Why Doesnt Botox Last More Than 2 Months on Me? I Have Had It on Four Occasions with a Rep Injecting Very High Doses Same Result

Hi Romi.  The first question we would have is how many units were injected and which areas?  The amount of product will affect the results.

The second issue is technique.  We have had other patients tell us that they were resistant to Botox and when we dug a little further (asking them about where they were injected for certain areas of the face) we found that the technique was not appropriate for their concerns.

Finally, there are some patients who for one reason or another either do not respond well to Botox.  they may have built up antibodies for it and just metabolize the product more quickly than others.  If you fall into this category, you may want to try another injection product such as Dysport or Xeomin.  Good luck.

Interestingly in the United States we don't have reps inject anything! Your shorter than desired longevity of the Botox duration may be your norm.  It can last up to four months but in some patients only three and a few I've seen only six weeks.  Your metabolism of the product is different than the next person.  possibly your doctor and the rep used high units but in reality they weren't high. Some women need more than 25 units for just the glabella (in between the eyebrows). Some men whose muscles are generally, but not always, more bulky and strong int he glabella than women, may even need 35 - 50 units or more. You may just need more but without knowing exactly how many units of Botox you received and wtihout knowing exactly the insertions and depth of injection, it is impossible for me to understand what your situation truly is.

Your doctor might consider a trial of Dysport or Xeomin if available in Australia.  These are similar to Botox but slightly different chemically. Possibly, for reasons we don't understand, unless you're developing antibodies to the Botox, you might get greater duration of effectiveness.

Botox is averaged by the FDA to last “up to” three months. Everyone’s body is different and the strength of your muscles will determine how long Botox will last. The stronger your muscle, the more you will need. In my practice, we always schedule follow-up appointments two weeks after the initial procedure to make sure the product has reached it maximum effect. Then when the patient needs more, we will tailor their injected amount based on how long the product lasted. Unfortunately for most people, it is very hard to determine how much Botox you will need until you have established a good maintenance regimen and this may take up to three visits before getting it right. It is important to understand the factors which influence the length of time the product will last. Again, these factors include: dosage amount and strength of muscles. For some patients, we may recommend maybe trying Dysport as it can last a bit longer in some patients.

One thing is clear, there are a whole lot of goofy BOTOX treatments out there and a whole lot of goofy BOTOX injectors out there.  WIthout before and after photos which I don't suppose you have, it is very difficult to precisely know what is going on.  Our memory plays tricks on us.  BOTOX is maximal at 3 weeks in its effect.  It may be that you associate complete paralysis with BOTOX effectiveness.  Any movement and you think the BOTOX has worn off.  This is far from the truth.  Actually complete paralysis is not a desirable treatment end point.  Instead we want to alter muscle balance.  It is this type of effect that lasts 4 to 6 month.  Google my microdroplet BOTOX method to learn an alternative method of injecting BOTOX.  Please stop having the rep inject you!

You may have very strong facial muscles and a metabolize the Botox product quickly. You may want to try another neuroparalytic, such as Dysport, or even GFX (No Tox). Best of luck!