Xeomin, Botox and Juvederm don't last on me. Why is that?

Some people need higher doses are to try a different product. I suggest trying dysport. There is no reason why some people respond better than others.  Best, Dr. Emer.

Longevity of toxins and fillers vary from person to person. You may simply be a fast metabolizer. Patients who work out or simply have a quick baseline metabolism tend to see this.

Everyone's metabolism is different, so it is possible to see the results of your Xeomin or Botox injections wear off sooner than others. Results from these treatments are visible within 3-7 days with results that can last anywhere from 3-4 months. You could us a different neuromodulator and see if the results last longer. Juvederm in the lips only lasts about 6 months, so your time frame on that is normal. Follow up with your injector for your options.

Everyone's metabolism is different, so it is possible to see the results of your Xeomin or Botox injections wear off sooner than others.  Usually, results last between 3 and 4 months.  I suggest trying a different neuromodulator and see if the results last as long or are shorter in duration.  I also suggest having these injections done by a board-certified facial plastic surgeon who can keep an accurate record of the product and number of units injected.

Iniquez2000, 
That is a good question that is asked all the time. People have different types of metabolism and are able to remove Juvederm and Botox quickly. Also a German paper from 2013 suggested that about one in 200 people will form antibiodies to the Botox. You maybe one of those individuals. Please speak with your physician regarding this. Thanks for the interesting question. Have a great day. Dr. John M. Clair.

This is well established in the literature that some patients will have a higher level of breaking down fillers and degrading neuromodulators. Remember hyaluronic acid is a natural material that our body has the ability to break down. The solution is to try different types of fillers. I am not sure if higher does of Xeomin would work but it depends on the area and the injector , higher dose might lead to infiltration of deeper muscles and side effects might appear.