Why does Botox eventually stop working? Your body makes new neurotransmitters all the time, so the “blocking” effect of Botox gradually wears off as these chemicals start circulating in your body again. The muscles are no longer inhibited.
In general, Botox lasts 3-4 months. There will certainly be patients in which in lasts longer, in that 4-6 month range, or shorter, in that 2-month range. It is also common for first-timers to notice that it may not last as long initially but may last longer after the second treatment.
The short answer to how long you should wait between Botox treatments is anywhere from three to four months for the best results. We recommend scheduling around this time frame, which is when most people begin to notice that their results begin to dissipate.
Your physical activity level – Proteins needs time to get into the muscles after they are injected. The facial expressions made while working out could make your muscles contract much faster and cause the Botox to wear off.
Medical professionals do not use the same amount of Dysport® for every treatment. Larger treatments may last longer than a treatment that used a relatively small amount of Dysport®. Additionally, Dysport® may degrade over time or if exposed to heat.
Even though Botox takes about 5 to 7 days to give patients real results, after that time period, your fine lines and wrinkles should be softened for another three to four months on average. If they have started to come back, then it's time to schedule your next Botox appointment.
Because Botox is a form of a toxin produced by a bacteria, the body can sometimes develop an immune response to the injections. This will cause the body to break down the Botox injections quickly so that they are no longer effective.
The traditional Botox schedule calls for new injections every 3-4 months to treat glabellar lines—the horizontal lines on your forehead. A new study indicates that after two years of treatment, a good result can be achieved with less frequent injections.
“If you're starting with skin that's healthy, your Botox and fillers will last longer,” contends Dr. Peredo. Her medicine-cabinet recommendations include products that contain retinol, hyaluronic acid, peptides and antioxidants. “Having good skin care will also help extend your results.
A study conducted in 2012 shows that Botox duration increases by 30% in Botox patients who took 50mg of zinc daily. This might be due to the fact that the botulinum toxin is a member of a class of enzymes that requires zinc. So, taking zinc regularly after your Botox treatment can extend the anti-aging effects.
Botox wears off gradually and the effects will fade over time—meaning wrinkles and fine lines won't suddenly reappear overnight.
Between 10 to 50 Units of botox
A forehead botox injection can require between 10 to 50 units needed in the forehead depending on the severity of your wrinkles. Allergan, the manufacturer of Botox suggests the amount of units that's recommended in the “five” sites of the forehead is 4 units.
For horizontal forehead lines, practitioners can inject up to 15–30 units of Botox. For “11” lines between the eyes (or glabellar lines), up to 40 units are indicated, with higher doses needed in male patients .
An average Botox procedure uses about 50 units at a time, with the maximum safe amount being 100 units. Typically, you can expect more Botox units if you want to target more dynamic wrinkles like frown lines, forehead lines, or smile lines.
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.
To put it plainly, Botox resistance (immunity) does occur in some patients. According to those who do recognize the phenomenon of Botox resistance, the numbers are low—about 1% to 3% of patients who are injected will develop toxin-blocking antibodies.
Botox® injections work well as a standalone treatment for mild to moderate frown lines. However, if the 11s are deep, Botox® alone may not be enough to reduce the appearance of forehead wrinkles. For the best results with deeper 11s, dermal fillers can be used along with Botox® treatment.
Typically, the effects of Botox last for up to three to four months. Therefore, the recommended treatment is once every three to four months. Nonetheless, if your facial muscles begin to train themselves to contract less, the period of time for each treatment may be extended longer than three or four months.
The average dose for treating the glabella (11's) is 20 units. 45 units is not unusual in treating both areas of the forehead, but would be a very large dose to treat the frontalis muscle alone.
The aim of getting Botox in your 20s is to prevent wrinkles happening in your early 30s. Botox in your 20s is best used as preventative measure to avoid the fine lines and wrinkles occurring and becoming a more permanent fixture when our facial expressions are resting.
Answer: Botox not lasting long enough
Botox typically lasts 3-4 months, with some patients getting 5-6 months duration. In a small percentage of patients, there are antibodies against Botox or Dysport which results in the Botox wearing out more quickly.
Resistance to botulinum toxins (such as Botox, Dysport, Xeomin, and Jeuveau) can occur if neutralizing antibodies develop. This is noticed when a patient initially responds well to botulinum toxin for the treatment of wrinkles, but then experiences a decreased effect or no effect after subsequent treatments.
You should NEVER leave a tip for your PA/NP or nurse injector. Injectables are medications, just like a blood pressure pill or a thyroid medication. You would not tip your primary care provider for doing an EKG on you so no need to tip on our medical services either.