Had Botox 2 days ago... I see no difference? Why does it take so long to work?

Thank you for your question. You are early in your post procedure course. Usually the patient sees the start of the neuromodulators, (Botox Dysport, Xeomin), working at day 4.  The fillers usually see some result early, but some modulation continues.  In our office we have patients come back at 2 weeks for their check on their neuromodulator or filler.  At that point, most of the swelling is usually down, and we have an idea of the result.  This may be delayed if the patient has a bruise.  Often, asymmetry can be improved.  If you desire more volume, most practices would charge you, as they have to pay for the product, etc.  Please make sure your well trained, experienced injector knows your current status.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Botox starts to work in a couple of days, peaks at a week (or two at the most), and lasts 3-4 months. It is normal to see little difference as the Botox starts to work. Wait at least a week before being critical of your results.