Answer: Such an appropriate question since this year is the 10th anniversary of the FDA approval of Botox– the trade name for the neurotoxin that is arguably America’s favorite anti-aging tool. When properly injected, it relaxes the facial muscles including frown lines on the forehead and crow’s feet around the eyes. Botox can also make changes to the face that makes the eyes look wider and raise the eyebrows.
The key word here is “properly”. The face has 40 different muscles- some move up and some move downward. The injector has to know where to position the shots to get the desired impact.
According to Fifth Avenue cosmetic surgeon Dr Paula Moynahan, there are several possibilities to your lack of response.
1. The injector is not hitting the right spots on the face. Botox needs to be in the area of a specific muscle in order to relax a targeted wrinkle or lift a sagging spot.
2. If you were been tempted by an offer of a discount Botox treatment, it may have been over diluted. This could make the injection less effective with little or short lived results. The Botox arrives as a hard film at the bottom of a bottle. The physician adds liquid to the bottle to reconstitute the neurotoxin. To save money, an injector may add extra dilutant to make the dose go further.
3. And then there are the people who are genuinely resistant to Botox. FYI Botox is actually a brand name and there is a second FDA approved Botulism A product called Dysport. Dr Moynahan suggests that people who are resistant to Botox may have different results with Dysport.
Keep in mind that as good as it is, Botox cannot reverse all the natural and environmental signs of aging. It needs to be a part of an anti-aging game plan that includes Retin A and IPL to clarify the skin’s surface, lasers to erase freckles and facial hair and Zoom tooth whitening trays. And to preserve all these anti-aging efforts, never leave the house without a sunscreen.