No change in 11s after re-injection of Botox. Could it be that they are using old Botox?

At Quintessa, we say that patients don't buy Botox, they buy what Botox does for their lives. We also discuss the fact that Botox just relaxes the muscles that cause a wrinkle, they don't necessarily treat the wrinkle directly. For those with deep 11's, they will see an improvement with Botox, but to really get rid of the lines, we may need to add filler to that area as well. From your history, it appears that maybe the first treatment was placed a little too high and caused the area above your brows to smooth out, but not the 11's. If you could still pull the brows together, then that would be the case. After your second treatment, there are a few possibilities. One is that the Botox was not placed in the correct location, the second is that not enough Botox was placed to give you the effect you desired, and the third is that the Botox is working well, but the wrinkle is too deep and won't immediately improve with just Botox.Ultimately, I would discuss your concerns with your injector. Botox should never be considered a "waste of money".Andrew Campbell, M.D.Facial Plastic SurgeonQuintessa Aesthetic Centers

Thank you for your
question.It is likely that your glabella muscles are very strong and you may require a higher dose of botox than normal. 

To be sure, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
treatment.

I hope this helps.

Thanks for sharing.  Botox may affect patients differently.  What is important is using the proper concentration and storage of the botox as these my change how botox works.  I like to use very "fresh" botox and use the standard concentration.  You may inquire what concentration is being used and how long the botox has been stored after reconstitution. Experience also matters There are other substitutes for botox such as xeomin and disport.