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Does It Take Months for Botox to Correct the Brow Furrow?

asked 4 months ago by nicolelleb
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 200 times
Tags: 6 weeks post-op, frown lines, glabella, no change, not working

I received my first treatment of Botox 6 weeks ago. The doctor said that I only needed 16 units as my brow furrow wasn't that bad. After 2 weeks I still had alot of movement and the crease was still there. Today is 6 weeks since my first treatment and I have been back twice since my first treatment because I still have a crese! She told me today that it could take months for the crease to slowly fill back in! She is'nt charging me but I am wondering if I am wasting my time with weak Botox.

13 answers to Does It Take Months for Botox to Correct the Brow Furrow?

Botox in the Glabella

Botox typically begins working within 72 hours, and everything has "settled" at the two week mark. 15-20 units are typically acceptable in this area, so it's possible you might need to be dosed higher. Occasionally you can develop what's called a "static crease" that may require filler. I recommend consulting with another injector to determine if this is what you need.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox glabellar crease

What you haven't mentioned is if your muscles are still moving at the six week point. If you still have movement, then you are not getting enough units of Botox. If however, the muscle is relaxed, then it may be that you will need many months of maintaining the botox therapy such that the muscles stay relaxed and finally allow the skin, without having the ability to crease, to become smoother. Some patients' creases are so deep that it would take a very long time for the valley to... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox timing and brow furrow

Botox is a neurotoxin that takes anywhere from 1 - 7 days to take full effect, and certainly no more than 2 weeks. At 6 weeks, you should have the full effect and can consider adding more units if you are still able to frown. Also, Botox and other neurotoxins won't reverse furrow lines that are there whether you frown or not. They may soft this somewhat, but you may consider adding fillers such as Juvederm or Restalyn to mix. Make sure your injector is quite... more

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Does It Take Months for Botox to Correct the Brow Furrow?

There are many different methods of using neurotoxins to relax the glabellar frown lines with different dosages. It may take more Botox to relax these lines and or more frequent injections.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox and crease

Botox doe snot always eliminate the crease entirely. Many times the crease is "etched" in and the subcutaneous tissue between the skin and the muscle is thinned out over time. Sometimes I inject filer to soften it as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

You may need a bit more Botox and and possibly some filler to get rid of your furrow.

If your furrow is long-standing, you may need a more Botox than 16 units. If the crease is deep and permanently creased, it may be necessary to use a filler to evert the crease.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Does It Take Months for Botox to Correct the Brow Furrow?

Botox works within a few days. If you cannot "frown" then the Botox has worked. The fact that you still have a crease may be due to a long standing crease, and it might be possible that fillers are needed to get an immediate response. Your doctor is right that sometimes waiting will also make the crease eventually go away. In terms of the "weak Botox", if your Doctor is reputable, I doubt that is happenening. If more Botox is being... more

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

If the doc is not charging you for more BOTOX, this is a red flag.

16 units should be enough to make some time of difference. Either the doctor does not understand the limits of what can be accomplished with BOTOX, or you are simply being under treated. Is this doc giving you "weak" botox? We do sometimes see offices that offer impossibly low BOTOX prices-like under cost. No one gives away product and this does lead one to wonder if the offices in questions are supplying less that a unit of Botox for the price. more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox to fill in crease

Botox typically works within 72 hours. If injected properly, your brow should not be frozen because that's completely unnatural. Botox does not fill in creases; it works by paralyzing the muscle. It is possible that what you need is a combination of Botox and a facial filler such as Radiesse or Restylane. It's impossible to evaluate whether the Botox is "weak" or over diluted or whether it is not the treatment of choice for your condition. I would recommend that you see a board... more

Robert L. Kraft, MD
New York Plastic Surgeon

Botox to Correct the Brow Furrow

If you are still experiencing substantial movement, you may deeper furrows that will require either additional units or fillers. If you are unhappy with your progress, you can consult with other physicians to determine if you are being treated appropriately.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

www.drkrisreddy.com

Results of Botox for Correcting Brow Furrow

Botox should not take months before you see results. It usually takes up to a week to see real changes. In some cases this amount of time can be up to two weeks. If you are still witnessing a lot of movement in this area, it is quite possible that 16 units for the glabella furrow may not have been enough. Individuals tend to differ in the intensity of muscle contractions. Keep in mind that Botox will only affect the muscles that lie beneath your skin. Deeply etched static creases will... more

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon

Crease after Botox

Botox will weaken the muscle under the skin in the glabella. It will only improve wrinkles seen upon animation. If you had wrinkles while you were not moving the brows together, then Botox will not correct that wrinkle. It will stabilize it, but it will to reduce it. You might need a filler on top of the Botox. You should not expect a wrinkle that existed in the glabella while at rest to fill in after Botox injections.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Botox for the glabella

Greetings~ It is difficult to say for sure what the correct dose is for you or how long it will take for you to see a significant improvement in glabellar lines if they are deep set from time and repetitive motion. With an adequate dose, witihin a few days you will notice less movement and by two weeks you will see what the results will be. If after two weeks you still have significant movement you have not been given enough. If there is no movement but the lines... more