Why Can I Still Frown Almost a Week After Having Botox?

Question

I had botox for the first time 4 days ago amd am surprised that i can still sqeeze my brows together creating the lines between mybrows which was ome of my main reasons for the treatment in the first place, and i still have pretty significant wrinkles on my forehead but I feel like i don't want to say anything because I don't want to seem like a "diva"

Otto Joseph Placik, MD · Answer

If you have not had any effect of the Botulinum Toxin (Dysport and Botox) after 7-10 days, I would contact and notify your injection provider.

Young R. Cho, MD, PhD · Answer

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.  I would wait a full 2 weeks before you see the final result from your Botox treatment.
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 conjunction 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.

Ron Shelton, MD · Answer

Be patient and wait up to two weeks after Botox. If it still hasn't produced enough of a result, then the doctor may need to add more units, which is better than starting out injecting too many.

Steven Wallach, MD · Answer

It usually takes 5-7 days for Botox to take effect.  Give it some more time. I have patients come back in two weeks after treatment to check the results.

Purvisha Patel, MD · Answer

You are likely too early to notice a difference. If you are still able to frown after 2 weeks, then you should ask your physician injector, you may have to inject more product, or may have to inject additional sites in your forhead (that are pushing your glabella lines even though the glabella was treated).

Why Can I Still Frown Almost a Week After Having Botox?

Answers (9)

Answer: Botox and timing

Answer: Botox and timing

Answer: Botox not working yet

Answer: Botox not working yet

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Why Can I Still Frown Almost a Week After Having Botox?

Answers (9)

Answer: Botox and timing

Answer: Botox and timing

Answer: Botox not working yet

Answer: Botox not working yet

Browse related questions

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.