Botox at 12 days not working fully. What should I do? (Photo)

I just had Botox for the 4th time. I've had 30 unit sessions with a specific injector in the past and there was about an 80% improvement. I made an appointment with the same injector but when I arrived I was surprised it was another lady I've never seen before. I received 35 units- 23 in the glabella, 12 in the forehead. Twelve days later I still have full contraction the muscles in my forehead. I know when I call they will want me to come in and pay more money for more Botox. What should I do?

Doctor Answers 17

Botox injections

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Hopefully the "lady" was a dermatologist or plastic surgeon.  Physicians will care about your results so you should return and have her assess your movement and add more Botox where necessary.

Toronto Dermatologist

Botox at 12 days not working fully. What should I do?

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Yes, you will likely need additional Botox. If your injector has left the practice and the new injector creates these results it might be worth a second opinion with a physician who performs their own injections. With those doses of Botox you should be seeing more complete correction. I hope this information is helpful for you.

Stephen Weber MD, FACS
Denver Facial Plastic Surgeon

More botox

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Sounds like you need more botox. Every office is different in terms of touch-ups. Best to check with your doctor's office.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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As stated in other answers, either go back to your regular 'injector', or seek the advice of a qualified MD that has experience in Botox, Xeomin, Dysport. The dosing you have had should be adequate, but the placement probably was not correct with this last treatment.


Kirk Moore, MD
Salt Lake City Plastic Surgeon
4.2 out of 5 stars 46 reviews

Not happy with Botox

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It is definitely preferable to see experienced physician injectors when you have Botox injections.

Furthermore, I am not surprised that you noticed a different in efficacy when switching from one injector to another. There are a lot of subtle nuances and variations with administering injections and no 2 injectors do things exactly the same.

Finally, there is still room for adding more units to your treatment plan.

The bottom line is to find an experienced physician injector and try to see the same person at each visit.

Kenneth E. Morgenstern, MD
Philadelphia Oculoplastic Surgeon
5.0 out of 5 stars 3 reviews

Botox result

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When you say Botox "Injector" and "some other lady", you are getting your prescriptive Botox injections at a salon or spa and not by a doctor. This is why prescriptive medical treatments such as cosmetic injectables should only be done by experienced and qualified dermatologist, occuloplastic, facial or general plastic surgeons since its not a haircut that any substitute "lady" can do. Also, when you arrived at the office and it was not the person you are used to, why stay and under go the treatment. Good news is that it can be easily fixed by an experienced physician.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

Botox at 12 days not working fully. What should I do? (

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Guess you should have requested the previous injector ? if it was a doctor???? Now ONLY use experienced injecting DOCTORS!

Botox at 12 days not working fully. What should I do?

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Thank you for your question, and I am sorry that you did not get the result with Botox that you were anticipating.  Botox results are very dependent on the technique of administration and experience of the injector.  There are many reasons that may have caused your current results, including not having used enough Botox, improper placement, resistance to Botox, etc.  I would recommend returning to see your normal injector to discuss your results.  Since they have seen you in the past, and have a record of the number of units that normally yielded favorable results, they can better diagnose the issue and offer a touch-up to successfully get you your desired results.  

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Botox results at 12 days

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Based on the photos you posted, it does look like you need additional Botox to obtain the best result on your forehead.  12 units for the forehead is a fairly small dose, so I am not surprised that you still have some movement.  The 23 units you received in the glabella is a more common dose for that area, but it might be possible to add a bit more to get a better result.   

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Botox at 12 days not working fully. What should I do?

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Thank you for your question. Some times it can take a full 14 days to see the effects of Botox. Although, from your photos it appears as though your movement almost fully remains. Speak to the injector - 12 units in the frontalis should have more of an effect. Perhaps there was a problem with their Botox?

All the best,

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 518 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.