Q & A– Botox No-Shows

Question:  Why doesn’t Botox  work  for  me?  After an injection I see a difference  for a week or two, then I’m back to where I started.

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.

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