So what could be the reasons behind Botox not working on forehead wrinkles? 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.
True BOTOX resistance is fairly rare—manufacturer clinical trials showed that no more than 1.5% of patients developed any “neutralizing antibodies” to the drug. Other doctors estimate that as few as 1 patient in 10,000 has real BOTOX resistance.
Answer: Remaining Lines After Botox
Expression lines on the face develop after years of muscle contraction in combination with aging skin. Botox can help relax the muscles so that the lines can improve. It takes time for the lines to improve completely.
Many people see absolutely no change at the 2-day mark after BOTOX injections. It usually takes about 7 to 10 days for full results to develop. If you don't see any change by that point, consult your injector, who should be able to give you an explanation and improve your treatment.
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.
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.
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.
When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.
In general, you can see the effects of Botox as early as 3 to 4 days after an injection. Dr. Oscar Trujillo, a facial plastic surgeon at Columbia University Irving Medical Center, says most patients will see results within 10 to 14 days but should wait the full 14 days to see the maximum results.
Botox can reduce the appearance of static wrinkles as well, but not as effectively as dynamic wrinkles. If you have static wrinkles, you should consider dermal fillers, i.e., injectables that infuse your skin with hyaluronic gel or trigger collagen production to temporarily fill the status wrinkles and fine lines.
Don't lie down for at least 3 hours after receiving Botox. Don't go into any saunas, hot tubs, or tanning booths for at least 4 hours. This helps to prevent bruising, because heat can raise your blood pressure. Otherwise, you can resume your regular activities right after getting Botox.
It's highly recommended that you move your face around a lot after getting Botox. This includes smiling, frowning, and raising your eyebrows. It's similar to facial exercises, minus the touching. Facial movement may look — and feel — silly, but it actually helps the Botox work better.
The most common reason that Botox does not work is that not enough was given. Botox is not a one size fits all treatment and the same dosage does not work for everyone. Some individuals may need additional Botox to reach an effective level of muscle weakness. The Botox may also be old, overdiluted, or fake.
As a neuromodulator that relaxes muscles and keeps them from working at their full capacity, thereby reducing the wrinkles they cause, it usually begins to take effect anywhere from 3 to 5 days after treatment, though it can take up to a full 14 days after treatment for the full results to become apparent.
Reduce Your Stress Levels
Consistently high-stress levels can cause the body to break down Botox more quickly while speeding the aging process. Taking part in meditation, yoga, and other stress-relieving activities can help you maximize the life span of your Botox while reducing any stress-related aging.
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.
Some practitioners say they inject an average of 10 to 30 units into the forehead. Allergan, the manufacturer of Botox Cosmetic, suggests a dosage of 4 units each in five sites on the forehead, totaling 20 units. Your practitioner may start out with a low-unit dosage in each injection at first.
The frontalis is injected either intramuscularly or superficially just under the subcutaneous tissues. In general, injection is performed at least 1.5 cm above the superior orbital rim to prevent ptosis.
BOTOX smooths moderate to severe facial lines and wrinkles, crow's feet, and frown lines. If you have deeper wrinkles or folds, BOTOX injections may soften the look, or you may need to undergo a more comprehensive facial rejuvenation treatment.
Why Does Botox Make Your Forehead Shiny? Light naturally reflects off of smooth surfaces, so the smoother your skin, the more light will bounce. Botox injections smooth the skin, which can cause it to appear shinier, especially if it is overdone.
botox injected into the frowning muscles doesn't affect the frontalis muscle that helps raise the eyebrows. If you get treatment of this muscle on the forehead, if too high a dose is used you will not be able to raise your brow.
The standard FDA approved dosage of Botox into the 11s area is 20 units; however, every patient is different and will require different treatment regimens. Some will need less and some will need more.
25 Units Of Botox On Average
On average 25 units of Botox will give your skin by your glabellar a full correction and will remove the 11 lines. The '11 lines' are the glabellar lines in between your eyes and eyebrows.
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.