Why do Botox and undereye injections disappear so quickly?

Had filler under eyes and Botox at least 3 times and never last more than a month. Could it be a medical problem? Why do fillers and Botox not last more than 1 month on me?

4 answers to “Why do Botox and undereye injections...”

A: Try a different Botox injector and/or a larger dose

Jonathan Hoenig, MD

Botox should last at least 2 months, usually 3 months. After you've been using Botox regularly (every 3 months) for a year or so, you may be able to stretch your treatments out to every 4-6 months as the muscles atrophy. If your results are lasting only 1 month, then the most likely reason is that not... more

A: Under eye Botox treatment is effective for wrinkles

Raffy Karamanoukian, MD

Botox is a selective inhibitor of Acetylcholine release at the neural synapse. The effectiveness of Botox at the neural synapse is dependent on the muscle activity due to neural firing at the neuromuscular junction. In general, Botox will last 3 to 4 months if sufficient is injected.

A: Botox seems to wear off quicker around the eye than anywhere else

Otto Joseph Placik, MD

There is no widely accepted explanation for this but I agree with you and it has been my patient's similar observation that the Botox wears off quicker and wrinkles return sooner around the eyes. My explanation is that the turnover is faster here due to the repetitive motion and the excellent blood supply. We... more

A: Botox usually lasts 3 to 6 months.

David Shafer, MD

Carol, Botox typically last 3 to 6 months and most fillers last anywhere from three months to nine months. Additionally, the metabolism of Botox and the fillers is different, so it would be very unusual if you had some "medical condition" causing increased metabolism of both substances. I am curious how and... more

Comments

hkaramanouk
248 posts
21 Mar 2009

I agree with the two doctors who have addressed your concerns about short acting Botox in your case. I would go to a different practitioner to see if this is operator dependent or inherent to your physiology of Botox metabolism.

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