how long does the immunity last to Botox, Dysport, Xeomin and Jeuveau?

Hi and thank you for your question! The immunity/resistance to Botox and other medications in this family is relatively rare and reported in less than 5-6% of patients who have been getting these treatment for long time. We usually see a patient who has developed resistance to one type of medication (e.g. Botox) and we can still treat them effectively by switching to other medications in the family. It is quite rare to see a patient who is resistant to all 4 medications. Once the immunity is established, it is expected to last for long time, possibly several years so you might want to try small amount after a few years to see if it works or not. I hope it helps and good luck!

It is very rare to be immune to so many neurotoxins. If you have no results at all from any of them you may wish to wait a few years and then try again. In the meantime you can keep your skin looking fresh with Morpheus8 treatments. We also recommend using medical grade skin care products and wearing sunscreen every day.

i find that if one stops working it stops working forever, but you can always retry. I would suggest at home peels and rollers with in office lasers to help improve texture/wrinkles if botox neuromodulation work. Best, Dr. Emer.