How Long After Getting Botox Can I Get More if I'm Not Seeing Much Change?

If your lines are there but your muscles are not moving at all, then the Botox was successful in relaxing the muscles and you should not need more units.  If you are patient and await time to have the skin folds diminish now that the skin is no longer creasing repetitively, and you repeat the Botox before the muscles wake up around three to four months, you may see improvement in the lines.  If however, the muscles are still active then the Botox may not be completely effective and you should wait one more week to see its full effect, after which more units may be injected if there is no change.  The glabellar area may need up to 25 units, or more, in some women. Your doctor may choose to add units in small quantities to titrate up to the correct cumulative dose for you for this session, and the next full treatment you would receive more units than the 12 you had your first treatment.

In our practice, we teach our patients that optimal results are generally realized at the two week mark.  Although most will see nice improvement within the first few days, it is not uncommon for many to still benefit from more time. 

If you still have concerns after two weeks, be certain to discuss this with your injector to determine if dosing and/or technique should be reviewed.

Results for Botox typically start to take effect in 3-5 days, with peak effect around 2 weeks.  Results will generally last about 4 months, but some patients can see results up to 6 months.  We generally recommend a 2 week follow in all first time Botox patients, and for any patient that feels they may not have had optimal results.  Also keep in mind, to get your best results, Botox needs to be injected into the proper muscles at the appropriate dose.  Always be sure you are receiving treatment from an experienced physician who is Board Certified in an accepted field of aesthetic medicine.