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.
You haven't waited long enough for BOTOX to take full effect
One of the benefits of BOTOX is that it works quickly—but not instantly. While many patients notice fewer wrinkles in as little as 48 hours, it is normal to take up to 10 days for full effects to realize. In other words, you may need to be patient.
One of the most common reasons that people do not see full results after their Botox treatment is because the dose used was too low. Although many people have fears of Botox treatments, the recommended doses are provided to give natural and full results.
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.
You should begin to see Botox treatments starting to work with a couple days. The effects will become stronger over the ensuing 7 to 10 days. The complete effect is generally seen two weeks after the injection.
In general, patients can expect to see their BOTOX effects as early as 3 – 4 days after injection. However, it typically takes 10 – 14 days after the procedure for this anti-aging treatment's full effects to take hold.
Answer: Botox migration
The botox can migrate either at the time of injection or for a little while afterwards. The effect may only come on after days to 2 weeks later as the botox starts to work. The greater the volume injected the greater the risk of migration.
The three most common reasons Botox does not work are: too few units applied, the dosage was not increased in follow up treatments, and Botox can treat only muscular movement lines not resting lines. The most common cause of ineffective Botox results is that you did not get enough.
Botox Touch-Up After Two Weeks
Patients who undergo Botox injections should expect to see the full treatment results after 14 days. However, if patients notice minimal changes or no changes in their facial appearance within two weeks, a Botox touch-up can be performed.
You may start to see results in as little as 24 hours, although the average time is three days. However, some patients may not see results for as long as five days. The maximum results of Botox can be seen within two weeks. One Botox injection can last up to four months.
"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."
If you try Botox and it doesn't seem to work for you, talk to your healthcare provider. They may be willing to inject you again for free if you didn't get results the first time. If it happens again and you are still determined to have a line-free forehead, try seeing a different healthcare provider.
Answer: Botox takes a while to work
Once the muscles stop contracting, the lines can take quite a while to disappear in some patients. If you continue to maintain the inability of the muscles to contract by having repeat Botox before the muscle wakes up ( around 3 to 4 months), the lines should continue to improve.
Botox takes time to work because it must reach the cellular level of the muscle in order to block the neurotransmitters in the nerve, eventually causing the paralyzation of the muscle. There are a couple of reasons that this timing varies from patient to patient: Area of treatment.
You should still be able to move your forehead and make facial expressions following Botox injections, as long as you have a full consultation with your provider prior to getting the treatment. It is important to discuss your aesthetic goals when getting a procedure such as Botox.
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.
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.
Simple facial exercises shortly after injection get quicker results by one day. Summary: For people who can't wait the three or four days for the wrinkle smoothing effects of botulinum toxin (Botox) injections to kick in, a new study shows facial exercise after the injections speeds the change in appearance by one day.
You will start to feel a little tightness in the skin. When you try to make exaggerated facial gestures, you will notice the effect in the areas of the face that were treated. In one to two weeks, you will notice the maximum effect of Botox on even the deepest wrinkles.
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.
Another concern that most patients have is not seeing results within the same timeframe as their first treatments. In general, this is not a cause for concern as the Botox may simply need more time to take effect the second time around. Doctors recommend waiting between 10 and 14 days.
Botox stays only where injected, it does not roam through the body. "If I inject it in your face, it's not going to work [or show up in] your toe," says Rowe. "It does not have a systemic effect." However, it may migrate up to 3 cm from where it was injected.
Drooping eyelids
When Botox migrates to either the forehead or the area between the eyes, this can result in a droopy eyelid. One reason people choose Botox may be to reduce the appearance of forehead or vertical frown lines.
Don't Get a Facial. The area where the Botox was injected can be a bit sensitive for the first 24-48 hours after the procedure. It's strongly advised that you refrain from getting a facial, chemical peel, or microdermabrasion for a few days after the procedure.
This is why it's important to follow up about two to three weeks after your Botox treatment. At this time, you'll see the full results and can correct anything that's not perfect with additional units or a different treatment. This is common especially when treating horizontal forehead wrinkles.