Why does my forehead Botox last only 1 month?

Question

I have been injected with botox for about one month, but the lines appeared and the movement is returned as before!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to Botox.If you are a first time Botox user, the injector may have only used a minimal amount of Botox. A follow up appointment two weeks is recommended to discuss any concerns.  A possible touch up at that time is possible as well for additional units. To be sure, 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.

Andrew Campbell, MD · Answer

If your Botox is only lasting for one month, then the dose that you were given is most likely too low. If this was your first Botox treatment, your injector may have intentionally dosed you a little low, since more Botox can always be added, but if the dose was too high and you didn't like it, it can't be taken away.I'd recommend you discuss this with your injector as you will most likely just need a higher dose (more units).Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Jason Emer, MD · Answer

I suggest you speak to your dermatologist or plastic surgeon, you may need higher dose or to try Dysport or Xeomin.  Best, Dr. Emer.

Steven L. Ringler, MD, FACS · Answer

Sorry to hear you haven't been happy with the result of your Botox injections.  There are many variables as to why some people don't have as long-lasting resulting.  Your doctor may not have used as much product as necessary to treat your particular concern, some people who are very active metabolize Botox differently than others, and if you have had Botox frequently, sometimes you can begin to see diminishing results.  Let your doctor know about your concerns.  It is realistic to expect that Botox will last from 3-4 months, and I suspect that your physician will want you to be satisfied.  You might also want to consider switching to Dysport or Xeomin, which are similar products but may work better for you.  Best of luck.

Lorrie Klein, MD · Answer

Sometimes foreheads have to be treated very lightly to avoid droopy brows from occurring.  The lighter the dose, the less time it will last.  In my Orange County office, we customize all Botox doses so if they don't last long enough we usually can gradually increase the dose until we find that "sweet spot" between lasting longer and not looking frozen or dropping the brows.

Jerome Edelstein, MD · Answer

Hello,

Thank you
for your question.
The duration of your first
treatment typically lasts 3-4 months but results may vary with every
individual.  The effects of Botox
treatments may improve with repetition, particularly if repeat treatments are
done on time at approximately 4 month intervals to begin with.  After several repeat treatments, you may find
further treatment intervals can be extended longer, up to 6-12 months,
depending on the individual.Should you not be noticing any improvement, a  higher dose may be required. I'd recommend booking a
follow-up appointment with your skilled and qualified injector, to discuss your options. Take care.

Daniel J. Givens, MD · Answer

Without knowing how much botox was injected and where, it is difficult to give an accurate response.  In general, if less botox is used, the duration is not as long as if more is used.  Many surgeons, including myself, start with conservative doses in this region to avoid side effects like brow ptosis, so it may just be that a higher dose is needed.  I also avoid over-injecting the forehead which can give a very shiny look, and prefer some small amounts of motion.  Additionally it is possible that you may be seeing some "recruitment".  This occurs when the muscle adjacent to the muscle that was treated wit botox becomes more hyperactive.  I recommend visiting with your surgeon and discussing your concerns.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question Sozi an. Botox is a purified protein used to address wrinkles associated with facial expression such as the horizontal lines seen on the forehead when one raises the brows. Most people enjoy the results of their treatments for 3-4 months with optimal dosing. If the dose is low patients may not enjoy the results for the full 3-4 months. Before and after photographs are helpful when assessing results. Please consult with a doctor for specific
recommendations. Good luck!

Karen Beasley, MD · Answer

There are a variety of factors that could play a role in how long your Botox lasts. Often, doctors will perform very conservative injections at first, as Botox cannot be reversed, so it’s better to under-inject than over-inject and leave the patient with results that they don’t like and can’t get rid of until it wears off naturally. Different people also metabolize differently, although the typical time frame for Botox is 3-5 months. I recommend visiting your injector for a follow-up to see what’s going on and if you need a touch-up

Otto Weiglein, FRCSC · Answer

Thank you for reaching out for advice. It is
understandable to be frustrated if the results following your BOTOX injections
are fading after a month. Typically, patients see results last for 3 to 4
months. It is difficult to offer advice, however, without knowing more details
about your treatment. For example, the number of units injected and whether
you've been treated previously with BOTOX could indicate your next steps. It's
possible that your provider needs to use more of the product to get
longer-lasting results. I hope this helps. Good luck.

Why does my forehead Botox last only 1 month?

Answers (15)

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