No Difference After 2 Botox Injections in Frown Lines? (photo)

Your results do not look typical as you still have excessive movement of your corrugators (the muscles creating your 11s).  Possible issues: poor injection technique/placement, insufficient dosage, and less likely - defective product or patient resistance to Botox.  The most likely is related to technique or insufficient dose.  

Thank you for your question. The frown lines between the brows can be address two different ways:1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest. The effects typically last 3-4 months depending on the dose. I generally use between 15-40 units of Botox (30-120 units of Dysport) in the frown area depending on the strength of the muscle and the degree of frown reduction we are trying to achieve. 2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression. This can last for a year or more when used in conjuction with Botox.For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together. I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.

Hi Momof4.  You have too much movement to have had a good Botox injection.  It would be interesting to know how many units were injected as we do not know without that information whether this is a problem with the amount of product or a problem with your injector.  

If you had approximately 20 units of Botox, which is quite standard for what we see in the picture, you should have little or no muscle movement in the frown lines between the eyes.  Given that you do have a lot of movement, you could return to the same injector and ask for the job to be done correctly or try someone new.

Possible problems:

1.  Too little product

2.  Expired or bad product

3.  Bad injection technique

Botox is very effective for treating the lines between your eyebrows when you frown. It is necessary to have the right dose and the right points of injection. The recommended dose to treat the glabellar frown lines (or 11's) which you are showing is 20 units. The dose may vary between  individuals, but if a certain dose is not met, there will not be an effect. Also, if your lines remain at rest before treatment they may require additional treatments such as fillers, laser, or repeat botox injections to completely treat them.

From the photos you provided, your frown lines do not appear to be an issue. But it is difficult to give you precise advice without seeing your before photos. Did you also have Botox injected to improve the appearance of your glabella, or what may also be referred to as the "11's" which are between the brow? Your result can be further enhanced by having this area treated. In general, Botox works great for the frown lines, smoker's lines above the upper lip, glabella, bunny lines, and crow's feet. I hope this helps answer your question, and I wish you the best of luck.