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.

A good injector will be able to very accurately tell you how much BOTOX you need to treat a particular clinical concern.  When you do go in have them compare before and after photos so you can better understand the effects of the treatment.  If no before photos were taken, then you are getting service in the wrong office.

Thank you for your question! A patient should notice some effects of the BOTOX within 4-7 days of it being injected. However, this time may be shorter in some individuals. The complete effect is generally seen by 14 days after the date of the injection. Therefore I would recommend you to wait about 2 weeks before getting supplemental injections. Best of luck!

Botox usually reaches maximal effectiveness in 10-14 days and after that period you can seek more product placement to achieve the cosmetic results you are seeking.