Is it possible for Botox to be effective in one area, but not another? (photos)
Doctor Answers 11
"11" Lines -- Botox, Fillers, Lasers, Microneedling/PRP
Variable Botox Results
- Botox is a medication. Much like with other medication groups such as antibiotics or chemotherapy, individual patient responses to Botox treatment can vary widely and for a multitude of reasons.
- Rather than any knee jerk response like "the injection was done wrong" or "it was a bad batch of Botox", I prefer an objective and evidence based approach to these patient concerns. The best first move is being evaluated where you were treated unless you have lost confidence. Beware of other practitioners who are rapidly critical of their competitors. Are there objective assessment tools available to you such as before and after photos? Patients often see more pronounced improvement when doing a side by side comparison. Is the treatment a repeat of a previously successful treatment (same dose, same injector, same site)? All of these factors can be relevant.
- Given a thorough review and evaluation, most offices and the Botox reps themselves will do whatever they can to get a patient to their happy place and desired result. Our office finds that being honest, kind, and fair is usually reciprocated. Hope that helps!
Botox always works
The initial 12 units was not enough, and now with a second chance, you still didn't get a good result. I would recommend you discuss this with your injector. Or, better yet, I'd consider finding a different injector. Go to someone with extensive experience.
Andrew Campbell, M.D.
Facial Plastic Specialist
Quintessa Aesthetic Centers
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Effectively treating the glabella (11s) with Botox
A typical starting dose for the glabellar region is 20 Units. The glabella consist of a group of muscles, not just one. To get an effective result, each muscle needs to be treated. And the stronger muscles need more.
I like to photograph my patients before their first Botox injection to closely evaluate the facial muscles. I have my patients frown and squint before each injection, so I can target each muscles contributing to the wrinkles. Each patient is different and one side may be pulling harder than the other. A pair of the corrugator muscles may be far from the midline. All of these nuances can effect the result, so it's important to consult with a trained physician on your first injection and to start conservatively. Safety comes first.
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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.