Was There Something Wrong with the Botox?

asked 10 months ago by Linz:toomuchmovement in Sydney, 02
Latest answer by Ronald Shelton, MD
Question viewed 159 times
Tags: crows feet, forehead, jaw, results, touch up

First round of Botox in my jaw (Masseters) lasted a good 4 months without movement, and my forehead/crows feet was still so good after 6 months that I asked the Dr before getting a top up.

Second attempt has barely lasted 2 months, and I have more movement in my forehead now than after 6 months last time. Also, it started working the same day this time... Friend has been getting it for 10 yrs, but used my Dr and has the same issue. They say it's normal and we need to get top ups. Not convinced..

6 answers to Was There Something Wrong with the Botox?

Botox not working in the same way

All good feedback from panel members. We would suggest that, first and foremost, you discuss your concerns with your physician. We invite all of our patients to return in 2 weeks to make certain that the desired outcome was achieved. Without knowing the number of units of Botox that was used in each scenario, it's difficult to suggest that the physician was not being forthright or ethical. We would encourage you to be more proactive in directing these... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Different duration for botox on second administration

Was it Botox or another botulinum toxin you got the second time? If different, were the units equivalent to that used in Botox? Was the botox fresh and stored correctly? Did you get the same number of units the second time? These are only some of the variables that may have affected your result. Discuss them with your doctor. see video

Ronald Shelton, MD
Manhattan Dermatologist

Talk with your doctor

There are so many possible reasons for this difference, many included below, that it would be wise to talk to your doctor. Based on your discussion, you'll be more likely to be able to determine the cause of this change. It does sound more like a temporary issue, so hopefully next time will work out better.

Victoria W. Serralta, MD
Arlington Dermatologic Surgeon

Botox

This raises an interesting issue Some patients can develop Botox resistance. They require either higher or more frequent doses of Botox. Without examining you and having information about your prior treatment I cannot comment on it

Paul Carniol, MD
Summit Facial Plastic Surgeon

Botox results for wrinkles

There are a number of possibilities that could have given you a different result. As stated above, it could be that you did not receive the same number of units this second time around. Another possibility is that the Botox was reconstituted differently. Botox is very labile and if it was mixed more vigorously or sitting in a syringe for a longer period of time, it may not be quite as effective. Another possibility is that you were much more active after this treatment. There is some... more

Michael A. Epstein, MD
Chicago Plastic Surgeon

In a effort to make a profit some doctors get stingy with the BOTOX.

You need to know you are getting what you pay for. Your doctor should tell you flat out how many units of BOTOX you are getting that way if the duration of the effect is not to your liking and you want to compare with another doctor's method you can compare apples to apples. If you can't trust the doctor to treat you will the dose you have paid for, please find a different doctor to do your service.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

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