Should I return to clinic after Botox? I still have crows feet and frown lines 5 days post op (Photo)

Hi Dani_79,The residual lines above the outer portion of your eyebrow will unlikely change any more.  Most injectors will not inject within the 1 inch above the eyebrow to prevent the eyebrows from falling too low.  Since you appear younger, the injector may be able to place a couple of units near the top portion of the 3 wrinkles to help smooth those wrinkles out.  However, you need to be aware that your eyebrows may feel heavy since you will not be able to raise your eyebrows.  For some younger patients, they fully botoxed forehead, does not feel heavy, but for most older patient it will feel heavy and the eyebrows can appear low.As for your lower eyelid wrinkles, these will unlikely improve, mainly because those wrinkles are not true "crow's feet."  The crow's feet are located to the outside corner of the eye, and they form wrinkles when you squint your eyes.  It appears that you are smiling in the second photo.  If you are smiling, the crepey skin on your lower eyelids are bunching together, because your smiling muscles are pushing your cheek fat upwards and causing the crepey skin to push together.  It may be possible to add a couple of units towards the outer corner, but the injector has to be careful not to inject under your eyes, since this can relax the lower eyelid muscle too much and cause eyebags too form.  On Realself, there are multiple reviews from Realself users who report botox injection directly under the eyelids to help smooth wrinkles, only to backfire and create eyebags.  Although in theory, as the botox wears off the eyebags may still be present.  So be careful with botox directly under the lower eyelash area.In our practice, we try to nourish the crepey skin to make it more elastic, by using Obagi Elastiderm eye cream, which encourages new elastin fibers for form.  Most likely a good moisturizing eye cream can also improve the "plumpness" and elasticity of the skin, to help the lower eyelid skin snap back instead of wrinkling.The goal is to make the lower eyelid skin more "spandex-like" and less "linen-like."  If the skin under the eyes is like linen, then any amount of movement will cause wrinkles.  If it is more like spandex, then it will contract when you smile or squint, instead of wrinkling.I hope that makes some sense.  Hopefully a few more days will give you the results that you want, but it sounds like the botox already started working in other areas, so your concerns may be valid.Best,Dr. YangP.S. There is a new feature on Realself, which is the "Follow" button. It is similar to the "Like" button on Facebook. If you like my response or any of the doctor responses while you research on Realself, you should "Follow" them. You will get email updates, when the doctors you follow post any new answers to questions, post new photos, or have any new reviews.

Botox can take up to 21 days to have it's maximal effect.  So, it's best to wait a little bit longer to see if this happens, before deciding if you need a touch-up dose.  Hang in there!But if you don't see an effect by this time, by all means, contact your injecting physician.

Botox will begin to take effect in 1-2 days, and will usually be fully active by a week.  However, in some patients, it may take up to 2 weeks.  The best time to go for a "retouch" is around 2 weeks, after the Botox has had appropriate time to take full effect.  Your clinic should be able to address those problem areas at that time.