2 weeks post op Botox and 1ml Juvederm, there are no change. Is there anything I can do? (photo)

Hi I had Botox for my frown lines and 1ml of jouverderm lip filler exactly two weeks ago. I've still total movement in my forhead and my lips look virtually the same appart from a dint in my lip. I've had these treatments before and never experienced this. The nurse who treated me has said its localised swelling in my lips even though there is no volume never mind swelling. She's now ignoring all contact from me. Is there anything I can do?

Doctor Answers 12

2 weeks post op Botox and 1ml Juvederm, there are no change. Is there anything I can do

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NOT MUCH! But you could make a compliant to the board of nursing in your state. Otherwise NOW you understand why using ONLY an expert BOTOX and filler MD is paramount....

Failed botox?

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Looks like your BOTOX failed.  This can be due to poor injection technique, inadequate number of units used, or if a counterfeit botox like fake was used.  Talk to your injector about a re-do or see a trusted board certified plastic surgeon to get a proper treatment.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 517 reviews

Botox and filler not working

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Thank you for your question. If you are not seeing results from your injections there are a few possibilities such as not enough product, improper placement, or dilution of the product. I recommend going to someone who you trust and is experenced at providing these types of treatments, if your provider is not taking your calls to address your concerns that could be a red flag indicating you should change providers.

Best Wishes,

Pablo Prichard

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Two week results from Botox and Juvederm

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Thank you for your question.

Most swelling should be gone at 2-3 weeks after your injection.  If you are unhappy, return to see the nurse who injected you. If the nurse injector will not entertain your calls, see two or more board-certified plastic surgeons in your area for a full and complete evaluation.  It is not uncommon to need minor touch ups.  Most offices provide this as a courtesy.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Non-working Botox and Juvederm filler.

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There are many reasons to review when injectible muscle relaxers and fillers "don't work".
These include:
  • 1 not enough of either
  • 2 injection of the medication in the wrong level or site
  • 3 dilution
  • 4 injectors technique
  • 5 other considerations
Most individuals would desire to maintain a longer relationship with you and try to work things out. Apparently, this nurse is not interested in doing so.

It would be my recommendation to obtain a copy of the documentation by the injector and arrange and review your concerns with another board certified plastic surgeon or well experienced expert injector.

All the best. 

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.9 out of 5 stars 103 reviews

Botox and juvederm and no change

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I would find out how much Botox you had. It either was not functional(can happen if old or not stored properly) or you did not have enough. If you are spending money and letting someone inject your face go to a dermatologist that does this all the time and is a doctor, not  a nurse, or to a plastic surgeon. 

Jo Herzog, MD
Birmingham Dermatologist
4.8 out of 5 stars 20 reviews

Botox and Juvederm

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Dear Katie,

The Botox in your forehead did not work.  It might be that you have a resitance to the Botox and need to consider Dysport, Xeomin of other paralysing agent...BUT I DOUBT IT.  Ususally, I would suggest going back to the reputable Plastic Surgeon who placed the Botox, but that is not the case here.  You probably need more Botox to the forehead.  I would be surprised if that did not cure your concerns.

The Juvederm is sold in syringes or cc's (Volume).  If you are not satisfied with your lip volume, try another syringe...preferably from another practioner who should return your calls and take care of any of your concerns.

Best of Luck.

Dr Taranow, NYC

Douglas Taranow, DO, FACOS
New York Plastic Surgeon
4.8 out of 5 stars 65 reviews

Persistent forehead lines

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It looks like the Botox did not work well in your forehead.  So you should return and have the forehead reinjected.  You either did not get enough, or you may be developing some resistence.   Resistence to botox is unusual, but can occur.  When it happens, the botox will no longer work and the lines will persist. You can try another injection and if it doesn't work you may have developed resistence. Your lip looks full.  Can you feel the filler?  You may just want to get a second opinion about all of this.   

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Botox and filler

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If you had botox two weeks ago, then I would say it did not work and maybe you need more Botox perhaps a new batch?  As for the filler, there often is a lot of swelling initially and then it goes down. If you are not happy with the volume, the you should ask to have more.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

No result after Botox and filler

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How much Botox did you have? have you had treatment by this provider before? The volume enhancement from filler should be immediate. There may be initial swelling due to the injection that goes down after a week, but you should see volume enhancement immediately. ! cc may not have been enough, but the injection may not have been placed properly either. I also see your concern with the forehead wrinkling. Two weeks out, you should have noticeable muscle weakening in the treated area if adequately dose and properly placed. Seek second opinion from a cosmetic dermatologist, facial or general plastic surgeon. Bargains are not a good idea in medicine.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

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.