Why am I not seeing results from Botox?

Author: Daphney Ebert DVM  |  Last update: Tuesday, October 28, 2025

To answer this question, let's look at the 3 reasons why BOTOX will not work for you: You are not getting enough units. You are not being injected correctly. You have developed antibodies.

What happens if you don't see results from Botox?

It is normal. However, if after 14 days you still see no results, you should contact your doctor. Usually, a follow-up appointment is already scheduled to address any lack of effect.

Why is Botox not working on me?

If you're a BOTOX regular, it can be easy to forget that the aging process continues “behind the scenes.” If the same dose no longer gets satisfying results, it may be that your skin has lost collagen and elastin and/or your facial fat volume has decreased.

Why do I still have 11 lines after Botox?

If you still see a line/wrinkle even when the area is completely frozen with Botox Cosmetic, it means that you have dermal atrophy that may be improved with a filler such as Juvederm. Botox Cosmetic works primarily on dynamic wrinkles - those wrinkles that appear with movement of the underlying muscle.

Can Botox take longer than 2 weeks to work?

Botox injections usually begin working 1 to 3 days after treatment, though it can take a week or more to see full results. Not all people have visible results or relief from symptoms. Depending on the problem being treated, the effect may last 3 to 4 months.

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Why is my Botox only lasting 6 weeks?

Botox wearing off at six weeks is a little earlier than expected and there may be several reasons for this. Receiving too little Botox or not having the Botox injected directly into the muscle belly may result in shorter lengths of effect.

What can mess up Botox?

Below are 7 common mistakes you should avoid in order to get the best results.
  • Choosing an Under-Qualified Provider. ...
  • Taking Blood Thinners. ...
  • Drinking Alcohol. ...
  • Using Retinol. ...
  • Exercising too Soon after Treatment. ...
  • Getting BOTOX® on an Empty Stomach. ...
  • Massaging Your Face.

When does Botox look the best?

By the 14th day, the full results of your Botox treatment should be evident, showcasing a smoother and more refreshed appearance. It is an ideal time to attend your follow-up appointment to ensure everything has gone smoothly and to discuss any adjustments that may enhance your results.

Why are my frown lines not going away with Botox?

Some of the most common ones involve not getting enough Botox units for your skin issue, Botox not being injected correctly, or it could also be that some wrinkles are at a certain depth and could only be corrected so much.

Can you correct too much Botox?

However, overtreatment can cause damage that is difficult to correct. Injecting too much Botox can create an unnatural look with asymmetrical features that might be impossible to reverse immediately.

Why didn't my Botox do anything?

If you are immune to Botox, the drug will have partial to no paralyzing effect on your treated muscles. Botox resistance is more likely to occur in people who receive higher doses of Botox, or more frequent treatments. Botox treatment may also fail if a provider uses improper technique.

What to use if Botox doesn't work?

What to do when botox isn't working for your patient anymore. If your patient didn't respond to the toxin, in three months, I would try another brand of botulinum toxin. I would still treat it the same way, just with a different brand of toxin,” Dr Janine explains.

How can I get Botox to work better?

How Can You Ensure You Get the Best Results With Botox Treatments?
  1. Avoid Touching or Rubbing the Treated Areas. ...
  2. Stay Upright and Avoid Strenuous Exercise. ...
  3. Avoid Alcohol and Blood-Thinning Medications. ...
  4. Be Patient and Allow Time for Results. ...
  5. Follow Any Specific Instructions. ...
  6. Avoid Excessive Heat or Cold. ...
  7. Stay Hydrated.

What is the best alternative to Botox?

Below are 10 alternatives to BOTOX® that might help if you're seeking smoother or firmer skin on your face.
  • Cosmetic Acupuncture. ...
  • Microneedling. ...
  • Chemical Peels. ...
  • Laser Therapy. ...
  • Cryotherapy. ...
  • Facial Creams. ...
  • Neuropeptides. ...
  • Face Patches.

How many units of Botox for the forehead?

Forehead. Forehead lines can be treated with Botox Treatment. 5-15 units of Botox are recommended to treat fine lines on the forehead, depending on the size of the forehead or how much movement is needed.

What causes Botox to wear off faster?

For those with a faster metabolism, the effects of Botox may wear off more quickly as their bodies metabolize the toxin at an accelerated rate. The process by which the body breaks down and eliminates Botox involves digestive proteins in nerve endings, which can vary between individuals and thus affect Botox longevity.

Why do I still have lines after Botox?

However, careful attention to the other side effects such as brow ptosis or eyelid ptosis should be warranted in additional injection. Our cases demonstrated the temporary appearance of new wrinkles after botulinum toxin treatment. These may be caused by hyperactivity and overcompensation of untreated muscles.

How do you know if Botox has gone wrong?

Common indicators that Botox may have gone bad include drooping eyelids, uneven results, excessive bruising, or prolonged swelling beyond the expected recovery period. Difficulty swallowing or breathing could also signal that the toxin has spread to unintended areas.

Is 40 units of Botox a lot?

Usually, an average Botox treatment is in the range of 40-50 units, meaning the average cost for a Botox treatment is between $400 and $600. Forehead injections (20 units) and eyebrow lines (up to 40 units), for example, would be approximately $600 for the full treatment.

Why hasn't my Botox worked after 2 weeks?

If at 2 weeks, you are still seeing movement and wrinkles you'll likely need more units to immobilize the deep contractions caused by muscle movement at the upper face and finalize your unique dosing and injection map. If you've switched injectors or clinics, you might want to ask about their protocols.

What is Barbie Botox?

Better known by clinicians as trapezius Botox, Barbie Botox is a procedure that is done for practical reasons but may also come with aesthetic benefits. These benefits include elongating the neck and shrinking the shoulders — a look that social media influencers claim imitates the widely-known Barbie doll.

What cancels out Botox?

This is probably the first question an unhappy patient will ask. Unfortunately, there is no reversal treatment for Botox. Unlike dermal fillers that can be reversed by injecting hyaluronidase, there is no procedure to “undo” Botox.

What are examples of bad Botox?

3 Botox Danger Zones
  • Brow Droop. If a Botox provider injects too much above the brow, they can paralyze the frontalis muscle. ...
  • Eyelid Droop. Another danger-zone problem gained attention in 2021 when a lifestyle blogger and influencer from Chicago shared her story of Botox gone wrong. ...
  • Raised Brow.

What can make Botox not work?

To answer this question, let's look at the 3 reasons why BOTOX will not work for you: You are not getting enough units. You are not being injected correctly. You have developed antibodies.

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