Why Didn't Botox Work for my 11's?

asked 11 months ago by veggieeater in Hamburg, NY
Latest answer by Ronald Shelton, MD
Question viewed 576 times
Tags: eyebrows, forehead, female, 11s, costs, filler, frown

My last Botox Session (3rd session in six weeks) did actually help my forehead and brows, although I can still lift my brows slightly, but I can still frown and make my 11's furrow. I do understand that I may need a filler for the 11's, but the problem is that I can still frown and make them deeper.

I do trust my dr. She's rated in the top three in my area. I'd love some feedback, however, this is getting frustrating time-and-money wise, although she did the 3rd time for free. TIA!

9 answers to Why Didn't Botox Work for my 11's?

Why was Botox not working?

All good feedback from the panel members. We would not suggest that you have developed a resistance inasmuch as you have seen a response to the treatments. However, it's concerning that it has taken three treatments in an effort to find the correct dosing and desired outcome. The fact that these three treatments were done in a short time frame (6 weeks) is one factor in why patients do develop a resistance in some situations (ex: frequent dosing in less than 3 months)... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox not working in glabella

This is very frustrating for you as well as the doctor. I have seen patients in whom the botox wore off in six weeks but I have not seen a patient that was resistant to obtaining significant muscle relaxation with enough botox units. 25 - 35 units may be needed in the glabella and 35+ for some with unusually large muscles in this cosmetic unit. see video

Ronald Shelton, MD
Manhattan Dermatologist

Botox working in "11" stress lines

Every patient is different in how Botox will work for them. If you feel you did not see the results you were wanting, contact your surgeon and let them know your concerns. In most cases it can be resolved simply by communicating your concerns.

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon

Most neurotoxins decrease muscle function to help with number 11s

Most neurotoxins, except for the rare person who is resistant to it, will decrease muscle function and that will help the number 11s because they are a result of muscle action. However, if the muscle is no longer moving to any great extent, filler in combination with the neurotoxin is really the way to go. Very often it seems as though the neurotoxin doesn’t work, but it’s because not enough product was injected. Sometimes one can switch to Dysport or Xeomin,... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Botox Dosage May Need to Be Adjusted for Best Results

Dear veggieeater- Your Botox may not be working because you may simply need more units. It would be unusual to have Botox work in other parts of your face but not in the muscles between your eyebrows (the corrugator and procerus muscles). There is a possibility that the Botox units were not injected in the right areas, but given your successful results elsewhere in your face and your trust in your doctor, I think that's unlikely. There... more

Roy Kim, MD
San Francisco Plastic Surgeon

You may become immune to Botox. I would recommend trying Dysport

It is possible that you are immune to Botox. Go to a specialist who is experienced in the use of Dysport. I am personally immune to Botox after 15 years of use, however Dysport works great for me. Be sure to get treated by an expert who is familiar with the use of Dysport. see video

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Botox not working for 11's

Botox works by interrupting the signal from the nerve to the muscle causing the muscle to contract. Things that can interfere with this include: 1. dosage/amount of Botox may be insufficient. That being said, you do not want to immobilize the face completely. Some limited motion makes it look much more natural than a frozen look. 2. Botox may wear off earlier in people who engage in intense exercise. 3. Some people may make antibodies to Botox (usually not in... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox and elevens

I have seen only one patient who did not respond to Botox after multiple injectons by different doctors. Yopu may be recruiting muscle contraction from the lateral portion of your corrugator muscle. Try another cosmetic surgeon.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Unusual for Botox not to work

It is not very common to find that Botox doesnt work. It is theoretically possible but not very common. I would discuss other options with your physician. Occasionally, it works in the area treated and you recruit non treated muscles and they still produce facial movement so you perceive it as not working. Again discuss with a trusted surgeon.