Botox Failure, Try Dysport or Xeomin for “11” Wrinkles
for the frustrating outcome. You may have a resistance to Botox. You
can try another neuromodulator, like Dysport or Xeomin. Please see an
expert. Best, Dr. Emer
Everyone does metabolize Botox differently. I would recommend a neuromodulator, like Dysport or Xeomin. Best of luck. Please consult a professional in your area.
Thank you for sharing your experience and I am sorry to hear of your failed Botox results. At this point I would recommend trying one of the other neuromodulators for effects - Dysport or Xeomin. Some patients have increased resistance to Botox that can then receive nice results with one of the other medications. Hope this helps.
Thank you for your question. In my experience, very rarely patients metabolize Botox faster then normal. I would suggest trying Xeomin or Dysport. Sometimes this works. Good luck.
Lack of Improvement from Botox
I will often offer my patient to do filler in the area of the 11's as this seems to enhance the effects of the botox especially if the botox does not appear to last long enough or give enough improvement. Ask your physician about that option as it is very effective. You may also consider a different neurotoxin such as dysport or Xeomin but this may not be any more effective. Good luck in your area.
Thank you for your question TinyLip. I
am sorry to hear about your situation. Botox is a purified protein used to
address wrinkles associated with facial expression. For some people Botox stops working after a certain time. This is rare and the reason for it is not understood. For these people alternative neuromodulators such as Dysport and Xeomin can be tried. Please consult with a doctor for specific
recommendations. Good luck!
If your Botox is not lasting up to three months, culprits other than poor injection or expired product, which you ruled out, may be that you may have antibodies to the Botox. A solution would be to try a different type of botulinum toxin. If that does not work, you may just be the type who metabolizes this product fast. Unfortunately, there's not much to do if that is the case. Botox injections more frequent than every three months is not recommended, nor should it be done.
Considering you get a great result initially, I doubt it's antibodies to the Botox. More than likely, you have some lateral corrugator muscle that the initial treatment barely treats. That portion of the muscle then starts to work after a month and it looks like your Botox wore off overnight. I'd have to actually examine your muscle motion to be certain, but that could explain your problem. Adding a little Botox a little more laterally may cure the situation. On the other hand, trying Xeomin or Dysport (Dysport has different proteins than Botox so you wouldn't have antibodies to both) isn't a bad idea just to see if that helps. Realize that all three have the same active molecule, just different (or no) additional proteins surrounding them.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers
This happens in a rare case. I would try using Xeomin. It's possible you have antibodies to the Botox. If Xeomin doesn't give you improved duration, you are just a rapid metabolizer and nothing else can be done.
I am sorry to hear of your concerns about your Botox. there are a handful of people that Botox does not seem to last the average 3 months on. This is due to your body metabolizing the proteins in Botox faster than normal. Try a different brand such as Dysport next visit and see if it makes a difference.