Does It Take Months for Botox to Correct the Brow Furrow?

I received my first treatment of Botox 6 weeks ago. The doctor said that I only needed 16 units as my brow furrow wasn't that bad. After 2 weeks I still had alot of movement and the crease was still there. Today is 6 weeks since my first treatment and I have been back twice since my first treatment because I still have a crese! She told me today that it could take months for the crease to slowly fill back in! She is'nt charging me but I am wondering if I am wasting my time with weak Botox.

Doctor Answers 16

Botox glabellar crease

What you haven't mentioned is if your muscles are still moving at the six week point. If you still have movement, then you are not getting enough units of Botox. If however, the muscle is relaxed, then it may be that you will need many months of maintaining the botox therapy such that the muscles stay relaxed and finally allow the skin, without having the ability to crease, to become smoother. Some patients' creases are so deep that it would take a very long time for the valley to become smoother but others may wish to have cautious thin filler injected while waiting for ongoing Botox therapy to smoothen the crease.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox timing and brow furrow

Botox is a neurotoxin that takes anywhere from 1 - 7 days to take full effect, and certainly no more than 2 weeks.  At 6 weeks, you should have the full effect and can consider adding more units if you are still able to frown.  Also, Botox and other neurotoxins won't reverse furrow lines that are there whether you frown or not.  They may soft this somewhat, but you may consider adding fillers such as Juvederm or Restalyn to mix.  Make sure your injector is quite experienced in this area.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Does It Take Months for Botox to Correct the Brow Furrow?

There are many different methods of using neurotoxins to relax the glabellar frown lines with different dosages.  It may take more Botox to relax these lines and or more frequent injections.  

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

Botox and crease

Botox doe snot always eliminate the crease entirely. Many times the crease is "etched" in and the subcutaneous tissue between the skin and the muscle is thinned out over time. Sometimes I inject filer to soften it as well.

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

You may need a bit more Botox and and possibly some filler to get rid of your furrow.

If  your furrow is long-standing, you may need a more Botox than 16 units.  If the crease is deep and permanently creased, it may be necessary to use a filler to evert the crease.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Botox in the Glabella

Botox typically begins working within 72 hours, and everything has "settled" at the two week mark.  15-20 units are typically acceptable in this area, so it's possible you might need to be dosed higher.  Occasionally you can develop what's called a "static crease" that may require filler. I recommend consulting with another injector to determine if this is what you need.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

If the doc is not charging you for more BOTOX, this is a red flag.

16 units should be enough to make some time of difference.  Either the doctor does not understand the limits of what can be accomplished with BOTOX, or you are simply being under treated.  Is this doc giving you "weak" botox?  We do sometimes see offices that offer impossibly low BOTOX prices-like under cost.  No one gives away product and this does lead one to wonder if the offices in questions are supplying less that a unit of Botox for the price.

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

Botox to fill in crease

Botox typically works within 72 hours. If injected properly, your brow should not be frozen because that's completely unnatural. Botox does not fill in creases; it works by paralyzing the muscle. It is possible that what you need is a combination of Botox and a facial filler such as Radiesse or Restylane. It's impossible to evaluate whether the Botox is "weak" or over diluted or whether it is not the treatment of choice for your condition. I would recommend that you see a board certified dermatologist or plastic surgeon in consultation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Botox is only for dynamic wrinkles

It can take up to 2 weeks for results to appear, therefore you should have seen improvement by this time. Please note that Botox is only for wrinkles that appear when you move your muscles and make expressions. To "fill in" permanent creases, fillers would be more suitable. You may want to return to your injector and ask about fillers.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Does It Take Months for Botox to Correct the Brow Furrow?

Botox will not correct every wrinkle especially a deep one. If you get botox and the wrinkle is still present, you may need a filler in this area.

Kurtis Martin, MD
Cincinnati Plastic Surgeon
4.8 out of 5 stars 74 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.