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

Question

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?

Babak Azizzadeh, MD, FACS · Answer

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!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. Botox has maximal results by about 7-10 days. You should continue to see improvements over the following days. Repost your photos after another week if you don't mind. Good luck,

Michael I. Echavez, MD · Answer

It can take a week or so for the full effects from a Botox treatment to be seen, so you most likely are not seeing the full effect 4 days after your treatment.  Additionally, as the longer the period that the muscle stays relaxed, the lines will continue to improve.  If there is still somewhat of a depression under the lines after the muscle is relaxed, sometimes a filler can be added for further improvement.

Alex Eshaghian, MD, PhD · Answer

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!

Lee B. Daniel, MD · Answer

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.

Alim R. Devani, MD, FRCPC · Answer

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.

Jennifer Trent, MD, FAAD · Answer

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!

Quenby Erickson, DO, FAAD, FACMS · Answer

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

Millicent Odunze Geers, MD, MPH · Answer

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.

Michele S. Green, MD · Answer

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

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

Answers (12)

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