Frown Lines Still Visible After Botox

Question

I received 40 units of Botox in my frown lines in mid-February, but I can still frown a bit. Do you think that the Botox was not reconstituted properly?

Jerome Edelstein, MD · Answer

Frown lines can still be slightly visible after Botox. This is done to prevent that "frozen" look that can look unnatural. If you want a more aggressive treatment, please talk to your injector.

David Shafer, MD, FACS · Answer

Botox requirements are different for different people.  40 units is usually a good amount for the glabella to prevent frown lines.  It is important to remember that Botox works by paralyzing the underlying muscles to help prevent wrinkles of the overlying skin.  Botox does not work on static wrinkles - that is, wrinkles that are present at rest.  For these wrinkles, you may need dermal fillers to help "push out" the wrinkles.  Over time, with continued use of Botox, the dermal atrophy causing static wrinkles will resolve to some extent and you will start to see some resolution of the static wrinkles as well.  Good luck.

Michael A. Persky, MD · Answer

Hi grays,
As they say, not enough information. 
There are many variables including dilution, time since dilution, placement, and strength of your frowning muscles.  It is best to discuss with your injecting physician. 
Next treatment, check out how you are doing at about 2 weeks after your injections, then if you are dissatisfied you can return to your injector for a touch up.  Our office does the touch up for cost or about 5 to 6 dollars per unit.
Good luck and be well.
Dr. P

Ken Landow, MD · Answer

all movement...there are plenty of muscles that control facial movement...only a few are injected with botox...but you should look much more relaxed after a week or so and remain so until the botox begins to wear off in several months...it's always good to have some movement...you really don't want to look frozen...that look is passe...you want some expression to look more natural...the reconstitution isn't an issue...it's how many units and where they were placed...assuming the dose was 40 units divided between your glabella (between the eyes) and forehead....that's a perfect dose for the average female and smaller male...

Martie Gidon, MD, FRCPC, FAAD · Answer

You may not be able to totally stop all frowning with Botox, just minimize the movement.  You may require filler to plump up the area and then maintain the effect with Botox every 4 months or so.

Frown Lines Still Visible After Botox

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Frown Lines Still Visible After Botox

Answers (7)

Answer: Botox works great for frown lines...but it often doesn't completely eliminate

Answer: Botox works great for frown lines...but it often doesn't completely eliminate

Answer: Botox and frowning

Answer: Botox and frowning

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.