Still have wrinkles after Botox.

Question

Had Botox nearly 3 weeks ago, I still have wrinkles when I move my eyebrows not happy with the result what could have caused this? Feel like I've wasted my money

Young R. Cho, MD, PhD · Answer

Thank you for your question.  The response with Botox is dose dependent.  Not enough and you still have movement in the targeted muscles.  If your provider used too strong a dose, then your wrinkles would be gone, but you might find that your brows feel too heavy.  Finding the ideal dose that works for you should be your goal and that of your injector.  I would recommend that you visit with a board certified plastic surgeon or dermatologist with a great deal of experience with Injectables.

Donald B. Yoo, MD, FACS · Answer

It is possible to resolve the problem you are having by adding a few more units. Consultation with an experienced injector would be best to determine the potential satisfaction from the treatment.

Martin Jugenburg, MD · Answer

The muscle is not completely relaxed so by adding a few more units of botox it will likely correct this.

Munir Somji, BSc, MBBS · Answer

Hello. I always recommend getting your botox injections by an experienced Doctor who performs the treatment regularly. Good botox is about a good product ( the doctor must show you the expiry date and product ), good training, as well as an informative consultation. Expectations should mentioned in the consultation. There certainly seems to be no product injected in the upper forehead. Was this what you asked for? A responsible practitioner will always provide a complimentary top up service and I urge you to contact your practitioner for this. At 3 weeks you have reached your maximal effect for botox.

Andrew Campbell, MD · Answer

It looks like you still have motion in the upper portion of your forehead. I'd recommend discussing your concerns with your injector. You likely need more Botox in the upper forehead. See an injector with extensive experience if you don't feel confident with your current injector.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Adam Scheiner, MD · Answer

Dear Patient from the UK, 3 weeks after Botox is adequate time to see the results of the treatment. Your outcome is related to where the botox was injected. Sometimes patients like a frozen forehead and in this case more botox can be injected in the moving area to quiet that region.Other times, it can be good to have some movement so that the result appears natural.Best to re visit your physician to get their advice.I hope this was helpful.

Raffy Karamanoukian, MD, FACS · Answer

It is not uncommon to request more Botox or a Botox revision if you are not happy with your Botox session. Ask your surgeon. Best, Dr. KaramanoukianLos Angeles

R. Brannon Claytor, MD, FACS · Answer

Thank you for the question.  Your provider possibly may have used a lower dose of Botox, especially if this was your first time seeing him/her.  It is always better to under treat than over treat.  You can always increase the dose at a follow up appointment but you can't take it away! I would give them a call and express your concern.  At our practice, we like to have patients come back within 2 weeks so we can assess how well the Botox worked.  This allows us to get to know the patients treatment plan better.  Each person is unique and what is good for one patient may not be right for the next.  Good luck!

Michele S. Green, MD · Answer

Botox is a great injection but it appears that you need a small amount of Botox in the upper forehead area.  Please consult an expert.  Best, Dr. Green

Chaneve Jeanniton, MD · Answer

Hello,  It looks like you need additional injections of Botox to treat the dynamic wrinkles of the upper forehead. Only trust your face to a board-certified, experienced injector!  Best of luck.

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