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Should I Still Be Able to Squint and Form the "11"s on Day 8 After Botox?

asked 4 months ago by jennyct
Latest answer by Harrison C. Putman III, MD
Question viewed 198 times
Tags: 1 week post-op, 11s, normal, squint

It's been eight days, and although I see a 20% improvement, I can still squint, forming those 11s between my brows. She did two shots in that area, then one each over the arch and three on each crow's feet area on the sides of my eyes. Do I need to wait a bit longer, go back for more injections or accept that this is probably the way my body reacts? I paid by the area treated, not by the units, so I don't have any idea if she would retreat free of charge.

14 answers to Should I Still Be Able to Squint and Form the "11"s on Day 8 After Botox?

Frowning inhibited by Botox may take two weeks to appear

The full effect of Botox may take up to two weeks to be apparent. See your doctor then if the muscle activity persists and more units might be needed if you have strong muscles.

Ronald Shelton, MD
Manhattan Dermatologist

Botox Results

Without seeing before and after pictures or knowing how many units were injected, it is impossible to answer this question. However, after 8 days, you should see your full results. So, either you need more units or you have static lines that require filler for a complete treatment. This can only be determined by seeing you in person. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Botox may not completely alleviate all lines

While Botox Cosmetic injections help alleviate some lines you may have creases formed from long time frowning that may need a filler to completely go away. You do not want to paralyze the entire forehead and some muscle movement looks natural. Discuss this with your injecting physician and he/she will be able upon examination to tell you if another injection of Botox is necessary or if a filler may be needed. If you need more Botox you may want to see what the per unti price vs. per area... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

michaelelammd.com

Fron line may persist after botox injection

The effect of botox would typically take 5-7 days to manifest, but it can take up to 2 weeks in rare instances. In your case, it is important to note that the "11" shaped lines in between the eyebrows may not be completely eliminated even after botox has fully kicked in. This will happen if the lines have formed a groove in the skin which would not disappear with the absence of muscle movement. If this happens, an additional procedure by way of a dermal filler (eg... more

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon

You may need a bit more Botox for frowning.

After 8 days I would expect little or no glabellar frowning to be evident, and a 20 % improvement indicates that more product is probably necessary. Dosing is somewhat indiviualized, but talk to the Doctor about the # of units you recieved. 20 to 30 units is an average dose for the glabella, and the injection pattern can be 2 to 5 separate sites. You want to know this information for future treatments.

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon

www.specialface.com

Should I Still Be Able to Squint and Form the "11"s on Day 8 After Botox?

Botox, Dysport and Xeomin are neurotoxins that weaken the muscles causing unwanted lines and wrinkles however, the effects of these neurotoxins are dose dependant and vary from patient to patient. You should see the full effetcs of neurotoxins at 3-5 days post injections, so you might want to go back to the MD that did the injections and have more injected for an increased rersult.

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

More Botox?

Greetings~ Though most patients do respond after 8 days some can take up to 2 weeks (or more) to see the full effects. Each patient is different and can require a different amount of Botox (greater or lesser units, independent of the number of injection sites). It's quite possible, especially if you paid by the area and not the unit, that you may not have received a sufficient amount of Botox for that area. Depending on the policy of the office where you were... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Movement after Botox

You can wait a few more days, but you might desire a little more weakening. Understand that it might not totally paralyze the muscle and you might always have some motion there, even with large doses.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Botox , time frame for results

For some patients, Botox may take up to 2 weeks to see the full effect. It is good that you are already noticing some results. If you are still noticing the lines at 2 weeks, I would give your doctor a call. Sometimes more Botox is needed or perhaps a filler. I hope this helps. Lana Long, M.D.

Lana Long, MD
Cincinnati Dermatologic Surgeon

How long does it take Botox to work?

Botox begins to kick in about 3 to 5 days after injection but may not achieve full effect for 2 weeks or longer. I see all my first-time Botox patients one month after their initial injections, as full effects should be apparent at that point. If you are unhappy with your results at one month post-treatment, I would consider additional injections. With sufficient dosage, Botox can and will prevent you from squinting the 11 lines, but the dosage varies tremendously from... more

Ronald Friedman, MD
Dallas Plastic Surgeon

Time to see the results of Botox

It usually takes 3 to 7 days to see the full effect. But wait two weeks before returning for a touch up! Good luck

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Botox effects

Usually Botox takes about a week to take full effect. In some patients a few days longer. That is why I often have patients come back at two weeks just to check and sometimes I place more.

Steven Wallach, MD
Manhattan Plastic Surgeon

Give botox till monday, revisit injector if not better

It can take up to 10 days or so, but if you have a question about your result, then you should revisit the doctor to see if result could be improved.

Bruce K. Barach, MD
Schenectady Plastic Surgeon

Still moving 8 days after Botox

If you are still able to frown and see an increase of the "11's" above your baseline, it may be that you need to have your dose tweaked. Sometimes although you may block some of the muscles from contracting, the other muscles that form the frown (there are 4 groups in all) will overcompensate. Typical dosing for a woman to treat the frown is from 20-40 units. If you are paying by the area, it may be that you were undertreated (with the philosophy that you can... more