I received 40units of Botox on my forehead and glabella (usually amount for me) a week ago. My doctor will not disclose dilution ratios. I have not have treatment in 2.5 years due to pregnancy and breastfeeding. I would normally see full effects after 3-4 days so the likelihood of this treatment working is not good in my opinion. What should I do and how to i approach this with my doctor. I feel like I was slided out of a good amount of money.
December 29, 2014
Answer: Botox bummer. Dear Botoxbeauty2014:Thanks for sharing your photos and this experience.According to the captions, your photos are in reverse order and I am presuming, 1 week apart according to your comments. I find that dilution is important from the perspective of the diffusion of the Botox undesirably relaxing adjacent muscles. I do not see diffusion effects in the after photo. Your before photo note an arrangement of active lines like: >> ! << Your after photos appears with these lines:>>>\!!/<<< .Without seeing you in person, I see only a little effect at all and this may be attributed to the following.1. You receive minimal Botox in the "glabella region of muscles" including the corregators, depressor, and procerus muscles. 2. It is too early to see your final results. It takes 10 to 14 days.3. The corregators pull the medial brow inward creating the double lines("11s") above the beginning of the brow. On occasion, it may create a single central line but rarely, all 3. The minor downward pull lines across the nose are relaxed. A small effect on the nasal portion of the corregators with no change in the forehead body of the corregator at the time of this photo, allows for the recruitment of the orbicularis muscle to deepen the middle line and "push the glabella complex" inward and upward and create a deeper "!", the "11s" and the chevron-like dimples above the brow. This is in contrast to desired result where the 3 lines are relaxed and the medial brow separates and lifts. (I hope you could follow this.)4. If you did indeed receive 40 in the upper lateral crows feet and forehead, I am unable to visualize the effect due to the cropped photos.All in all, it is time to return to your injector and re-evaluate your results after 14 days. You may need a touch up to rebalance your muscles of expression. Of course, you have the option to seek the advice of a well experience, Board Certified Plastic Surgeon, Facial ENT or Dermatologist.Good luck!
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December 29, 2014
Answer: Botox bummer. Dear Botoxbeauty2014:Thanks for sharing your photos and this experience.According to the captions, your photos are in reverse order and I am presuming, 1 week apart according to your comments. I find that dilution is important from the perspective of the diffusion of the Botox undesirably relaxing adjacent muscles. I do not see diffusion effects in the after photo. Your before photo note an arrangement of active lines like: >> ! << Your after photos appears with these lines:>>>\!!/<<< .Without seeing you in person, I see only a little effect at all and this may be attributed to the following.1. You receive minimal Botox in the "glabella region of muscles" including the corregators, depressor, and procerus muscles. 2. It is too early to see your final results. It takes 10 to 14 days.3. The corregators pull the medial brow inward creating the double lines("11s") above the beginning of the brow. On occasion, it may create a single central line but rarely, all 3. The minor downward pull lines across the nose are relaxed. A small effect on the nasal portion of the corregators with no change in the forehead body of the corregator at the time of this photo, allows for the recruitment of the orbicularis muscle to deepen the middle line and "push the glabella complex" inward and upward and create a deeper "!", the "11s" and the chevron-like dimples above the brow. This is in contrast to desired result where the 3 lines are relaxed and the medial brow separates and lifts. (I hope you could follow this.)4. If you did indeed receive 40 in the upper lateral crows feet and forehead, I am unable to visualize the effect due to the cropped photos.All in all, it is time to return to your injector and re-evaluate your results after 14 days. You may need a touch up to rebalance your muscles of expression. Of course, you have the option to seek the advice of a well experience, Board Certified Plastic Surgeon, Facial ENT or Dermatologist.Good luck!
Helpful
December 29, 2014
Answer: Botox with persistent glabellar lines It looks like you still have significant muscle contraction. I would wait a week and see if this improves. If not, you should ask for a touch-up/re treatment. I typically do not charge for a touch-up in such circumstances.
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December 29, 2014
Answer: Botox with persistent glabellar lines It looks like you still have significant muscle contraction. I would wait a week and see if this improves. If not, you should ask for a touch-up/re treatment. I typically do not charge for a touch-up in such circumstances.
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