Why don't I see the same results from Botox that I did the first time?
Doctor Answers 19
Give Yourself More Time
Even on the same patient, no 2 BOTOX treatments are exactly alike. It's not uncommon for the very first treatment to yield quicker results than subsequent treatments. Allow yourself 2 full weeks from your appointment to see results. That said, no 2 BOTOX injectors are exactly alike, either. If you pass the 2-week mark without seeing any change, give your practitioner a call to revisit your results.
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I would recommend requesting to see a before and after photo 7-10 post treatment. It is often very enlightening for a patient to see the difference that has been made in their skin's texture. The degree of movement your are still experiencing is the best bench mark by which to judge whether or not the product is working or was injected in the correct dosage.
Botox Treatment is an Art Form!
There are many, many possible reasons for your disappointment. I simply would like to share my advice -- I would not choose Groupon or any discount "offers" when it comes to having medical or surgical treatments on your face. I would suggest you seek out treatment from a board certified facial plastic surgery expert (not any other kinds of "injectors"). Botox/Xeomin treatments require exquisite knowledge of facial anatomy and the aging process. It is possible that the Botox was the wrong dose, overly diluted, or was injected with insufficient knowledge. Also possible is that it can take up to 2 weeks for the full effects of Botox to be seen. Once you choose a Plastic Surgery expert to treat you, you can develop a rapport with him/her and they can artfully sculpt your face so that you will look your very best. Good luck!
When to expect results after Botox
Thank you for your question Skreger95. I am sorry to hear about your experience. Botox is a great treatment to address the frown lines seen between the brows. The standard dose for this area is 20 units based on the pivotal studies. Most people enjoy their results for three to four months. With Botox it can take up to two weeks to see full results, so I tell my patients to be patient. I have seen patients who got results in a few days after one treatment, but it took two weeks to see full results after another treatment, even when the same dose was used. There is small variation from lot to lot and sometimes this can happen. For this reason I always have patients come back two weeks after their treatment to assess their results and possible add additional units for any correction, if necessary.
Groupon is a great service where people can try new businesses at an introductory price to see if they like it. Unfortunately it is not always ideal for cosmetic services. This is because the price is typically discounted at least 50% and Groupon takes usually half of that. So businesses are receiving one quarter of what they typically receive for a treatment. Given this dilemma, many offices use this as a tool for welcoming new patients and offering other services or educating patients about other concerns that can be addressed with that treatment. I have patients who come to me telling me that they got an online promotion from another office and did not get full results. I cannot comment on what other offices use but many patients raises suspicions. I tell my patients that cosmetic treatments such as Botox are treatments, not commodities. For example, if you want a can of coke you can get it from a vending machine, gas station, supermarket, etc. At the end of the day it's the same coke. Botox on the other hand is a treatment and is performed by an injector. So it is important to go to an office with an experienced injector. Look for their experience, before and after pictures, and reviews. Most of my patients would not go to the cheapest stylist for a haircut because they know that they get what they pay for. So why would they go to the cheapest office for Botox? The results of a bad Botox treatment can be worse than that of a bad haircut. I ask my patients if they would go to two different stylists, would they expect the same result. If not, then they should not expect the same result after a Botox treatment from two different offices, or even two different injectors, from the same office or a different office.
Please consult with a doctor for specific recommendations. Good luck!
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