If Botox is injected into the wrong area, it won't have any effect. It needs to be injected into the muscle for it to work. This is why it's important to find an experienced injector who knows how to administer the correct dose of Botox for each type of wrinkle problem. For forehead wrinkles and brow lines, the standard practice is to place a total of 20 Botox units at four injection sites along the forehead.
It's also possible that your body has developed antibodies to resist the effects of Botox if you've been getting several injections in your forehead for quite some time. According to a report published by Allergan, the manufacturer of Botox, no more than 1.5% of patients have formed antibodies to the toxin. Another reason why Botox may not be working is that it wasn't given enough. Not all wrinkles and fine lines are created equal, so some people may need additional Botox to achieve an effective level of muscle weakness.
It's also possible that the Botox was old, overdiluted, or fake. When the Botox bottle is opened and mixed, it must be used within a specific period of time, otherwise its effects may diminish. Some clients notice fewer wrinkles on their face in as little as 48 hours after treatment, while others may take up to 14 days for the toxin to produce significant effects on the forehead. If you have developed specific antibodies for Botox, your doctor may recommend that you explore other neurotoxin injections that have the same muscle-relaxing effects. If you still don't get results, then you may be one of those rare people who are “immune to Botox”. The number of injections you initially received may not have been enough for the size of your muscle, and putting in more Botox can help you get the results you want. If Botox doesn't work for deep wrinkles and glabellar lines, your doctor may rework your treatment plan and suggest dermal fillers.
To better understand the possible causes why Botox doesn't work on the forehead, it's important to first understand how it does its job to eliminate common wrinkles and facial lines. Antibodies against Xeomin are also less likely to form, so it may be more effective when Botox doesn't work. BOTOX resistance is a situation where a patient has accumulated antibodies to botulinum toxin or metabolizes the drug BOTOX exceptionally quickly. Most of the time, when BOTOX seems to be less effective for a patient, it's not a case of true BOTOX resistance. A qualified provider for Botox treatments has in-depth knowledge of facial anatomy, the ability to interpret a client's goals, and apply the correct dose based on their skin type and needs. Among today's cosmetic injectables, Botox is the most popular anti-wrinkle injection that relaxes facial muscle to smooth visible lines and folds. Despite their high rate of effectiveness, there are cases where Botox injections in the forehead do not produce the same results that customers expect.
We see a lot of people who come to us from other places and tell us that “Botox doesn't work for me or “I'm immune to Botox” and wonder what else they can do to treat wrinkles in the brow lines, forehead and crow's feet.
