I've built up a resistance to Botox over the last 10 yrs, will Botox ever work for me again?

Hi there.  We have actually seen Botox resistance in practice.  Although Xeomin is commonly offered as an alternative, they are both Botulinum type-A toxins, which often means clients also see the same result after Xeomin injection.

The best alternative would be Myobloc which is botulinum type-B.  However, there is substantial extra cost, as well as much more discomfort with injection.  The product requires some experience to use and is offered much less often.  Make sure that your results are genuinely due to Botox resistance first and try the Dysport and Xeomin before moving up to Myobloc.  Good luck!

There is a theory that one can develop antibodies with consistent Botox use.  The theory describes this phenomenon as occurring with too small a dose, and too frequent an interval, of treatment. I have not seen this clinically in my practice; but have seen the "Wow" effect diminish in certain individuals that use Botox as the only modality to address an issue.  Without knowing much about your lifestyle habits, I cannot speak specifically to you.  Perhaps something of what I say will resonate.  The rate at which an individual ages is genetically determined and influenced by environment and lifestyle choices.  For instance: appropriate "sun savvy" regimens; a valuation of loss of volume in the area; UV damage to the skin itself; and how the entire face appears and interacts as an expressive unit should all be considered.

Lastly, even if none of the aforementioned plays a role, the placement of the Botox needs to be altered by a few millimeters from time to time.  This can be challenging in that you do not want to stray too far from the placement to achieve your optimal effect - experienced hands come into play here.