A "touch up" only 2 weeks later?

Question

I just got 20 units Botox for the "11" area yesterday, my first time ever. The doctor said I needed an appointment for 2 weeks later to "retouch" the area. I'm not finding this practice being mentioned anywhere else. Is this a common to have to pay for a retouch so soon?

Douglas Wu, MD · Answer

I appreciate your concern. Two weeks is the average time it takes to see the full results of Botox injections. Some providers will schedule a follow-up at that time where they can add more Botox if needed, especially if treating you for the first time. However, it is also customary not to charge for the touch-up. If you choose to have additional areas treated at that time, there would be a charge. I would clarify the policy with your provider to put your worries to rest.

Monica Boen, MD · Answer

Thanks for your question. It is not unusual for doctors to follow up with patients two weeks after their first Botox treatment to see if the dosing amount was correct. This is the point where the full effects of a Botox treatment is usually seen. If a touch-up is needed, it is typically complimentary.

Elliot M. Heller, MD · Answer

Thank You for your question.  In my experience, I personally don't schedule a "touch up" unless it's requested by the patient.  Not to mention, it takes a good week to settle so as a doctor, I'm not sure if a touch up would even be needed.  Furthermore, if a patient is unsatisfied that early on, I don't charge for the touch up, all tho every doctor is different.Good Luck,Dr. Elliot Heller

Carmen A. Traywick, MD, FAAD · Answer

Botox locks the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-14 days with results that can last anywhere from 3-4 months. Most providers have their patients return at 2 weeks for a follow to see if any adjustments are needed. Keep in mind this is your first time have Botox and it is also the first time your provider has seen and injected you. It varies from practice to practice if touch-up are complimentary. Hope this helps.

Dennis Gross, MD · Answer

Thanks for your question! Botox takes about 3-5 days to start seeing results, with full results seen within a week or two. Coming in for a touch-up allows the doctor to see the full results of the Botox. The doctor may add more to the already treated areas, which is usually at no cost. If additional areas are treated, that could be an additional cost. I hope this helps!

WISH MedSpa - Nashville · Answer

Thank you so much for your question regarding botox.     It is 
also important to keep in mind that it takes a full two weeks for botox 
to take effect.  Personally I do not require my patients pay for additional units received at their two week follow up appointment.  However, if a patient decides to have an additional area treated at that appointment, then we would have the patient pay for that additional area. 
I recommend clarifying with your provider or having an in person consultation with another board certified provider.

Best of luck!

Vibha Gambhir, MD · Answer

Hello and thank you for your question.  When getting a botox treatment for the first time, it is not unusual to have the patient follow up in 2 weeks.   It takes 7-14 days to see the full botox results.  Patients that are new to the treatment often require adjustments to the dosing and placement to reach their desired results.  Your injector most likely wanted to make sure your are happy with your treatment.  Hope this helps, good luck on your journey!

Camille Cash, MD · Answer

At two weeks post injection your final results can be seen.  The physician may be referring to a "follow up" appointment to evaluate your results.  If a touch up is needed it can be done at that time as well.  You may not need any further treatment at that time.

Sagar Patel, MD · Answer

This is not abnormal though if you are happy with the way it looks you can simply call and let them know. Sometimes people do follow ups to get your before and afters. The fact is that even the best most experienced Botox injector is guessing how much you need because everyone is so different.

Mohammed F. Ahmad, MD · Answer

Hello. Thank you for your question. For every new patient, we ask them to come back in 2 weeks for a follow up. 20u in the standard starting dose for that area, but that does not mean it is enough for everyone. At the 2 week appointment you can see how your results look. You may be happy with the results, but you may need to add more.

A "touch up" only 2 weeks later?

Answers (20)

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