Is there any recourse for Botox injections that do not work?

I had 28 units of Botox injected between my eyes 5 days ago and have seen NO improvement or change in my frown lines. I had the same injections a year or so ago with no improvement. I thought maybe it was the injector and/or the Botox. It was done at that time at a Botox Party". This time I went to a licensed clinic to have it done. Unfortunately, I've had the same results. NOTHING! I am so very disappointed I have wasted so much money. Is there anything I can do?

Doctor Answers 15

All Frowns After Botox Treatment

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A few thoughts come to mind while reading about your most recent experience:

1. It's possible that the product may have been over-diluted or nearing expiration, but the likelihood of this happening twice with two different injectors is questionable. 

2. You might not have had a treatment to achieve the full correction you were hoping for. Or perhaps the Botox may have worked to a certain degree but you are still seeing lines, in which case you will likely need dermal filler to soften the lines between your eyes.

3. Your injector/s might not have been the most skilled and/or confident in administering a Botox treatment.

Botox takes up to two weeks to take full effect. If you think you may be experiencing a true resistance to Botox, you may consider trying another neuromodulator such as Xeomin or Dysport. If you haven't already, I would schedule a follow up appointment with your injector 2 weeks post-injection, allow him/her to evaluate your treated areas for dynamic movement and suggest the most appropriate course of action moving forward.  To ensure you are receiving the best possible care in the future I recommend seeking treatment from a board certified plastic surgeon or dermatologist.

Richardson Plastic Surgeon
4.7 out of 5 stars 16 reviews

My botoxed face will not freeze! Help!

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Thanks for your question. Botox does not work right away. The doctor does not give you the injections and then ta-da, all your wrinkles vanish! It can take up to 2 weeks for some patients to see the result of Botox injections. That being said, if after 2 weeks you still see no improvement, I suggest you contact the clinic where you had the Botox injected. In future, I would recommend that you have your Botox done by a Board Certified Plastic Surgeon or Dermatologist. I am also not a fan of Botox parties. While they may seem fun, there are many elements that should give party attendees pause. Is the environment sterile? Who is the injector, do they know what they are doing? Are they really using Botox? Is there wine at the party, which brings into question if the patient is really giving their consent or buckling under peer pressure or making the decision while intoxicated. 

Francis X. Fleming, MD
Kennewick Plastic Surgeon
4.5 out of 5 stars 18 reviews


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Thank you for your question in regards to Botox. It take take up to 2 weeks to see total correction with Botox injections. At that time, if you are not satisfied with your results, follow up with your injector. Additional units of Botox may need to be injected to achieve your desired result. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

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Botox Results

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It takes up to 2 weeks to see the maximum results of Botox. If you are still unhappy after 2 weeks I suggest additional Botox to achieve the look you desire. I recommend consulting with your physician for the best treatment plan. 

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Other considerations

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I agree with all the previous answers.  Having said that, it is worth trying one of the other products if indeed you did not respond to Botox.  Xeomin and Dysport are the other neuromodulators available.  Furthermore, the concentration of the product may play a role as well.  We use all three products in our clinic and use different concentrations for different areas depending on the desired effect.  Some clinics favor one product over another but you have the right to request an alternative.  Finally, make sure you are getting before and after images in the process.  I hope this helps. 

Ricardo Pocurull, MD
College Station Internist

Guaranteed Botox Results

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Thank you for your question.  Without seeing your before and after pictures it is impossible to say.  Lines at rest generally need filler.  Botox freezes or relaxes the muscle so you don't move and can take up to two weeks before you see the full affect.  I would suggest going back to where you had your injections done and have a follow up appointment after two weeks.

Best of luck,

Dr. Hisham Seify

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Guaranteed Botox Results

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Botox can take a full 2 weeks to settle in and metabolize into the muscle. I recommend going back to the provider for a 2-week follow up to assure the correct dosage was injected. It's hard to assess without seeing "before" and "after" photos because each patient requires a different dosage for best results. At our surgical and aesthetic practice we guarantee our results with a 2-week follow up to ensure proper dosage.

Non response to Botox

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There are a number of issues here.  You should not have any procedure done at a "party" or at a spa where you do not have any idea of who is qualified. See a board certified dermatologist or plastic surgeon.see my latest book SkinScam.  it is possible that the Botox was mixed incorrectly, stored incorrectly or not injected properly but the peak of action is not 5 days but 7-10

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 7 reviews

No improvement with Botox in frown lines

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If the lines are severe at rest, Botox is not going to improve that much. It works by relaxing the muscles. Lines at rest need filler or multiple treatments over the course of 9-12 months to get better. 28 units in the glabella should see results.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Let's Get You Happy With Your Results--Xeomin, Dysport, Botox, Facial fillers

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This is tough to answer without before and after pictures It could be you need a slightly higher dose of Botox and a touch up would give you the results you want. However, for patients that do not have optimal results with Botox or Dysport, I suggest trying Xeomin or other facial fillers. I recommend a formal evaluation with a board certified dermatologist. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 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.