Botox not working well after long hiatus from it. Could it be resistance?

Hello little.mermaid.xo! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. There are several reasons as to why the Botox is potentially not as effective. I recommend monitoring for any changes over the next few weeks. If after a few weeks you believe that the Botox is still not as effective and you are still maintaining muscle movement, I recommend trying a different neuromodulator. I hope this helps and best of luck!

You may require a higher dose of Botox to certain areas to attain the same effect as you had three years ago. If even a higher dose isn't working, you may want to try a different neuromodulator such as Dysport.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.