Why isn't Botox/Dysport not working for me? I'm new to these injections. Do bigger foreheads need more work? (photo)

Question

Long story short, two months ago I had 30 units of Botox done for the first. I'm trying to prevent my frown lines from forming. Two weeks later pass by and it looks like nothing hasn't changed. I was able to freely move my forehead with out any resistance. Then about a week ago I got 14 units of Dysport and that hasn't responded all that well either. My Dr said either I need more than average person, or that my body is rejecting it. Why would I need more than average person?

Anteneh Roba, MD · Answer

It is difficult to give you an accurate answer without close examination but based on your description it sounds that you did not get enough botox to be effective enough.

Michael I. Echavez, MD · Answer

Examining you in person would be helpful to give you the best advice.  It is possible that the Botox and Dysport have relaxed your muscle but that you still have some indentation remaining.  If this is the case, it is possible that an injectable filler could be used to obtain a smoother result in the glabellar area.

Carmen A. Traywick, MD, FAAD · Answer

Everyone has unique expressions. We move our facial muscles in a repetitive way and over time those repetitive movements cause wrinkles and fine lines. When you start to experience the signs of aging, Botox are available to diminish unwanted wrinkles and creases in your face.
Botox locks the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-14 days with results that can last anywhere from 3-4 months.Botox be used to improve:Worry lines in your forehead Lines between the eyebrows Smile lines Laugh lines from nose to mouth Crow’s feetNext step for you is to schedule an appointment with a Board Certified Dermatologist to discuss your options. Hope this helps.

Shaun Patel, MD · Answer

I suspect you probably need a higher dose for a better result. Resistance to Botox or Dysport is rare in my experience.

Justin Harper, MD - Account Suspended · Answer

HiYou probably needed more than the 30 Botox units that you were given There are many reasons why the effects wore off off sooner than the expected 3-4 months. Total number of units, depth of injection, dilution, and freshness of the product matter. The size of the area to  be injected and muscle strength are also very important considerations. True Botox resistance is very rare. You may want to seek a second opinion.All the best,Justin Harper, M.D.

Why isn't Botox/Dysport not working for me? I'm new to these injections. Do bigger foreheads need more work? (photo)

Answers (6)

Answer: Botox or Dysport not working - higher dose probably required

Answer: Botox or Dysport not working - higher dose probably required

Answer: Why isn't Botox/Dysport not working for me?

Answer: Why isn't Botox/Dysport not working for me?

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Everything you need to know about Botox

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Why isn't Botox/Dysport not working for me? I'm new to these injections. Do bigger foreheads need more work? (photo)

Answers (6)

Answer: Botox or Dysport not working - higher dose probably required

Answer: Botox or Dysport not working - higher dose probably required

Answer: Why isn't Botox/Dysport not working for me?

Answer: Why isn't Botox/Dysport not working for me?

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.