Botox not working. Should I try a Botox alternative? (Photo)

Hello, and thank you for your question. Trying a new product would not be a bad idea. I have seen patients get better results when switching to a different product (typically Dysport), and also alternating products from one treatment to the next. While I have seen patients develop resistance to all toxins, it is very, very rare.
That said, your actual forehead looks nice and smooth. You just seem to have a good bit of movement in the glabella (the area between your brows). Another option would be to increase your dose of Botox, as this too can effect longevity. It is not unheard of to have to increase your dose after doing the same thing for some time. That being said, I would only change one variable at a time, so that you can pinpoint what works and what does not. It is great that you have a provider that you have seen for a while and trust. I would stick with that person as you know whatever they were doing before was working, and that is one less variable you have to worry about. Good luck!

Short answer - yes! There are some people who just stop responding to Botox. Most commonly it's because of antibodies that stick to the Botox molecule and prevent it from acting on the treated muscle. In order to reduce the chance of these antibodies forming, we usually recommend using the smallest (effective) dose, avoiding "booster" injections and making sure that you wait the full 3 months prior to getting Botox again. Thankfully, there are multiple alternatives to Botox you can use if aren't responding. Dysport, Xeomin, Jeuveau are the more common ones. Daxxify is a newer neuromodulator that is supposed to last a bit longer but not widely available at this point.