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

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"

Doctor Answers 9

No effect of Botulinum Toxin (Dysport and Botox) after 4 days

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.


Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

Frown line options

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.

Botox and timing

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.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Botox not working yet

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).

BOTOX can take up to 10-14 days to get the final result

BOTOX can take up to 10-14 days to get the final result. A week may be a little too soon to tell. But if you can still frown after 2 weeks, you may need more BOTOX injected in that area.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 59 reviews

Botox Smoothing not "in" Yet

Regarding ; "Why can i still frown almost a week after having botox?  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"
"

EVEN if Botox is administered properly it may take 5-7 days to achieve its maximal effects. At 4 days you are still early and need to wait for a few more days.  However if well after a week the effect is not there then I WOULD bring this up with the person you received the Botox from.

Botox does not achieve its effect because it is
- ineffective (old, poorly reconstituted, diluted / insufficient quantity, deactivated by poor handling or even fake)
- poorly administered.

When getting Botox you should ask to see the Botox bottle with a hologram to make sure it is genuine Allergan Botox (not a gray market purchased from Canada or worse yet from China) and you need to know how many units are being administered. You should pay by the unit and not by the area. Asking for what you paid for is NOT being a "Diva".

To learn EVERYTHING you NEED to know about BOTOX and BAD BOTOX, follow the link below -

Dr. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 100 reviews

It is easier to add than to subtract

I would never be critical of someone injecting too low of a dose of Botox. It is far better to add a little more in 2 weeks (it can take that long in rare individauls) than to drop your brows or totally immobilize your expressions. I see all new Botox patient in 2 weeks to make any adjustments so they look just right.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 14 reviews

Botox effect can take more than a week

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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Give it time

Botox and Dysport take effect in 5-7 days. If you are not happy with result after 10 days, call your doctor.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 110 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.