Had Botox 10 Days Ago. Still No Paralysis. Did Something Go Wrong? Does It Just Take Longer?

I had botox 10 days ago. I can still use my forehead muscles same as before. It's as if I had nothing done. The Dr. told me it would take 5 to 7 days to take full effect but it's been 10 and with no effect. What is wrong? Is it the Dr.'s fault? Should I be complaining to him?

Doctor Answers 16

10 days after Botox treatment and no result

It can take one week for the effects of Botox to be noticeable, but after 10 days your result should be evident. You may need an increased dosage for that area, and I would recommend returning to your physician for an assessment. I hope this helps, and I wish you the best of luck. 

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Botox for the forehead

Botox is a great treatment for forehead wrinkles. I would follow up with your injector so they can access you. Your injector should always take before photos before injecting so you have something to compare your results with.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 34 reviews

Botox and forehead wrinkles

Based on the photo you've provided, your hair covers up your forehead where you state you've had treatment. I would follow up with your provider for better assessment and to determine if you just need more product.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 218 reviews

Botox for your forehead

It is better to treat foreheads conservatively with Botox, especially if it is your first treatment, rather than to over treat.  Please return to your doctor for assessment.  You probably require more Botox.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews


Sorry to hear that it did not work. Botox would have a noticeable effect at 10 days out so I would recommend returning to your doctor and letting them know about it. It may be that not enough units of botox were used and am sure your doctor would want to know about it as I would. Let them know and resolve the problem. Good luck!

Khurram Rashid, MD
Peoria Plastic Surgeon
5.0 out of 5 stars 5 reviews

No effects noted after treatment with Botox

Typically by 10 days some effect should be noticeable, so it's likely the dosage was insufficient to treat the desired area.  Most physicians will certainly want you to follow up and let them know if the treatment was not to your satisfaction, and I'm sure your doctor is no different.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 54 reviews

Time for botox to take effect

Ten days is enough time for botox to kick in, so waiting will not improve your results.

I would certainly visit your injector for a follow up visit. You may need a more units of botox if your muscles are strong or if your forehead creases are deep. I would not blame the injector before discussing the results.

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Problems with Botox injections not working as expected

After 10 to 14 days the full effect of Botox should be noticeable.  There are several reasons why you did not see a result.  It could be a technical problem or it could be that you were not injected with enough units of Botox to do the job.  It would be important for you to be re-evaluated and determine if you need a dose adjustment.;  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Btox, botox complication

Botox generally takes 3 to 5 days to get results. I have never seen a delay of 10 days. Yes I would see the doctor and get a redo. 

Barry Lycka, MD
Edmonton Dermatologic Surgeon
4.4 out of 5 stars 14 reviews

Had Botox 10 Days Ago. Still No Paralysis. Did Something Go Wrong? Does It Just Take Longer?

 No the Botox effects should peak at 5-7 days so you have the results by now.  It might take a higher dose of Botox to get the desired results.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.