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Why Didn't my Doctor Give Me Enough Botox?

asked 8 months ago by Rachek in Uk
Latest answer by Joseph Serota, MD
Question viewed 158 times
Tags: not working, quantity

My doctor didn't seem to have given me enough botox this time because after 3 days I can't feel anything and I usually do see some result.I was very happy first time, but not impressed the last two times. He hasn't charged me this time, saying I still had enough. It's been 3 months since I had it and wasn't happy then. WHY is he doing this???

7 answers to Why Didn't my Doctor Give Me Enough Botox?

+2

Was the Botox Enough?

As the other panel members suggested, despite your previous experience, you may want to make a final judgment in the next week. However, it would appear you are not satisfied with your treatments nor the feedback (or lack thereof) that you are receiving from your doctor. This might be a good time to consider finding another practitioner.
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

www.celibre.com

+2

Not enough Botox

There is no set number of units of Botox that will work for each patient. The dose varies and sometimes it takes several times treating a patient before the doctor gets a handle on how many units are right for a particular patient. Of course, this does not explain why you were most happy the first time you were treated.
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon
+1

Botox treatment

There are always variables. It may be simply that you just need a few more units to bring you to full correction. Sometimes there may be a dilution issue, or the product has become less potent if it has been sitting on the shelf and not used in its proper shelf life.
Joseph Serota, MD

Denver Plastic Surgeon
+1

Botox works in 2 to 10 days

The Botox can take 2 to 10 days to kick in for you. I find it can be different each time you have it done for you.If it isn't kicking in for you at this point you need to first find out if the Botox you are getting is fresh. Was it mixed that day or has it been saved over night? Do they save it for several days? If they save the Botox that may be your problem. If they always use fresh and it is not working then they need to increase the dose in little steps until you get the... more
Esta Kronberg, MD

Houston Dermatologic Surgeon

www.estakronbergmd.com

+1

Fine-tuning Botox dose

Because Botox and Dysport work by relaxing hyperactive muscles of expression, they treat the underlying cause of certain wrinkles rather that filling in the wrinkle as with Juvederm or Restylane. The muscles that cause the "11" between the eyebrows for example are called the "corrugators." Muscles come in different sizes so there is no standard dose that always works unless the doctor routinely uses more than is necessary. That would of course cost more so dosing is... more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Many variables affect how much to inject

First of all, it's only been 3 days - you might want to give yourself another week at least to see if you develop the effect you're looking for. Second, I don't know how many times total you have received Botox - but all experienced injectors know that the first time is the best time - virgin muscle is exquisitely sensitive to neurotoxins, so you'll get the best "block" ever the first time any region is treated. Knowing this, I often decrease the dose... more
Laura Skellchock, MD

Palm Beach Dermatologic Surgeon
+1

Botox Fort Lauderdale

Dosage is a significant issue in this field of esthetic medicine. Unfortunately, unless the patient mixes the vial of botox themselves, it is impossible for you to know what is in the syringe. There does exists recommended dosology for each muscle that contributes to facial lines, however, individuals do vary. Building a rapport and allowing the physician to "get to know" how your muscles of facial expression work together to create a certain line or wrinkle is... more
Will Richardson, MD

Fort Lauderdale Dermatologic Surgeon

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