Kovanda Plastic Surgery - Account Suspended

Lauren_23,

I am sorry that you are experiencing bumps and lumps. Immediately after injection, some patients have post-procedural swelling. With these patients, I recommend taking an NSAID or anti-histamine for swelling. 

If it is past the 24-48 hour post-injection swelling, I think you should increase your dose of Botox. The bumps and lumps may be due to still have muscular movement of the glabellar region and you may need an increased dose of neurotoxin. Furthermore, it seems as though your treatments are not lasting as long as they should - evidence based practice indicates that by increases the dose of Botox, you will have improved longevity.

I hope this helps,

Whitney Halvorsen, RN BSN PHN, Injection Specialist 

Kovanda Plastic Surgery and Aesthetics 

Hi mkcole09! First, congratulations on your first neurotoxin treatment, you will love the results. Second, your injector is correct, it takes a FULL 2 weeks to see the COMPLETE effect of Dysport. Dysport typically "kicks in" quicker than other neurotoxins (i.e. Botox) - generally you will notice a decrease in muscular movement around day 3-5. However, you probably wont notice significant differences until a week has gone by, and your treatment will continue to work until 2 weeks have dissipated. At that time, follow up with your injector to compare before and after photos - some people don't even realize the full impact of Dysport until they review their before and after photos,

Be patient, I know it's hard, but you will see results!

Best,

Whitney Halvorsen, RN BSN PHN, Injection Specialist 

Kovanda Plastic Surgery and Aesthetics 

A few things come to mind with your inquiry, 

It appears that the Botox treatment may be active considering you are unable to frown. Botox aims at relaxing/paralyzing the muscle under the skin. If you are truly unable to frown or move the corrugator/procerus muscles that are targeted in the "frown lines", then Botox is active. You may have what is referred to as "static" lines, or lines/wrinkles that are present at rest. What may help with this is continuing Botox treatments every 3-4 months to atrophy these muscles and consider using an increased number of units, ultimately softening the deeper wrinkles over time. Additionally, I would urge you to seek a facial or chemical peel to treat the superficial skin. The two treatments tend to compliment one another. I hope provides you with some guidance. Good luck!

Hi Andyismn, I want to start by reiterating that Botox has a gradual onset, meaning that you will not see results from Botox for a few days. In fact, I tell most of my clients that they may not even notice Botox until a week to two weeks after treatment. At two weeks, you should have a solid idea of what the set Botox results look like. At this point, you can assess whether or not you are satisfied with the results of the Botox or you need more.

Also, the FDA actually recommends 20 units of Botox for glabellar lines or "the 11s" between the eyes. Some people need more and some people need less, but this is the general guide for dosage. The muscles that are treated are the bilateral corrugator and procerus muscles - and the strength of these muscles are different in everyone. For example, in men these muscles are typically larger and stronger and may require additional Botox.

If you are not satisfied and furthermore unhappy with your practitioner, consider transitioning to a new injectionist that you feel trusting and comfortable with. Good luck!