I can still frown after Botox. Is that a good sign? (Photo)

Hi I had Botox for frown lines 4 days ago but carnt see much improvement and I can still frown it does feel abit tighter is that a good sign?

Doctor Answers 12


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The Botox is beginning to work.... it will take full effect in 10-14 days.  Enjoy!  Consider a little filler in those lines if they are not completely to your satisfaction after the Botox kicks in... you may even like to think about a laser resurfacing...
Hope this helps.

Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Botox expecations

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Botox is a great muscle relaxing medication that works beautifully for a lot of dynamic lines--or wrinkles that appear with expression.  The frowny lines between the brows (an area also called the glabella) is one of the most popular areas to treat with Botox.  Botox usually takes 2-4 days to kick in, with 100% results being seen in 2 weeks after injection.  If you can still deepen your frowning creases at the 2 week mark, you may need a touch-up treatment for an overall higher Botox dose.  If you cannot significantly contract your muscles but still see creases/ wrinkles in the treated spot at 2 weeks, you may benefit from filler injections or resurfacing to smooth the skin.  Good luck!

Inessa Fishman, MD
Atlanta Facial Plastic Surgeon

The pivotal studies demonstrated that the maximum effect of Botox is seen 14 days after a treatment

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Thank you for your question lins1976. Botox is a purified protein used to address wrinkles associated with facial expression such as the vertical lines between the brows seen when one frowns. The pivotal studies demonstrated that the maximum effect of Botox is seen 14 days after a treatment. Patience is important. Some people have deep wrinkles at rest. In these cases Botox often does not provide results that patients are happy with. Laser resurfacing with fractional CO2 may help. Please follow up with your doctor for specific recommendations. Good luck!

Full results may not have developed yet.

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Thank you for your photos. At only four days since your treatment, the full results from BOTOX® may not be visible. It can take a week or more for the final results to appear as the product works to weaken the contractions of your glabellar muscles. After 2 weeks, you may want to return to your injector for a touch-up if you can still create substantial frown lines voluntarily. If the muscle control has weakened at that point but you still have static lines on the skin between your eyebrows, talk with your practitioner about the possibility of using a small amount of dermal filler to smooth the appearance of the skin’s surface.  

Lee B. Daniel, MD
Eugene Plastic Surgeon

Botox Results

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Botox takes anywhere from 10-14 days to take effect. Since your injections were only 4 days ago, I recommend waiting a couple of weeks, and if you are not happy with your results, make a follow up appointment with your injecting physician. Sometimes patients do require a touch up, but in your case it’s too soon to tell. Good luck!

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Botox – What to expect

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Thanks for your question. This is a question that we get asked often by our patients.  As far as Botox treatments, muscle hyperactivity would likely require treatment 3 times a year.  Botox effects can last anywhere from 4-6 months and with recurrent treatments, this will lead to mild atrophy of the muscle, and some prolongation of Botox's effects.  Botox effects are never permanent, however, if you elected to stop, your muscle would hypertrophy back to its original size. These are advanced techniques so be sure to get an experienced cosmetic dermatologist consultation for recommendations and treatment options.  Results are expected to start in 2-10 days and peak within 14 days after injection. In some patients, it may take up to 30 days to reach full results. On average, results will last for 4-6 months.

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
4.9 out of 5 stars 16 reviews

Botox for frown lines

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Botox can take up to 2 weeks for maximum effect to be seen.  If you still have movement after 2 weeks, talk to the doctor that injected you and let him or her know.  You may need additional Botox.  Good luck!

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Frown lines after botox

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Thank you for your question. Botox takes about 7-10 days to see maximal results, so give it a few more days. If you still have movement after that, you may need more Botox to fully treat the glabellar area which on you seems quite strong.  Also, you have etched lines at rest there which will take some time and likely additional treatments to soften.  I would recommend laser treatment of the lines as well as a growth factor cream, 

Good luck!
Dr. Quenby Erickson, DO

Up to 10 Days To Work

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No need to worry yet!  Actually, no need to worry at all. It can take up to 10 days for Botox to take effect. If you do not see an effect after three weeks, you may be one of those people who needs just a bit more in the area. For now, just sit tight. That feeling of tightness is normal.

Botox and Full Effect

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It takes two weeks to see the full effect of Botox so you can't evaluate the results after just a few days.  Since your line is deep you may  require a filler or lasers in addition to the Botox. Please consult an expert for the best cosmetic results.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.