Over 10 years in medical aesthetic practice and a training provider for Botox and Filler injections to doctors, NP and PA in New York will speak for the physicians expertise. At our clinic, we educate our patients before, during and after tear trough fillers, nasolabial fold treatment, etc. including showing the product labels for freshness if needed.
I always tell my patients that asymmetry is EXPECTED during the first few days as some muscle group reacts a little earlier than others, OR some muscle groups have a little delayed reactions over others. Do not panic as complete results will be see in 7-10 days. In my practice, patients must follow up after 2 weeks and I offer touch ups if needed. - Doc Alice of Monarch Medical Aesthetics, Bronx, NY
Stress, physical and otherwise, contributes greatly in the duration of the effects of Botox. Typically lasting up to 4 months, Botox is best maintained with minimal facial expressions and avoidance of direct sun exposure.