BOTOX resistance is a situation in which a patient either has built up antibodies against the botulinum toxin, or happens to metabolize the BOTOX drug exceptionally quickly. As a result, for these patients BOTOX injections provide underwhelming results, a very short-lived effect, or no effect at all.
Aside from immune-related causes of Botox failure, other reasons Botox may fail include: Improper product handling: Botox providers should keep Botox products refrigerated at temperatures recommended by Allergan. Failure to store Botox properly can cause Botox to degrade and become less effective.
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.
"After receiving Botox, a patient may unconsciously attempt to re-create the facial expressions in the area where treatment has paralyzed their facial muscles, "said Dr. Becker. "What can happen is that other, nearby muscles compensate--this can have the effect of actually creating new wrinkles."
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.
Metabolism, muscle activity, and lifestyle choices are key factors that can shorten Botox longevity.
High intensity workouts are designed to boost your metabolism in order to burn calories and build muscle more quickly. By raising your metabolic rate, you may be causing your body to metabolize the Botox more quickly so it breaks down sooner than expected.
The appearance of vertical lines after Botox is due to its unique utilization and weaving. The corrugator muscle is responsible for creating the inter-brow number “11” creases. Once these muscles are crippled, the brain recruits the orbicularis oculi to produce the same expression.
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.
BOTOX resistance is a situation in which a patient either has built up antibodies against the botulinum toxin, or happens to metabolize the BOTOX drug exceptionally quickly. As a result, for these patients BOTOX injections provide underwhelming results, a very short-lived effect, or no effect at all.
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.
This is an effective, well-tolerated treatment6 requiring repeat injections every 6–9 months. However, the failure rate varies from 6% to 32% depending on the studies, and increases over time.
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.
If you did not receive the right amount of Botox unit needed for your forehead wrinkles, it's highly possible that the treatment may not show your desired results. To avoid this mistake, you should always have an initial consultation with your provider to determine the exact amount of Botox injections you'll need.
Within three to six months after Botox therapy, toxins wear off and muscles regain movement. As a result, wrinkles return and issues like migraines and sweating may resume. To maintain results, you may choose to receive more Botox injections.
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.
If you are taking any other medicine, please inform your doctor before getting a Botox injection. Interactions with antibiotics, blood thinners, muscle relaxants, sleeping pills, cold or allergy medicine, bronchodilators, and many other prescriptions and over the counter drugs have been reported.
Avoid Too Much Sun Exposure
Sun damage can reverse the benefits of Botox by breaking down collagen and causing more lines and wrinkles. The results of Botox can last longer if patients commit to sun protection after treatment. Wear the correct sunscreen and seek shade when possible.
It could just be genetic. Inherent metabolism does influence the duration and some people simply metabolize it [Botox] faster. You are very active / exercise frequently. Athletes and intense exercisers tend to metabolize Botox much faster than others.
Taking a zinc supplement can help extend the effectiveness of your Botox injections. This is because zinc is an important mineral that helps your body produce collagen, essential for healthy skin. When you take a zinc supplement, it can increase the production of collagen around your injection site.
Additionally, facial exercises have been shown to speed up the onset of the effects of Botox treatment. In a study involving 25 female adults, 68% reported experiencing faster Botox onset when they did facial muscle exercises after injection. Facial exercises are best done near the area of injection.