How long to wait before getting more Botox after unsatisfactory results?

Hello and thank you for your question. Sorry you are having an unsatisfactory experience this time.  You may be able to have your provider place a very small amount of Botox in the medial depressor supercilii muscle as well as the tail end of the eyebrow  (orbicularis oculi) to help give you a little bit of a lift.  Be sure you are going to an experienced injector, as correct placement in these muscles is key to achieve the proper lift.  Other than that, waiting it out is your only option.  Since for most people Botox lasts about 3 months, you don't have a lot more waiting to do. Best of luck!

If you can be re-treated within a couple of weeks to adjust the results of Botox injections then it can be reasonable. After that, the problem is that the Botox placed to alter the results of the first one will wear off later. And although results can often be tweaked, sometimes you just have to wait until the effect has worn off. 

Thank you for sharing your question.  I recommend patients wait at least two weeks between Botox sessions to ensure that the treatment results have fully settled.  Hope this helps.

If there is asymmetry that can be corrected with botox even at this stage but it won't give you the lift. To get the lift at this stage you will have to wait until all the botox effect wears out and then you do botox again. 

You can have a touch-up of Botox now. Also, venus legacy and thermage treatments will soften results. Keep in mind, Botox results resolve in 3-4 months. See an expert. Best, Dr. Emer

At 8 weeks, you're about halfway through when your BOTOX® results would naturally wear off. You can keep waiting it out at this point, or visit your usual injector to at least try and resolve any asymmetry in the meantime. To achieve the lifted brow again, you'll likely have to wait until this round has fully worn off and you can start fresh. Best of luck to you.

Good Afternoon, thank you for your question, I am sorry to hear that you had this bad experience. At this point I think the best option will be to wait for the Botox wear off and have it done correctly, however, it would be interesting to visit a board certified physician to evaluate you in person and try to correct the asymmetry. 

You typically see the full benefits of botox treatment in 2 weeks.  After this period, additional treatment can be done if under-treated.  In your situation, it sounds like the forehead may have been over-treated if you notice some "drooping."  I'd recommend waiting for the current treatment to wear-off which can take 3-4 months.  As always, consult with an experienced and board-certified cosmetic dermatologist or plastic surgeon.

I suspect you will need to wait 3-4 months for the Botox results to wear off. Either too high of a dose was used in the forehead or the Botox was placed too close to the eyebrows and this is probably what caused your eyebrow ptosis (drooping).

Thank you for your question Supermint. I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The
most common areas of treatment are in the upper face. These include the
horizontal lines seen on the upper forehead when one raises the brows, the
vertical lines seen between the brows when one frowns (frown lines), and the
crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and observe
wrinkles formed with facial expression. However, I hope the information
provided here is useful.This is a very difficult question to answer without having seen the skin before and after the treatment. Most people enjoy their results for 3-4 months, at which point a maintenance treatment is recommended. If it has been 8 weeks, then it could be waited out. However, depending on exactly how it looks, additional units may be added as described below.When Botox is used in the upper forehead, if the
dose is too high or the placement is too low it can result in the feeling of
heaviness in the eyebrow or even lower the position of the brow. In order to
reduce the risk of this possibility, I use a conservative dose in the area and
place the product high on the forehead, sometimes near the hair line. Additionally,
I recommend that my patients simultaneously receive a small amount Botox
between the brows and at the corners of the brows. This will relax the muscles
that pull down on the brows to counteract this effect and provide a harmonious
balance to the position of the brow. The results are assessed two weeks after
the treatment. If there is any asymmetry a small amount of Botox can be placed
in the upper face for correction.Sometimes after a Botox treatment a peaked
appearance of the eyebrow is seen. This is sometimes called the Spock or
Mephisto look, which makes a person appear surprised or sinister. It is also
called the Jack Nicholson look, after the appearance of his eyebrows. This can
occur if the muscles that pull the eyebrow down are relaxed with Botox. It can
also occur if the upper forehead only is treated. In this case the inner
portions of the muscles are relaxed preferentially over the outer portions of
the muscle. This allows the outer portions of the muscle to pull up on the tail
of the eyebrow. While some people desire this appearance, others do not. This
effect can be corrected by placing a small amount (1-2 units) of Botox in the
upper forehead approximately midway between the eyebrow and the hair line at
the peak of the brow. This relaxes the muscle that pulls up on the tail of the
eyebrow, thereby restoring a natural appearance.The muscles that are treated with Botox around
the eyes are close to the muscle that lifts the upper eyelid. If this muscle is
affected it can lead to a temporary droopy eyelid (blepharoptosis). The
duration depends on the placement of the product and the dose used. Usually it
resolves in 2 weeks, but it can last up to 4 months. Blepharoptosis can be
treated with apraclonidine 0.5% ophthalmic solution (also known as iopidine)
and various other medications. For my patients, I recommend 2-3 drops to the
affected eye 2-3 times per day. When the blepharoptosis begins to wear off
patients notice less of a droop when waking up in the morning after the last
dose of apraclonidine has worn off. The incidence of blepharoptosis is reported
to be approximately 1% but in my experience, I find it to be about 0.1%. This
is likely due to the fact that when these studies were initially performed
injectors may have not been as aware of this adverse effect nor been taking
extra precautions to avoid it. Blepharoptosis occurs when Botox is placed near
the eye and it diffuses to the muscle that lifts the upper eyelid (levator
palpebrae superioris). This is located inside of the orbital rim above the
globe. To avoid this side effect, I place the product at least 1 cm from the
orbital rim. When placing product between the brows I pinch the area to be
treated and lift it so that the product is placed in the muscle and is less
likely to diffuse around the bone into the orbital space. Diffusion into this
area may also be caused by other preventable things. For this reason, I
recommend that my patients carefully follow the simple aftercare instructions
described below. This may be a reason for the low incidence of side effects in
my practice.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In
addition to these risks, with Botox there is also a risk that the product spreads
or diffuses to nearby structures. Spread to nearby muscles can lead to side
effects such as the temporary appearance of droopy eyelids or a temporary
asymmetric smile.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific
recommendations. Good luck!