Complete Movement 4 Days After Botox - is This Normal?

There have been occasional reports of "bad batch" of Botox in which the Botox injected did not have the desired effect.  I would wait about 1-2 weeks and see if there is still not effect and then bring up your concerns with your treating physician.

A reasonable thing to do at that point may be to inject more.  I've had some patients with extraordinarily strong muscles who required double or triple the amount of Botox of a normal person.  You can't tell who those people will be until after you've worked with them.  After injecting more, you may achieve the desired effect or you may see some improvement but still require more at which point you may even need to go back a 3rd time.  If after injecting more Botox and there's still no improvement, then it's possible there may be something wrong with that particular batch of Botox and the physician may have to report that to Allergan.  In the past when there was a "bad batch" of Botox and it was obvious that none of the Botox from that batch was having any effect on the patients, Allergan would reimburse the physician for the Botox so they could reinject the patient at no charge.  But you'd have to consent to being reinjected to see if that were the problem.  (In other words, don't  just assume the Botox didn't work until you have the physician inject more.  It could be just your individual variation from the norm.)

The  effect become fully established  in one to two weeeks. It also depends  upon the concentration and age of the Botox  used and the size of the muscles treated. So if you do not see any results in two weeks please see your physician for a possible touch up