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

Question

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?

Paul S. Nassif, MD · Answer

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.

Jerome Edelstein, MD · Answer

Sorry to hear that you're not happy with your results. I suggest you see your injector for a follow up at two weeks after your treatment.

Vincent N. Zubowicz, MD · Answer

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.

Sam Naficy, MD, FACS · Answer

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.

Donald B. Yoo, MD, FACS · Answer

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.

Harold J. Kaplan, MD · Answer

Hi Charla.  In the forehead area, if you can still make a frown face where the veritical "11" lines show up between the eyes, then the procedure may not have been done correctly.  Alternatively, some patients with VERY deep frown lines will need Botox and filler.  Was this your first time or have you had it work before?

	If you were injected above the brows then you should not be able to move the forehead muscles up and down as if you are surprised.  If you can still move these, there may be a problem with the way the injection was done or the amount of product used.  Good luck.

A. David Rahimi, MD · Answer

Dear patient, it is all about placement and units. Try to find out how many units were used. Was there bruising or a lot of swelling after the procedure? talk to your doctor and I am sure he/she will try to accommodate you with either more units or a different agent such as Dysport.

Michael I. Echavez, MD · Answer

Have you had Botox before with good results? If you have, the most likely reason for having no result after 10 days would be too low of a dose being used. It's also possible that the placement of the Botox could be a factor as well. Another possibility would be that you are one of the rare people that do not respond to Botox due to antibodies that your body has developed. If the dosage and placement are all alright, you could try Dsyport or Xeomin to see if you have a better result.

Martie Gidon, MD, FRCPC, FAAD · Answer

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.

Khurram Rashid, MD · Answer

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!

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

Answers (16)

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