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Need More Botox In Forehead After 6 Weeks, Shouldn't It Last Longer?

asked 10 months ago by SarahMcK in Dracut, MA
Latest answer by Ronald Shelton, MD
Question viewed 626 times
Tags: forehead, 6 weeks post-op, longevity

I am noticing some movement back in my forehead after my first round of Botox 6 weeks ago. I was expecting a time range of more like 6 months! Should I make another appointment for more now or wait until I have full movement? Is this 6 week time frame shorter than normal? Not sure the money is worth it if I have to have 20 units every 6 weeks...

19 answers to Need More Botox In Forehead After 6 Weeks, Shouldn't It Last Longer?

How long does Botox last in the forehead

Much information has been provided by panel members. Quite simply, you should be receiving a longer duration of effects with 20 units of Botox to your forehead. There may be a several factors involved that are contributing to this problem: improper dilution, dosing, placement or possibly a developing resistance. Ideally, you should be holding onto duration/benefits longer as you become more consistent with treatments. It is not recommended to get frequent dosing in... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Forehead treatment with Botox may only be able to give partial improvement

There are many individuals that can not have all of the forehead treatment without concern of the forehead dropping and affecting the eyebrow and even eyelid position if this phenomenon of forehead sagging had already occurred. These individuals need some function of the forehead to be left intact after Botox to avoid this drop as the forehead helps lift those areas. Keeping this in mind, the physician tries not to inject those danger areas but then partial treatment may induce... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox

It maybe that you are requiring more product than what you were once receiving. Or that getting a little mini touch up between your usualy dose treatments may be a good option. The first time a patient receives Botox they will generally notice the biggest difference. As we get used to our " new look" sometimes we can become over critical of a little movement. Try to space your treatment out between 3-5 months. Getting a few more units after 10 days have passed is not uncommon. more

Joseph Serota, MD
Denver Plastic Surgeon

Botox Fort Lauderdale

Dosage, dilution, & hyper-dynamic muscles are the three key reasons for failure of Botox. You must ask the provider what dilution is being used & how many units you are receiving.

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon

Proper Dosage of Botox in Forehead Important for Lasting Results

The FDA approved Botox for a duration of three months. Granted this is just an average as results will vary for each patient. Some people will see the effects last longer than 3 months and others will experience shorter than 3 months. It may be an issue that you did you receive enough units of Botox in the desired area, which in this case is your forehead. At Contour Dermatology we typically require 20 to 50 units for the forehead. I also have all of my patients... more

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon

Botox Length of Effect

Thank you for your question. For the majority of patients Botox generally lasts three to four months, however anywhere from two to six months is not uncommon. Botox wearing off at six weeks is a little earlier than expected and there may be several reasons for this. Receiving too little Botox or not having the Botox injected directly into the muscle belly may result in shorter lengths of effect. However, some patients will still experience shortened results despite appropriate... more

Steven H. Williams, MD
San Francisco Plastic Surgeon

How long does Botox last...

Botox usually lasts about 3-4 months. Even though the administration of the Botox should be the same from office to office, there is definitely some variation in how physicians reconstitute it and how long they keep it on the shelf. If you are experiencing movement after 6 weeks then you should speak with your physician about your concerns. Sometimes a touch-up can be performed. If it continues to be a problem, then try a different office. Only... more

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

How long should Botox last in the forehead?

There are several factors that determine how long Botox (or Dysport) will last, including the dose, the size of the muscle, and the intensity of effect that is desired. For most facial regions including the forehead, 3-4 months would be typical and 6 months unusual. The first time, the dose is an educated guess so the fact that your effect wore off sooner than desired will be used to help determine the dose the next time. It is also important to consider what sort of effect is desired -... more

Richard Baxter, MD
Seattle Plastic Surgeon

Duration of Botox Results

Botox typically last for 3-4 months in most patients for forehead and eye wrinkle treatment. Results appear after several days. The facial muscles are temporarily immobile for several weeks then gradually regain movement. The wrinkles after Botox Cosmetic do not suddenly return, but rather you will see some facial movement before the 3-4 month time frame. Every patient responds differently and may have shorter or longer duration of results. Lastly, some patients may require more... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Botox in forehead

Uusally Botox effects lasts about 3-4 months. I have yet to see it work 6 months. 20 Units would not cover the entire forehad for most people. So I imagine that areas that weren't treated are active.

Steven Wallach, MD
Manhattan Plastic Surgeon

"Forehead" treatment with Botox can mean different things.

There are different areas of the forehead that can be properly treated with Botox or Dysport, to soften muscle action and soften the resulting wrinkles. To fully treat all areas of the forehead, 20 units is not a large dose, so to find 20 units wearing off after six weeks is not a surprise. Some patients do want complete lack of facial motion, but this is not my recommendation. The goal with Botox or Dysport is to weaken muscle movement enough to prevent deep creasing of the overlying... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Botox for forehead wrinkles

Every patient is different. In most patients Botox lasts from 3-6 months. Your forehead may be a bit broader than others or your muscles may be especially stronger so you may need more than 20 units to achieve optimal results. You may want to wait until you have full movement back before your next visit and try a few more units. It may cost more initially, but if your visits are less frequent, that would be great!

Sheri G. Feldman, MD
Beverly Hills Dermatologist

How long should botox last

I would check back with your physician who performed the procedure. Botox usually lasts 3-4 months the first few times it is injected. But check with your doctor on the amount given and the doctors evaluation.

Rick Rosen, MD
Norwalk Plastic Surgeon

Most patients may start to see forehead mobility 6 weeks after a Botox treatment.

In my experience, your forehead will remain nearly motion free for 6 weeks following your injection. You will then experience a gradual return of forehead motion from 6 weeks to around 16 weeks, depending on you. You are probably only noticing slight mobility of your brow while maintaining a nice cosmetic result. I hope this is helpful for you. Regards from NJ.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Yes, express your concern with your doctor and he/she will use a different technique

If you express your concern with your doctor, he/she will use a different technique and possibly more product to ensure the results last longer. The forehead is a large area to treat and it is always better to under treat than to over treat and have a frozen look.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Check back with the doctor who did your Botox treatment.

There is great variability in a patient's response to Botox especially on the forehead. You may need a touch up. Sometimes switching to Dysport in a Botox resistant patient helps a great deal and may give a better and longer-lasting result. Personally, I am one such patient.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Need more botox

An entire forehead including frown lines and crows feet often requires 40-50 units, especially if the patient has strong muscles. You may need more to get the longevity you are seeking or consider more localized areas of treatment.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

If your goal is paralysis then plan on spending a lot on BOTOX.

The effects of a well planned BOTOX treatment can easily last 4 to 6 months. However, as one tries to treat a larger muscle mass with a smaller dose of BOTOX, then of course the effects will diminish faster. 20 units of BOTOX for an entire forehead is not a big dose. Now we can also talk about the desirability of paralyzing the forehead. While this is a common treatment outcome, it is far from an ideal aesthetic result. The forehead is the main lifting muscle of... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Forehead

The length of results from Botox varies from patient to patient. Two- six months is more realistic. Perhaps you need just a bit more or change the injection sites. Underdose is better than overdose.