Botox wore off in 2 weeks - does that mean it doesn't work for me? (Photos)

Question

I had Botox for the first time ever and saw great results within 1st week. Only “side effect” I had was at week 1 had sudden drowsiness, fatigue and a little puffy eyes. It went away within 24 hrs. The two week mark hit and I noticed day by day my lines are returning. Each day I notice more lines returning & getting worse. I went back and we did not do a touch up Bc it wasn’t that bad, but now it’s worse and the lines are returning full fledge. Does this mean Botox just doesn’t work for me?

Jason Emer, MD · Answer

Botox results take up to 1-2 weeks and last up to 3-4 months in new areas of treatment. I recommend getting a formal evaluation with a cosmetic dermatologist. Dr. Emer

Jonathan Kulbersh, MD · Answer

Thank you for your question. Botox results should last for approximately three to four months. If you do not see lasting results, you may need to adjust the amount of Botox during your treatment session or consider a top-off once you hit the two-week mark. Dysport may also be an option that works better for you as it is known to spread slightly further than Botox. It is also known to produce longer lasting results in many patients. An experienced, qualified injector can work closely with you to monitor your results and adjust treatments for natural results.

Jennifer Thomas-Goering, DO, MBA · Answer

This question can't be answered without seeing a before you received botox picture at animation and at rest. In addition, it is hard to see post treatment without pictures of you animating and at rest to determine if you need more. The most important rule of thumb is for your injector to set real expectations. You might have some static lines at rest that "look like they are gone" with botox but are just softened. Once you have a static line, botox will soften it but not remove it. That might be what you are seeing. Of course, if you are able to raise up your eyebrows then you had too little product or it was diluted or old. It's hard to answer the questions with just photos. Good luck!

Derakhsh Fozouni, MD · Answer

Botox should on average last anywhere from 4-12 weeks. Each patient is different and Botox is dose dependent, which means: the more you put in the more relaxation and the longer it will last on. You can try talking to your injector about increasing your dose. This should fix this issue, but if you do that and it still does not last about 2-3 months then, you can try a different brand or injector.
Good luck!

Camille Cash, MD · Answer

Typically final results from your Botox treatment are not seen for two weeks.  The product wears off gradually over 3 to 4 months.  If you are already seeing full movement of the treated area it may be that you were undertreated or there was an issue with the product.  I encourage you to return to your injector for an evaluation.  I wouldn't give up hope!

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case no botulinum toxin should last longer. Please revisit your injector and have a conversation with them around treatment. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Botox wore off in 2 weeks - does that mean it doesn't work for me? (Photos)

Answers (6)

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