Hello, I am concerned and need an advice. I had14 unites of Botox between my eyebrows and also on my forehead (26 total) but I still can see the eleven wrinkles. I went back for a touch up and she added 6 more units, some between my eyes and some in the top of my forehead clear to my hair, but the wrinkles are still there. Do you think that is the way she injected or the Botox she used.
August 12, 2019
Answer: Glabellar frown lines may remain after Botox for various reasons After I inject a patient with Botox for the frown lines between the eyebrows in the glabella, I have them schedule a two week follow-up appointment to see if with contraction there is still some movement. If that's the case, and if the lines are present at rest without contraction, then I add more units. Some women need as low as 9 units, but many will need 20 or more to suppress the activity of these muscle groups in this one location. The injection needs to be placed deeply enough to treat the insertion of the muscle which in this location is deeper than its tail over the eyebrow. If there is no contraction and the lines or grooves are present still, we then wait for one to two more cycles or Botox ( 3-4 months apart) maintaining this relaxation of the muscle and follow to see how the creases improve. Remember the creases have been formed by years of contraction of the underlying muscle and in many cases, it takes time to have the skin bounce back to a normal appearance at rest. In cases which the muscles don't move, and a few cycles of Botox have been used without improvement, then one can discuss the option of filler but it carries some risks in this area more than some other areas of filler injection, and the risks and benefits should be discussed with you by a board certified dermatologist or plastic surgeon.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.
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August 12, 2019
Answer: Glabellar frown lines may remain after Botox for various reasons After I inject a patient with Botox for the frown lines between the eyebrows in the glabella, I have them schedule a two week follow-up appointment to see if with contraction there is still some movement. If that's the case, and if the lines are present at rest without contraction, then I add more units. Some women need as low as 9 units, but many will need 20 or more to suppress the activity of these muscle groups in this one location. The injection needs to be placed deeply enough to treat the insertion of the muscle which in this location is deeper than its tail over the eyebrow. If there is no contraction and the lines or grooves are present still, we then wait for one to two more cycles or Botox ( 3-4 months apart) maintaining this relaxation of the muscle and follow to see how the creases improve. Remember the creases have been formed by years of contraction of the underlying muscle and in many cases, it takes time to have the skin bounce back to a normal appearance at rest. In cases which the muscles don't move, and a few cycles of Botox have been used without improvement, then one can discuss the option of filler but it carries some risks in this area more than some other areas of filler injection, and the risks and benefits should be discussed with you by a board certified dermatologist or plastic surgeon.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.
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July 1, 2019
Answer: May need more Botox in the 11s to achieve a satisfactory result Thank you for your question. You don’t mention how long ago you had your treatment. Keep in mind that full results from Botox can take up to two weeks to become visible. That said, it sounds like you were given a very low dose of Botox and it is certainly possible you will need more to achieve your desired result in this area. I encourage you to schedule a follow-up with your current injector after 14 days have passed. You can also see another board-certified dermatologist if you would like a second opinion via an in-person assessment.
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July 1, 2019
Answer: May need more Botox in the 11s to achieve a satisfactory result Thank you for your question. You don’t mention how long ago you had your treatment. Keep in mind that full results from Botox can take up to two weeks to become visible. That said, it sounds like you were given a very low dose of Botox and it is certainly possible you will need more to achieve your desired result in this area. I encourage you to schedule a follow-up with your current injector after 14 days have passed. You can also see another board-certified dermatologist if you would like a second opinion via an in-person assessment.
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June 17, 2019
Answer: Botox in the elevens. I can still see the wrinkles. Do you think it's the way she injected or the Botox she used? You will want to wait two weeks from your last treatment to evaluate your results. If after that time you still have concerns, return to your injector for another evaluation. Some people require more Botox than others to get the lines to soften.
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June 17, 2019
Answer: Botox in the elevens. I can still see the wrinkles. Do you think it's the way she injected or the Botox she used? You will want to wait two weeks from your last treatment to evaluate your results. If after that time you still have concerns, return to your injector for another evaluation. Some people require more Botox than others to get the lines to soften.
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