Can you be a bad candidate for botox?

Thanks for the question. Anyone with proper expectations can be a candidate for botox except those with muscular diseases and pregnant women. I wish you all the best.

Forehead wrinkles generally respond very well to Botox. Seeing photos would help to understand your particular case. Deep wrinkles may also need to be treated with a dilute filler. In addition, if you have a low forehead and already droopy upper eyelids, Botox may not be helpful. Please consult a board-certified dermatologist who is an expert injector and has many years’ experience fighting the signs of aging with Botox. 

It sounds like the practitioner you consulted with is not very experienced with using Botox in a wide variety of patients. Even with “low” wrinkles, you should be able to benefit from Botox without causing your brows to droop. Shop around and find an expert facial plastic surgeon to help you. I hope this helps.

 Botox can be used on almost everybody. If you have a heavy brow there is a technique that can be used to fix the problem. When you have injectors who have just started doing Botox injections or don't understand how it works this is problematic.  Using the right technique, with the right dosing you should get great results!

It is definitely possible to be poor candidate for Botox. It really depends on clinical examination and what are the wishes of the patient and the training/experience of the doctor.Please make sure that you see an experienced doctor for a thorough consultation and assessment prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko.

Hello and thank you for your question. Typically patients that have a short or small forehead should have conservative Botox dosing as there is certainly a risk of dropping the brow, especially if you are treating the lower horizontal lines. Generally if you stay high close to the hairline the risk is less.  By doing this, sometimes the lower lines may strengthen but can be treated on a 2 week follow up with half units if necessary to soften the result. Also treating the glabella complex (between the brows) helps to counter balance the forehead. Nice to hear your provider is erring on the side of caution. Perhaps you can seek out another qualified injector for a second opinion.  Good luck,Dr. Solomon

The only patient I have found to not be an excellent candidate for botox is the patient expecting a surgical result from botox (for instance, a patient expecting the results of a face lift from botox).  Also, a patient who wants their lines "erased," but only wants to get a small amount of botox injected, such as 12 units, may not be the best candidate.  This is all about expectations.  Botox does an excellent job at diminishing lines.  I do have patients who have lines closer to their brow and I agree that injecting in this area causes a potential risk for brow ptosis.  However, I can typically still inject close enough to the lines to soften it, without being in the zone that would cause the brow to drop.  If I were you, I would consider going for another consult at a different practice and seeing if you get a different response from the injector.  Botox is a great product and can create a more youthful appearance when injected appropriately!  Hope this helps!  

Thank you for the question.   It's hard to know what kind of candidate you would make without examining you.  In my opinion, the "bad" Botox candidates are ones who are at risk of dropping their eye brows and causing the eyelid to drop as a result of this.  If this is what your doctor was referring to is just a guess, but worth taking note of, if you wish to get a consultation at another place.  Good luck! 

A heavy brow  or a very in active brow can be problematic if standard doses are applied, however botox is a dose dependent medication and careful placement of smaller doses can usually avoid problems and be successful in producing a "relaxed" appearance.  If smaller doses are used and are insufficient for the desired result, a touch up can be done after 10 days to two weeks.

Thank you for your question. There are indeed patients who are poor candidates for Botox. The forehead lifts the eyebrows. If treated there can be downward pressure. In order to avoid this problem the Botox is often injected higher on the forehead. This can leave some movement in the lower forehead that looks abnormal. I cannot have a neuromodulator like Botox or Dysport in my forehead for this reason. Either my lower forehead has exaggerated movement or my heavy brows sink too low if treated.I hope this was helpful - Dr. Moore.