SBA Dermatology & Plastic Surgery

Botox often takes up to 2 weeks to have full effect, though often patients will begin to see some changes at 1 week.  You may be not seeing enough of a change due to the dosage that you received.  This area is often treated with 20 or more units, so 15 units is a low dose. 

Also, you didn't indicate whether you were male or female in your post.  Men also often require an even higher dose, as they usually have increased muscle mass versus women.

I recommend waiting until the 2 week mark and if you are still unhappy with your result, go talk to your injector.

Botox in the area of the 11's (the glabella) should not cause an increase in wrinkles in another location.  The Botox, if applied correctly, should effect the muscles that are only responsible for the 11 lines.  There is always a little bit of overlap onto the muscles that cause forehead lines, but this would serve to decrease these wrinkles, not increase them!

Any violation of the skin is going to leave a scar and there is no way to completely avoid this.  There are definitely ways to improve the healing process and/or start over under ideal conditions.

After a wound heals, the scar continues to remodel and change for months.  There are many treatments to improve the character of scars during the healing/remodeling process - lotions, silicone sheeting, and sun avoidance to name a few.  

If the scars are mature and are still pigmented and unsightly, a laser treatment may be appropriate to lighten the color of the scar.  Another option would be a scar revision by a qualified surgeon with the specific goal of starting the process all over again and using the treatments I listed above while this is healing.  

Good question! Lines like these can have a number of causes, including sun damage. Based on your photo, I think you may get good results from laser resurfacing or even a strong chemical peel. Some filler or BOTOX treatments may also help, especially in tandem with resurfacing procedures. As always, be sure you're wearing plenty of sunscreen during the day to keep these lines from getting worse. See a board-certified dermatologist for a more thorough review of your options.

It really depends on your own personal anatomy. It's theoretically possible to achieve a more significant lift without surgery, but this approach may not be the best for every patient. It's important to have a consultation with a highly experienced injector, preferably a board-certified dermatologist or plastic surgeon. You may get better results by using BOTOX Cosmetic in conjunction with a dermal filler, which can contribute to a lifting effect.