Ask a doctor

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?

Doctor Answers 19

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.

Montreal Dermatologic Surgeon
4.5 out of 5 stars 10 reviews

3550 Côte-des-Neiges
Montreal, QC H3H 1V4

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 completely in between treatments so the skin doesn't start to contract again.

I have seen a few times, a new line that show on the outer forehead a half inch above the tail of the eyebrow. That's because we don't put Botox there for fear of dropping the eyebrow or eyelid and the outer eyebrow still can lift up pushing against the upper part of the forehead which has now dropped from treating it with Botox at the same time. Occasionally one unit of botox placed higher on the forehead than the new crease can help but we usually wait two weeks after the occurrence before we adjust. Sometimes that crease can't be treated with botox and careful placement of a thin filler can help. See your doctor for a thorough evaluation so they can benefit from seeing the line and adjust the next treatment when you're due for it again.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

317 East 34th St
New York, NY 10016

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 so.  If you still don’t see any results, then go back to visit the injector.

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

42-600 Mirage Road
Rancho Mirage, CA 92270

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. 

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 17 reviews

112-03 Queens Blvd
Forest Hills, NY 11375

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. 

Giancarlo Zuliani, MD
Rochester Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

1135 West University Drive
Rochester , MI 48307

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
Orange County Plastic Surgeon
4.5 out of 5 stars 22 reviews

31852 Pacific Coast Hwy
Laguna Beach, CA 92651

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.

Gary Goldenberg, MD
New York Dermatologist

5 East 98th Street
New York, New York 10029


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.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.5 out of 5 stars 18 reviews

6315 Sheridan Dr
Williamsville, NY 14221

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 Restylane.  Best to you.

Carolyn Jacob, MD
Chicago Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

20 W. Kinzie
Chicago, IL 60654

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.

Asaad H. Samra, MD
New Jersey Plastic Surgeon
5.0 out of 5 stars 32 reviews

733 North Beers Street
Holmdel, NJ 07733

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.