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I Just Received my First Botox Injections Yesterday and It's Worse, Not Better. Normal?

I just received my first Botox injections yesterday. They are from a very reputable plastic surgeon, so he knows what he's doing - but it seems that there is almost an EXTRA new wrinkle above my brow. It's as if the skin is weighing down on it and causing a new wrinkle. Not only that (and I know it can take up to a week to see full results), but I don't see even the most MINOR improvement whatsoever in my glabellar lines. I paid almost $600 for this, so I'm pretty upset. Any recommendations?

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19 Doctor Answers | Asked by afisher1 in Washington, DC

Doctor Answers (19)
Community Comments (0)

BOTOX® Cosmetic takes up to 7-10 days for full result.

Don't worry, it is normal that there is no immediate result. Botox usually takes 7-10 days to have the full effect of the treatment. Though it seems unlikely that you would notice new lines over your brow so soon, there is a chance when treating the glabella that you may get "spock brow". This can happen when the area is over-treated or when the brow muscle is over-compensating. This problem is not common but easily repaired.

Manish Khanna, MD

Montreal Dermatologic Surgeon

www.peaumontreal.com

Botox can take a while to improve the glabellar lines

Not only can it take up to two weeks for the botox to peak at its muscular relaxation effect, the deep lines between the eyebrows can take time to ease away. That's because those lines are there for many years of the muscle squeezing together. If you see your doctor and there is no muscular movement then the Botox is effective and the skin has to take more time to have the overlying wrinkles fade. That might take a couple to a few sessions of botox, not letting the botox wear off... more

First Botox injection results

First of all, there is no way that the Botox can cause a new line to form and especially after one day. You may notice it because you are paying closer attention to your face now and have not noticed that line before. At Contour Dermatology, that is why we take photos before we do any procedure, cosmetic or medical, because patients tend to forget what they “really” look like. Finally, it does take one week or so for the Botox to kick in, so be patient and wait the week or... more

Glabellar lines after Botox

Please give it some time. The final result won't be obvious for up to a week. As the Botox takes effect, you may have to be patient to assess what it is doing. It's also possible that it is already working in one area and that this is changing your perspective on the areas in which it hasn't begun to work.

1 day is too early to judge if the Botox works

After spending a fair amount on your treatment I can see how you would be anxious to see instant results. However I tell my patients to wait at least a week before coming back in for any touch up injections. I have my patients do some facial expression exercises to ensure the treatment gets into the targetted muscle evenly and also have them refrain from cardiovascular exercise for 1 day after the treatment so the it is not carried away from the sites we previously targetted. more

Give it a few more days. One day is far too soon to evaluate results of Botox

The average onset of Botox results is 3-5 days after injection and the full effects can take from 10 to sometimes 14 days. 1 day is far too soon to evaluate your treatment results. You will most likely see more results from your treatment over the next week so try not to worry and follow-up with your physician for any questions.

Dan Mills, MD

10 reviews

Orange County Plastic Surgeon

www.danmillsmd.com

Two weeks for complete botox results

If you JUST got the injections, don't expect anything yet. It takes 2 weeks for you to see the final results. Your wrinkles and lines should soften slowly over 2 weeks for a complete and natural look.

BOTOX RESULTS

If your glabellar lines are deeply engraved there may be only subtle improvement in their appearance with Botox alone. As you know Botox weakens the muscle it does not fill in lines. Your treatment may be improved by supplementing your treatment with a filler like Juvederm or Restyline to directly soften the glabellar frown lines. I would wait a full 2 weeks, if you are still unhappy with the results set up another visit with your Plastic surgeon.

Botox and Dysport can help reduce forehead and glabellar wrinkles

But with Botox it could take up to 14 days to see the final results. If, after two weeks, you still feel that there are new or different wrinkles, see your doctor so that he can touch up the area if necessary. Occasionally, if you have the glabella treated, the forehead muscles work a little harder and pull up the brow, causing noticible lines above the brow. This can be treated by either adding a touch of botox to relax the lateral brow, or by using fillers such as... more

Botox Results

The results from a Botox Cosmetic treatment takes a minimum of 3-4 days to start and as long as 2 weeks for full effect. Usually, results are seen about 1 week after treatment. Dysport may work faster.

Paying too much for Botox

From your comments, I detect your biggest concern to be the $600 cost for your Botox. As you know, the effects take at least one week before you should assess the results. ALWAYS ask how many units are being injected with so you know exactly what you are paying for. Don't make the common mistake (it's human nature) of thinking that spending more will give you a more experienced injector and better results. My initial treatment for a first time Botox patient typically uses 20 units... more

Botox Injection Results After One Day

I always tell my patients to wait a full two weeks before they assess their Botox treatment. Please do not panic or over analyze your face at this time. It is always important to have realistic expectations; however, if you are not seeing your desired results in two weeks, please return to your injector to see if he or she can improve your situation.

How long to see Botox results

Botox results are seen approximately 7-10 days after injection. Sometimes it takes up to the full two weeks. So if you got Botox injections it's too early to see any results. Dysport, another neurotoxin gives results faster, which can be seen within a couple of days after injection.

When does Botox begin to work?

As the panel members suggested, it is far too early to make a decision regarding your first Botox treatment. Consider how you are treating facial muscles for the very first time - this takes a little time to tame the muscles and see the full effects of your treatment. We are attempting to put muscles to "rest." This is gradual and progressive with each passing day and may take up to 1 to 2 weeks to realize the full benefits. Being that you seem to trust the... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Timing for Botox Results

24 hours is WAY to early to start getting worried about your Botox results. It takes at least 3 to 7 days to see the full effects. Every person is different. Since this is your first time, there is no way to predict how fast it will work on you. However, please spare yourself the anxiety and stop looking in the mirror for at least 3 to 7 more days. Good Luck.

Botox

If you notice another wrinkle one day after Botox treatment, it was probably there before. Botox takes about 5-7 days to work.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Botox results after one day

Your injector should have told you not to expect to see results for a few days and to give it up to a week for the full effect. You should give it a full week to evaluate the final results.

New lines with Botox

It is too early to tell what your result will be from your injection as it takes several days for the full effect. That being said, it is possible that Botox and Dysport can 'unmask' other facial lines that were previously not as noticeable. These can usually be treated if they persist with a small 'touch-up' injection.