

No difference from Botox

Please remember that Botox works on dynamic lines. Thus, the first photo shows your face at rest - and you still have pretty significant lines there. Those are called static lines and they cannot be corrected with Botox. Botox works to inhibit muscle movement, but for lines already etched in, Botox does very, very little. Now, with that being said, your second photo has you scowling, and there is far too much movement still there, after a treatment and a touch-up, because you are still able... more
+1

You need more botox

It is very unusual to have no response from Botox unless 1) did not get enough units of Botox 2) Botox was not injected correctly. Please make sure that your Doctor is a board certified Plastic surgeon or Dermatologist with experience .
+1

No difference from Botox after two injections to frown lines

It's difficult to answer your question completely without being able to see you frown and also feel your muscles while you are frowning. I think there are several possible answers to your issue. If you really feel that there was absolutely no difference after your treatment, then it is possible that you are one of the few people who do no respond to botox. If you feel that there was some change but that the frown did not go away completely, then there are two possibilities.... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (1)

momof4en 18 Oct 2012
To all the Doctors who responded: Thank You!!! Your advice is very much appreciated. Having never had Botox previously, I just wasn't sure that my results were typical. As to my MD, I chose a Board Certified renowned Plastic Surgeon,with many years experience. It's hard to believe he injected in the wrong area. Twice. I guess my disappointment comes from the results vs.costs. I was hopeful for a better result, without further cost, but understand now, a filler is probably necessary. Again, thanks for your responses.

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok