When Should I Go for Botox Touch-up?

The effects of Botox on the SKIN may take longer than the effects on the muscle.
While the muscle is generally weakened in 3-5 days, it can take several weeks to even months to see an effect on the skin.
Let me explain with an analogy. If you wear a pair of pants all day long, you will form many wrinkles from walking and bending. At the end of the day, you will have many wrinkles but the next morning, after being on the hanger all night long, many of the wrinkles will have worked themselves out.
Think about how long you have been forming that wrinkle between your eyes, 20 or 30 years? Give it time to relax.
The real test is if you attempt to frown and you see little muscle movement, then the Botox has accomplished it's primary goal. Give it more time for the wrinkles to relax and work themselves out. If you still see significant muscle action with attempted frowning, then I would return at the two week mark for more Botox.
I hope that is not too simplified of an explanation.

Hi Heather,
10 Days should be long enough to see the result of your Botox injections. We schedule 2 week checkups every time we offer a new procedure for a patient. This way, we can address all concerns while the results are fresh.
Lots of good advice from the other practitioners in that the nasty frown line may actually require a bit of dermal fillers to correct. This is not all that uncommon in this area. Check with your practitioner to be sure. Good luck.

Botox takes between 3-7 days to work, but I like to give it up to 2 weeks to be sure. I routinely have my new patients come in at 2 weeks to evaluate if they need additional Botox in any given area. Once the proper number of units is determined for any given area, this amount tends to be quite stable over time. As a side note, your line in between your brow may not completely resolve with Botox. If your muscles are still moving, then more Botox is the answer. If your muscles in that area are not moving anymore and you still have a crease, you may need a little bit of filler placed in there. I would recommend talking to your doctor.

I understand your concern after having Botox injected around forehead and glabella area. Sit tight -- 10 days is too early to tell the exact effect that has taken.
. I have found that Botox works its best 21- 30 days after injection, and this is the best time to have your doctor re-evaluate your concerns (Of course you can always call your cosmetic surgeon sooner.)
Botox does not always give a brow and eyelid lift. You did not mention receiving botox in the cow's feet area. In order to achieve a brow lift this area is critical for treatmnet. Unfortunately due to budget concerns by patients, or due to a lack of understanding of how Botox works, patients occasionally choose to have a smaller dosage than is necessary to treat their cosmetic concerns.
To Michigan RealSelf readers, I offer Botox Cosmetic for only $10 /unit (minimum 30 units) through December 31, 2008.

I generally book back my Botox patients 2 weeks after their treatment to give them the complete chance for the Botox to fully kick in. At that point, you can consider adding more units of Botox if need be, and in some cases some filler too.

It takes about one to three days to see the effects of Botox injections. The treated area will continue to improve for up to two weeks and that's when I schedule my patients to return, to see if a touch-up is needed.

I usually like to see patients about 2 weeks after a Botox treatment to evaluate the areas that were treated. 

Following botox injection the onset of improvement is within 1-2 days; however, you can continue to improve up to 30 days. Also, if you have a nasty line between your brows you will need a filler such as a Resylane or Juvederm, as well as Botox.

It is likely that the "nasty" line between your eyebrows took many years of frowning to develop. With repeated injections of Botox, it will take several months to "iron out." For that deep furrow, I like to inject small volumes of hyaluronic acid filler in combination with Botox (preferably 10-14 days after your Botox injection) to fill it in.
In general, Botox has its peak effect approx 2 weeks after injection, so you ought to wait at least 2 weeks from the time of injection for any touch-ups.

Whether the physician has injected you with Botox before or you are a new patient, the dosage of Botox provided at your treatment is likely a conservative and close to accurate treatment. Never feel like a follow-up is inappropriate.
In our offices, those of us who inject patients with Botox Cosmetic encourage patient feedback and a follow-up 2 weeks post-treatment to alleviate any disappointment in the treatment.
Good charting and dictation in the office will help to perfect your future treatments and your willingness to communicate your concerns and follow-up is the only way they'll have this opportunity.
Going into an office for a follow-up prior to 2 weeks may not change things tremendously, but could cost you a few more dollars, keeping in mind that when you are charged by the unit, returning pre-maturely may result in a few more units than may have been necessary.
I have every confidence you will find Botox Cosmetic a very positive experience. Thank you for your question.