Why might Botox not be working for me?

Thank you for your question. A small population of patients require consecutive injections at first to areas where the muscles are extremely strong. Schedule a follow up with your injector and discuss your concerns, perhaps consider and second opinion. Best, 

I suggest you seek a reputable provider for your next treatment, if Botox isn’t working for you, it most likely isn’t because the supplements you take but probably need more units applied or the Botox was heavy diluted 

Botox injections are very effective for glabellar and forehead creases, as well as crow's feet. It is very reliable and has been proven effective, with results lasting 3 months in most patients. There are many variables in Botox injection and that is likely the problem. These include:Technique: Botox can do many things to improve facial aesthetics, though it must be injected in the right location to achieve the desired results. Depth: the target muscles to be paralyzed are at variable depths in the face, and the drug needs to be placed in the right level to work.Concentration: All Botox is diluted and this dilution may range from 1 to 4 ratios. Over diluting may effect the result and longevity.Amount: Botox does have a dose response, so there has to be enough drug or units injected to achieve the effect.Other factors is age of the Botox (premixed may be less effective), and your expectations (Botox can only do so much and you may look at active skin care, fillers, and/or skin resurfacing).After checking these factors, I would recommend trying Dysport, to see if that works for you. 

Not sure why your Botox is not working without knowing what exactly was injected, where it was injected, how much was injected, etc..

Your meds/supplements should have nothing to do with disappointing botox results.The use of botox is the "WIld West " these days everybody is injecting it , including non physicians and non medical professionals.I would highly recommend you deal with an experienced dermatologist or board certified plastic surgeon for best results.The understanding of the anatomy , the medication and proper dosage is critical.Dr Rueckl has outlined the usual reasons why your treatment is not doing the job.

When Botox isn't "working" it is usually due to one or more of the following: 1. not enough units used; 2. over concentration/poor dilution; 3. improper placement; 4. not real Botox. So, if you do not see the results you were expecting, then return to your injector. It has nothing to do with your supplements. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."