I Had Botox About 11 Days Ago. I Can Still Furrow my Brow. Is This Normal?

Question

I paid 750 for botox between my eyes (11's) and for my crow's feet. I see some improvement but my brow still appears furrowed. I'm only 34. I don't know how many units my doctor used. Any thoughts?

Sanusi Umar, MD · Answer

Botox usually takes around a week before results are apparent. In some cases it can take up to two weeks.

	There are multiple possibilities that can account for why you are not seeing results.

	Botox does not work the same way on everyone.

	If you are not seeing the results that you want with Botox, then you may want to consider Dysport as an alternative.

	Dysport is a botulinum toxin like Botox. However it has fewer proteins surrounding the main molecule.

	For some individuals like the patient in the video below, it works better and faster than Botox.

	Likewise, Dysport may not work well for other individuals. And Botox can be used as an alternative.

	Dysport is a botulinum toxin like Botox. However it has fewer proteins surrounding the main molecule.

	For some individuals like the patient in the video below, it works better and faster than Botox.

	Likewise, Dysport may not work well for other individuals. And Botox can be used as an alternative.

Otto Joseph Placik, MD · Answer

I would definitely contact your surgeon and discuss your findings as well as return for a follow up visit and possible "top-off"

Farbod Esmailian, MD · Answer

If you can animate the frown lines then you may not have gotten enough or in the right place.  If you can not animate that area then you just need to be patient to allow the lines to soften.  This will happen over time and will likely require several rounds of botox until the lines are drastically improved.  It just depends on the depth of the lines that you have.

	Good luck.

Cameron Rokhsar, MD, FAAD · Answer

I recommend seeing your physician again to see how many individual injection points he used and how much product was injected. It could be that not enough Botox was used, and he or she could offer you a touch-up. Or, it could be that you have strong and active glabellar muscles that may require more product than expected. Either way, it's best to address with your doctor to see how to best address this.

Neil J. Zemmel, MD, FACS · Answer

You should have seen a major improvement 11 days after injection.  There are several reasons why you have gotten an unsatisfactory response.  They include too little botox injected and injection into the wrong areas.  I would revisit your prior injector for a reevaluation and possible touch up.  

	Best Wishes,

	 

	Neil Zemmel, MD

I Had Botox About 11 Days Ago. I Can Still Furrow my Brow. Is This Normal?

Answers (5)