4 days after 30 units of Botox for glabella and forehead, how does my Botox look? (photos)

Not long enough to know the full effect. After 2 wks, you'll know. Does look pretty good so far. If you find there's a particular indentation that Botox cannot correct, then simply getting a small amount of filler in that area would do the trick. 

Thank you for your question and photos. It looks like you might be seeing the early results of Botox, which will continue to improve for up to two weeks after your injections. At that point, you should enjoy your refreshed appearance for three to four months before any touch-up is needed. I encourage you to wait two weeks and if you are not happy with your results at that point, schedule a follow-up with your doctor to discuss your concerns.

Without a live action video to evaluate the effectiveness of your Botox injections, it is difficult to determine the full effect.  Nonetheless, it does appear like you have had a good effect from the injections.  If you have any concerns or questions, you should return to your doctor to discuss your issues.

Anti wrinkle injections take 2 weeks to see the full result. You may see some changes staring to happen a few days post treatment, but its best to wait the full 2 weeks and then have a follow up appointment with your practitioner to see if any top ups are necessary. 

Hi and thank you for your question.  From the photos it is hard to tell he effect without pictures of more animated facial expressions.  That being said 30 units split between brows and forehead is a good dose to start.  It does appear that the areas are nice and smooth in the photos. Give it the full 14 days tomake a final decision!!! 

You may see some effects of the botox injection in 4 days but you have to wait 10-14 days to see optimal result. Thirty units of Botox for the glabella and forehead is a good  dose. Your provider may adjust the dosage in your future injections based on your response and the severity of wrinkles and/or  the strength of the muscles to be injected.

It is difficult to tell just through photos and before the full results from your Botox treatment.  By 4 days after your treatment, you should begin to see the results coming in, but you will not be able to get a complete sense of your results until about 2 weeks after your treatment.  At which point, if you have continue to have concerns, I would recommend scheduling a follow up with your provider to go over your results.  

Hey there thanks for the question! Your botox still has some more action in it before you can assess the full effects - maybe another week or so. If you have minimal movement already you'll probably have less movement over the next few days.

Thank you for your question and for sharing your photographs miranda79. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment in the absence of consistent photographs before and after in the same lighting and angles for comparison. However, I hope the information provided here is useful.The appearance of frown lines is variable from person to person. Usually they are in a vertical orientation but sometimes they can be oblique and sometimes a horizontal line is seen across the upper portion of the nasal bridge. The most common variation is to have two parallel lines, hence the common term "11's" to describe them. But some people have one, three, or more lines. Some people also will see a bulge in the area when contracting the muscle. This bulge is smoothened out after a Botox treatment.
The pivotal studies used 20 units of Botox in the glabella area between the brow to address the frown lines and 20 units of Botox in the forehead area above the brows to address the horizontal lines seen when one raises the brows. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary. The pivotal studies for the horizontal lines on the upper forehead were published many years after doctors had been using Botox. In these studies, 20 units of Botox were used to treat this area. However, in my experience I find that anywhere from 10 to 20 units works well in this area. For patients with narrow foreheads a lower dose may be used and those with a broad forehead generally require higher doses. I have also found that the full results in this area are seen by two weeks. Therefore, we have our patients return two weeks after their treatment to assess the results via photographs. At that point additional units may be used if further enhancement is desired.
When patients present with concerns about specific wrinkles in the upper face such as the frown lines, I always assess and usually treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles in the glabella which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows (frontalis) serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, I recommend that my patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.
If I had a patient with the concern described here I would say that it looks like the Botox may be kicking in quickly, which is good. I would recommend waiting two weeks after the treatment to assess the final results. Patience is important.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!

Botox begins to work in about 5-7 days and reaches its peak in about 10 days or so. it is not treating the wrinkles but the muscles that are causing the issues