Had Botox for the 1st time 4 days ago, lines are diminished but not gone, will they go away? If so, by when?

Hi. Had Botox for the 1st time. Dr put 28 units mostly in forhead. I did it 4 days ago not counting the day I did it. I do see the lines diminished but not gone. Do the lines go away? If so by when? Thanks

Doctor Answers 23

Had Botox For The 1st Time 4 Days Ago, Lines Are Diminished But Not Gone, Will They Go Away? If So, By When?

Thank you for your excellent question.  Botox will start working a couple of days after treatment.  Please keep in mind that you will see your final result in 2 weeks.  Etched creases may require multiple Botox treatments to see the best results.  Enjoy your Botox!  Hope this helps and best wishes! 

Botox and wrinkles

After a Botox treatment, patients should expect to see maximal results after around 10-14 days. It is best to think of Botox as a muscle relaxer more than a wrinkle eraser. Some wrinkles, especially those that are etched in, may still remain after the muscles relax and the skin smooths from a Botox treatment. With this in mind, it sometimes takes a prolonged period of relaxation (which may mean several treatments over time) for etched in wrinkles to improve. 

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
4.9 out of 5 stars 69 reviews

Botox st four days

You need to be patient . Botox effect can take up to 7-10 days to maximize especially the first time. With repeated use you will experience even better results.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

4 days post Botox, will the lines go away

Botox takes 4 to 7 days depending on the activity of the muscles and the amount injected.  It should be fully active in 10 and last about 12 weeks.  It may take a month or so the first time for the etched lines to smooth out.

Stephen Mandy, MD
Miami Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

Botox onset

We typically will have patients wait at least 10 days before any re-assessment of final results.  It can be possible for Botox to reach full effect sooner, although it's best to wait just to make sure.

Reza Tirgari, MD
San Diego Physician

Timing of Botox effect

Hello, and thanks for your question. You should see the maximum effect at around the 2 week mark. Best of luck, Dr. Frucht.  

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Residual Lines after Botox

Botox stops the underlying cause of the wrinkles, muscle function. If, however, you have permanent lines from repeated muscle function, Botox will not eliminate these. Treatment of these lines does begin with Botox to eliminate the muscle action. Retin-A is the next major component. It stimulates collagen production in the support layer of the skin. This builds up the skin and reduces the wrinkles. The next option is something to speed the elimination of the wrinkles. This would include either a leveling peel or laser. Make sure you see a physician who specializes in skin rejuvenation. 

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox effect

Thank you for your questions. It is always best to wait 14 to 21 days to see the full results of Botox. Best of luck, and thank you for your question.

How long for Botox to work?

Thank you for your question.

Botox can take up to two weeks to reach maximal result.  Botox will not completey remove deep lines but fine lines should be diminished and some completely gone.  How effective the treatment will be depends on how many units and where the units were placed.  The results will typically last from 3-4 months.

Best Dr. L

Andre Levesque, MD
Austin Plastic Surgeon
5.0 out of 5 stars 1 review

Too early yet!

Hi.   At only 4 days out, it's too early to tell.  Botox takes a good 2-3 weeks to reach its peak effectiveness.  If you don't see an effective treatment by that time, return to your injecting physician for an evaluation.

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.