Why Isn't my Botox Working As It Has in the Past?

I had botox 12 days ago, focusing on the "T" area. I purchased 40 units. The most visible "T" line is still very pronounced. I do botox to prevent - my lines are not deep. The Botox was performed by a board certified surgeon, so I trusted him. I am really upset. Do I have any recourse here? After purchasing 40 units, I feel this doctor should be held responsible for making sure the procedure worked. I have treated this area before with great results. This is the first time I used this doctor.

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11 Doctor Answers | Asked by bostongurl

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Botox Not Working

There is no real way to answer this question other than there may be some variance in technique between injectors and/or storage, dilution, and technique between injectors. generally speaking, 40 units of Botox should be sufficient to treat the glabella and horizontal forehead lines. I encourage you to discuss your concerns with your Surgeon. If you aren't satisfied, you might want to consider returning to your previous injector.

Botox Not Working As It Has in the Past

Before you get upset, speak with your injector. While your current injector may or may not be as skilled as your previous injector, there are also other factors to consider. You will need to ensure that the prior treatment utilized the same number of units so you are comparing treatments fairly. Moreover, if the treatment has not been performed recently, your muscles may now be requiring more units than in the past. see video

Botox for the T line

Please return to your surgeon to express your concern. I'm certain he would want to know and would try his best to give you a good result. He can reinject you since it is possible the Botox you had was inactive (it can rarely happen) or you may need to be switched to another neuromodulator if Botox is no longer working for you. Give him a chance and if you are still unhappy, see another specialist.

See your doctor if the botox didn't work

Before too much time goes by, it is worthwhile to see the treating physician if your Botox treatment hasn't worked. Try not to let more than one month pass before seeing them. It is best to try to see the doctor between two and four weeks. Less than a week is not enough time to allow the Botox to take peak effect and close to three months is the time that is wearing off in most patients. Your doctor can examine you and determine why their treatment wasn't successful. It can take one or... more

Xeomin May Work For People No Longer Responding To Botox

It is very difficult to know, especially in the case of switching from one doctor to another, what precisely may be contributing to non-responsiveness to Botox in someone who has previously responded well to such treatments. If differences in injection technique and placement, and variations in dilutions can be excluded, it is theoretically plausible that antibodies may have formed to some of the proteins that are typically bound to Botox in the manufacturing process. I was one of... more

BOTOX uniqueness

As many other experience and knowledgeable doctors have stated, speak with your physician. His technique with 40 units may not have been the same as your prior injector. The dilution may have been quite different, however, we would rather have a patient come in and express their concerns so we can correct the issue. I hope you get the results you were initially looking for!

What to do if Botox treatment didn't work.

There are a number of reasons for a poor response to Botox injection but you should not worry about these. If it didn't work, go back to the physician and have him fix it at no cost to you. In our clinic, we take responsibility for poor results and fix them, no questions asked. You should never go to a physician that does not guarantee their results. For the best Botox results in the future, use the following checklist: Is your injector one of the core... more

Botox efficacy

Forty units is a decent dose for the glabella and should have produced a result. Discuss your concern with the physician. Some patients require more Botox to patalyze the muscles. Inquire about the dilution rate and whether you can have a touchup.

Botox and face effect

Without knwoing what you looked like before the Botox and after, it is hard to say, but if you are unahppy with the results, you may want to touch base with the doctor to see if he can do a "touch up." Give it two full weeks to make sure.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Botox not working

There are several reasons why your Botox may not be working. With 40 units of Botox it definitely should have kicked in by now. We all do have different techniques.So that is one variable that could be different. You should call the doctor and discuss it with him or the office. It may be that it is not as active if they used Botox that was not mixed that day..You should ask them how long they save a bottle.This can definitely influence the effect. Even with the best of technique... more