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

I have deep forehead creases and I got my first botox treatment (12 units) about 7 days ago. I am noticing a slight change but not much. How long should I wait to get another treatment? 7 days, 14 days, etc?

Doctor Answers 14

Botox can be reinjected one to two weeks later

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.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

10-14 days

While you can see some benefits of Botox at 7 days I recommend waiting for 10-14 days to see maximum results before going back in to consult with your physician about touching up or getting more Botox. 

Jason Miller, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 6 reviews

Additional Botox after Treatment

Sometimes it take about 10 days see the maximum effect of Botox treatment; therefore I would wait about 2 weeks before getting supplemental injections

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Two weeks for touch-up

While Botox ususally takes about five to seven days to "kick in", you may want to give it two full weeks before seeing a touch-up.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

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

Technically anytime after a week but I typically have Botox, Dysport and Xeomin patients come back at 1 month for a booster treatment.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

A couple of weeks is a good time frame.

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.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Peak effect after Botox treatment is seen at 2 weeks.


If you are not happy in another week or so, you can have more Botox.  12 units is not enough for deep forehead creases.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Forehead lines persisting after Botox

There are three potential explanations to your situation.  First of all Botox should be evaluated any time after 7-14days after the injections so perhaps another week might be helpful.  Secondly, perhaps you were not injected with enough Botox, although this does not seem to be the case since twelve units is usually suficient for most patient's forehead. Lasty, is to distinguish between what we call static lines versus dynamic lines.  Botox and Dysport are effective on the underlying musculature and will prevent the contraction of the muscles into which it is injected.  Hence, the will reduce wrinkles (dynamic lines) caused by the contraction of the underlying muscles.  LInes that are present when the muscles are not contracted or relaxed are called static lines which Botox has only mild or minimal effects.

Ted Brezel, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox Follow Up Treatment Protocol

I typically recommend to my patients that they do the courtesy follow up botox appointment at one to two weeks after the initial treatment.  One week is the minimum as it usually takes up to one week to see the full result of the initial injections.  If they come in at one week or later, and there is still some movement, we touch it up with a little more botox, at no additional cost to the patient.  

Channing R. Barnett, MD
New York Dermatologist
4.1 out of 5 stars 8 reviews

Botox® usually reaches maximum effectiveness in 2 weeks

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.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

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.