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MASSIVELY LONG UPDATE WITH PHOTOS AT 38 WEEKS POST...
"NATURAL AGEING" - When Botox makes you look old and haggard and gives you more wrinkles, doctors will tell you that it is natural ageing or that it is 'all in your mind' or that Botox can't do that. You know this is rubbish but how do you prove it? Botox gone bad is the most visible when the face is in motion and still photos will not properly show the difference. I suggest you have photographs taken before Botox with a range of facial expression - still, smiling, frowning - and from a range of angles - front, above, 3/4 angle etc. Better yet, take a before video instead of photographs. I wish I had.
Have a look at my photo from week 3 when the puffy eye bag was at its worst and look again at week 37. It has still not completely resolved but it is certainly better. I was repeatedly told that this festoon which appeared ONLY after Botox was natural ageing, meaning it could never get better. Ageing like that in 3 weeks?? I don't think so. If that were true then the only explanation now is that I have "un-naturally un-aged". Medical miracle? I think not. It was not rapid ageing; it was Botox. DO NOT HAVE TWO PROCEDURES DONE AT ONCE - I have referred to Botox in my case as the dermatologists' equivalent of "Do you want fries with your burger?" because I was upsold on Botox to make the filler last longer. I never asked for Botox in the first place. It was a massive mistake having two things done at once because when something went wrong, I could not properly ascertain the problem. I thought the puffiness under my eyes was related to the dermal filler I had put in at the same consultation. I had the filler dissolved (unnecessarily) because the doctors were unable to recognise and properly diagnose my bad Botox result, or they did recognise it and lied about it - I still can't decide. Dissolving the filler with hyaluronidase came with a whole host of other problems that have not resolved either. Just excellent. TIME FRAME FOR RECOVERY - Doctors will tell you that the effects of Botox last 3-4 months, maybe 6 months. This is a MARKETING ploy to get you to have Botox more often. The effects last much longer than that if you want them to go away completely, particularly if is not the first time you have had Botox. I did not even begin to see improvement until week 26 when I felt the first glimpse of the muscle across my cheek bone start to puff back out. It has now been 38 weeks and I have not yet recovered. Also, the EFFECTS OF BOTOX ARE CUMULATIVE because most people have it again before the previous lot has worn off. If you are having Botox every 3-4 months in the same places in the same amounts then you are at even greater risk of the eventual disaster. Lots of people describe the same pattern with Botox - good result, good result, good result, HORROR STORY. Some people get the horror story on the first go. Others continue to have good results for a long time without the horror story, and I have my fingers crossed for them that it continues that way. I would not wish this on my worst enemy. BOTOX AFFECTS SKIN AS WELL AS MUSCLE - The facial muscles are unique in that they are connected to the skin. Botox initially makes the skin on foreheads tight and shiny then the skin loosens up as the Botox wears off. If you get face drop or cheek ptosis then you can expect massive skin laxity because the flattened, paralysed muscles cannot support the skin properly and it droops and sags downwards. I had Botox shiny 'glass' face for more than 5 months then the skin loosened up horribly. It has tightened up some now but it is crepey with short diagonal wrinkles down my cheeks as well as the bunching effect and new wrinkles under my eyes. I am hopeful that the skin will tighten up some more, but I don’t know. DO NOT PANIC AND RUSH FOR A PROCEDURE TO "FIX" IT - I am astounded by the amount of stories I have read about bad Botox results where the solution presented has been MORE Botox. We all understand the see-saw relationship between the muscles in the forehead but how on earth is more Botox going to help cheek ptosis? Easy answer - it isn't. If Botox has caused your face to drop or trashed your skin then you are an easy target to be sold another procedure like cheek filler or Fraxel etc. It was repeatedly suggested to me that I could benefit from having my cheeks 'built up' with dermal filler. Ummm... if my cheeks weren't flattened by Botox then I wouldn't need the filler, would I? Forget it! And I cannot tell you how many times I have been tempted to have that bulge under my eye removed with a lower blepharoplasty but my patience has paid off and it is almost gone. What if I'd had a blepharoplasty after 6 months? All the doctors say Botox only lasts 6 months maximum, so I could have believed at that point that my face was the best it was going to get and had the blepharoplasty. If I had done that I would be in trouble now - probably complaining about too much fat being removed and hollow eyes because all it needed was TIME. Lots more time than I was told it would. Please wait it out a bad Botox result for a full year and then assess the damage. It will take a lot longer than you think and waiting it is the hardest thing I have ever done, but if you want your face back then more and more procedures will only get you further away from it. HOW 'RARE' ARE THESE HORRIBLE AESTHETIC BOTOX RESULTS? - There is only one answer to that: WHO THE HELL KNOWS? There is no obligation on the injector to report bad aesthetic outcomes, so presumably they don’t. From the reports on RealSelf, patients are generally dismissed as neurotic and hysterical when something goes wrong and told it is ‘natural ageing’ or 'all in their minds' unless it is the undeniable eyelid ptosis. People often don’t have the language to describe what went wrong (no doctor told me the right words or what happened - I worked it out myself from research, research, research and sharing information with other people on this website!). And people simply don’t know how or where to report a bad aesthetic result from Botox. I would strongly suggest that the combination of these factors means that, at the very least, undesirable aesthetic outcomes from Botox are SIGNIFICANTLY UNDER-REPORTED. I reported my bad result to the injector, other doctors, Allergan, the FDA and the TGA (Australian equivalent of the FDA). If you have had a bad Botox result, please take the time to report it. No wonder the product can continue to be marketed as ‘safe’ and ‘effective’ without challenge. Millions of good results? Says who? The doctors aren’t going to tell you their stuff ups because it would undermine your confidence in their skill as a practitioner. Allergan isn’t going to tell you because it would hurt sales of their product. Botox has a 41% NOT WORTH IT rating on this website as at this update, which speaks volumes to me and lots of those reviews are from people who have had previous success with Botox from the SAME provider.
TECHNIQUE OR PRODUCT? – Someone on RealSelf very aptly described it as a ‘crap shoot’. I agree. IS BOTOX PERMANENT? WILL THERE BE PERMANENT DAMAGE? – I don’t know. I don’t know. All the reports say that Botox is temporary. Okay, the nerves reconnect to the muscles, which technically means it is temporary, but does this mean that the muscles will ever regain their proper shape and strength? Will they pull the skin back to where it once was? I don’t know the answer to this yet. HOW HAS A BAD AESTHETIC RESULT FROM BOTOX MADE ME FEEL? – It has been the most isolating, debilitating and lonely experience of my life. I would not have made it without RealSelf and my heart goes out to all those others living this same nightmare. The loss of my self-confidence has affected all aspects of my life – social, personal and professional. I will never get this time back. I could use every negative adjective in the world, but I am going to choose one: devastating. TO BOTOX USERS AND POTENTIAL USERS – Please consider this warning before having Botox. TO BOTOX INJECTORS – Listen and learn.
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Provider Review
Botox is FDA approved *only* for the glabella region and for a very good reason - it can be 'hit and miss' when used in other areas of the face. There are also aesthetic limits to Botox, particularly when it is used repeatedly. Never mix Botox with another injectable (like dermal filler) or another procedure (like laser) at the same appointment. You might not be able to work out what happened if something goes wrong. Take your time! Please inform yourself about Botox as much as you can before using it. Know the right questions to ask your providers and if they cannot answer them properly then do not proceed. The "magic miracle" of Botox can rapidly turn monstrous.