Repeat Botox Dose After 10 Days Without Effect?

Sometimes it takes two to four weeks to have Botox peak in its effect. Don’t rush in to retreatment too soon. When your doctor does want to do more, there are times that a little more is needed to add to the prior treatment, and other times where the whole treatment is redone at a greater dose than previously. Occasionally, it is only a small area within a larger one treated, that needs an extra amount of Botox.

Botox works good almost everytime but once in a while it may work better than usual and once in awhile it may not work as well as usual. It is up to your muscles to absorb the medication so to help the absorption process you should move the muscles by smiling and frowning etc. for the first half hour. Botox takes effect within 7 days in most cases and rarely 10 days but if you see no effect at all then get a repeat botox session at a greater amount put in this time and expect to pay for it. Sometimes doctors give a discount on touch up botox treatments. We do. We charge $350 for 1 area, $600 for 2 and $800 for all 3 areas (crows feet, glabellar frown lines, forehead creases). We charge only $150 total for a touch up if done within 2 weeks of the original injections.
If the effect from the first session is partially working then you only have to inject the areas that are not working as well so a reduced amt may be appropriate. If after 2 sessions of injections and nothing is working then I would try Dysport. Dysport works in 1-2 days and may last longer than regular botox. They are the same price in most cases.
Sometimes the reason your botox doesn't seem to be working well is that you go to your doc and tell him how many units you want or how much you are willing to pay by bargain shopping. This is a NO-NO. You only get what you pay for, not the result you want so let your doc help you choose how much is needed. Men almost always need more than women since they have larger areas to cover etc.

If it has not worked then I would repeat the same dosage but give it 14 days not 10. You could have a delayed response, although it is unusual.
Also, it is important to see what area was treated. I have sometimes seen that crows feet do not respond well if you have very thin skin. Glabella (between eyebrows) and forehead should always respond well.
Regards

If you have no visible improvement, you may have had a bad vial of BOTOX. Since my fellowship, I've seen 2 vials that had no potency. It's not harmful, but you just don't get the desired result. We can usually figure out which was the bad vial since usually 2 or more people have been injected.
Allergan will usually send your physician a replacement vial at no charge.
Definitely make a follow up visit with your physician to evaluate your result.
I hope this helps, and best regards.

Results from Botox treatment for dynamic lines depends on all of the three above criteria. Botox can be used very effectively in lower doses in many patients if the treating physician has years of experience and isn't just following a set "grid" that is often taught in one to two day crash courses. Also, Botox is made in "batches" so sometimes one bottle is weaker than the rest. Botox is placed into specific muscles based on teaching, anatomy and experience, but isn't always in the "belly" of the muscle, so re-treatment may be necessary.
Rarely, a few patients may have Botox "resistance." So, all of these conditions should be taken into account for each and every Botox treatment, especially repeat treatment.