Botox: Did not work (first time user). Why?

Question

I went to a reputable CANS Injector for my first Botox exper. (forehead/11's).I went back at 2 wks and were both shocked-no affect on the area. She said it's unusual at the 2 wk mark (but it does happen).She was hesitant to- but did inject 4 more shots on my up. forehead.10days later-still no results.She was shocked. She treated my 11's with 3 more shots. I go back in a wk to recheck, but it's been 5 days and I can still make a frown.Do you have any exper. with pts not having results from Botox?

Nelson Castillo, MD · Answer

Thank you for sharing your question and experience.  After this many treatments you should have seen some response from Botox, and although resistance is rare, I would try another of the neuromodulators like Dysport or Xeomin to see if they work.  Hope this helps.

Aldo Guerra, MD · Answer

Thanks for sharing your experience. I have not seen this type of outcome in my years of practice. I would suggest you use a different product next time. Good options include Dysport and Xeonim.Best wishes, Dr. ALDO

Shaun Patel, MD · Answer

At this point you should be seeing some results from the Botox you had injected. I would consider another neuromodulator like Dysport to see if that works.

Melvin Elson, MD · Answer

This amount of material should have given results and it makes no sense to switch to another neurotoxin as Botox, Dysport and Xeomin are all botulinum toxin A resistance is also very unlikely. You might try seeking out a board certified dermatologist for injections. see melvinelsonmd.net for further information

Esta Kronberg, MD · Answer

I have on very rare occasions seen this happen. You may need more units than the average patient, or may need to switch to Dysport. Be sure they are using fresh Botox. Find out how long they save the product. It  is the most effective if mixed that day. This being said, I have on rare occasions had to really work with the patient with multiple trials to find the best dose and product for the patient.

Botox: Did not work (first time user). Why?

Answers (10)

Answer: No result from Botox

Answer: No result from Botox

Answer: Resistant to Botox

Answer: Resistant to Botox

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Everything you need to know about Botox

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

Botox: Did not work (first time user). Why?

Answers (10)

Answer: No result from Botox

Answer: No result from Botox

Answer: Resistant to Botox

Answer: Resistant to Botox

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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.