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What do I do when Botox is no longer taking care of my nasty 11? (Photos)

M
michelleeastonAug 28, 2019

I am a very soon to be 48 year old that has been receiving Botox for almost 10 years due to very strong Glabellar muscles. VERY strong. I feel I am at a point where it’s just too high of a dose, and my doctor agrees. However, I am not getting the results I am seeking. The Botox does wonders for horizontal forehead lines as well as crow’s feet. It just can’t tackle the 11 between my eyes any longer. Where do I go from here?

Answers (24)

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Dr. Nima Shemirani, MD
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Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
4.9 | 279 Reviews
Answered on Mar 29, 2023
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Dr. Kenneth Hughes, MD
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Dr. Kenneth Hughes, MD
Board Certified Plastic Surgeon
4.7 | 664 Reviews
Answered on Apr 22, 2020
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Dr. Kevin Ende, MD
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Dr. Kevin Ende, MD
Board Certified Facial Plastic Surgeon
4.7 | 25 Reviews
Answered on Oct 22, 2019
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Dr. Sanusi Umar, MD
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Dr. Sanusi Umar, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.3 | 50 Reviews
Answered on Oct 1, 2019
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Dr. Muhammad Mirza, MD (license suspended)
Dr. Muhammad Mirza, MD (license suspended)
Physician
Answered on Oct 1, 2019
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Dr. Sonia Lamel, MD, FAAD
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Dr. Sonia Lamel, MD, FAAD
Board Certified Dermatologist
5.0 | 38 Reviews
Answered on Sep 23, 2019
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Dr. Steven H. Williams, MD
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Dr. Steven H. Williams, MD
Board Certified Plastic Surgeon
4.6 | 79 Reviews
Answered on Sep 3, 2019
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Dr. Thomas Trevisani, MD
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Dr. Thomas Trevisani, MD
Board Certified Plastic Surgeon
4.9 | 160 Reviews
Answered on Aug 30, 2019
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Dr. Nelson Castillo, MD
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Dr. Nelson Castillo, MD
Board Certified Plastic Surgeon
5.0 | 305 Reviews
Answered on Aug 30, 2019
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Dr. Thomas Fiala, MD, FACS, FRCSC
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Dr. Thomas Fiala, MD, FACS, FRCSC
Board Certified Plastic Surgeon
4.9 | 145 Reviews
Answered on Aug 30, 2019
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Kenneth Hughes, MD

Hello, thank you for your question. It appear that you may benefit from Botox injected in your masseter. A physical examination is needed, I recommend you to schedule a consultation to discuss about your treatment. 

+17 answers
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Jason Emer, MD

This is typically from sleeping over time develops with aging.  botox doesn't make better because this is at rest not with movement. you will see these more when the botox wears off , so filler, lasers and microneedling RF are needed to help improve these.  Best, Dr. Emer.

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Nima Shemirani, MD

Hi @tinacali! You may see more results from other neurmodulators like Xeomin, Dysport, or Daxify. Another suggestion would be additional units since your muscles in that area may be stronger. I would recommend an in person consultation to discuss a treatment plan for you.

+17 answers
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Jeffrey R. Raval, MD, FACS, MBA

Hello, thank you for your question. Actually, sagging after a masseter muscle injection is actually very rare and the injection is completely safe. However, I would schedule your appointment with a reputable and certified injector before you get the treatment. Good luck!

+13 answers
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Jason Emer, MD

Thank you for your question,By injecting a small amount of Botox, Dysport, Xeomin, or Jeuveau into this area, the muscles will relax, causing the hard, deeps lines to smooth and improving the lines and wrinkles. Neuromodulators take 2 to 4 weeks to start working and lasts for up to six months. I...

+13 answers
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Nima Shemirani, MD

Hi @Kristifrank! Botox injected into the masseter muscle should not cause sagging. Botox injected into the masseter muscle should provide relief from painful clenching and grinding. Best of luck, Dr. Nima!

+16 answers
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