Botox on Crows Feet Didnt Work. Done Again but Didnt Work Again. Should I Allow the Dr. to Inject More?

Botox works beautifully in this area.  This may be an issue with the injector or with the amount of Botox that was injected.  Always see an expert injector, either a board-certified dermatologist or plastic surgeon for all your cosmetic treatments.  Find out how many units were injected at each visit and, if your injector doesn't meet the criteria listed above, consider seeing someone else.

 Thank you for your question. Approximately 1 to 3% of patients that are injected with Botox have antibodies to the product. Some patients give a history of having food poisoning in the past which was severe. If you are a patient that has antibodies against Botox then any area of the face that is injected will not work. Since  you have been injected twice with no response you are likely to be in the 1 to 3% of patients who have antibodies. You may want to try a different physician . Only inject one area on the face to see if you respond. If the treatment again does not work , I would consider you a patient who has antibodies against Botox. After the third try with no response, I would not waste anymore time or money on Botox injections. You may want to consider the use of Dysport. However there are no guarantees that Dysport will work. I hope this was helpful. Good luck

                                                                                             John F. Farella M.D.