One of the advantages of BOTOX is that it works quickly, but not immediately. While many patients observe fewer wrinkles in just 48 hours, it is normal for up to 10 days for the full effects to be seen. In other words, you may need to be patient. If it has been more than two weeks and you still don't see the expected results, consult with your provider. Bucay compares Botox, Dysport and Xeomin with three different M&M candies, while the first two may have a red or green outer layer, and the third, which represents Xeomin, is just the core of the chocolate.
This might not seem like a big deal if you are only using Botox for cosmetic reasons, but there are many medical conditions where botulinum toxin injections are the first treatment option. It is also worth noting the other uses of Botox, as well as what those who receive it should consider. The risk of this happening is much higher in salons and other non-medical or quasi-medical facilities, as only licensed doctors can obtain authentic BOTOX or Dysport. After a few doses of a different type of toxin, you can use Botox again, as the antibodies will be gone. A more common occurrence is that some people develop tolerance to Botox after repeated use and tend to need higher doses over time.
It is much safer to undertreat with BOTOX. There's nothing you can do about it other than wait for the effects to wear off, so providers are often a little conservative the first time they work with a patient. Because Botox is safely manufactured from the bacteria that cause botulism, the body will try to form resistance to the drug over time in some patients. According to those who do recognize the phenomenon of resistance to Botox, the numbers are low: between 1 and 3% of patients who receive injections will develop toxin-blocking antibodies and, in one study, these patients received AbobotulinumToxin for cervical dystonia, while those who received cosmetic Botox did not report an immune response. As a result, for these patients, BOTOX injections provide disappointing results, a very short-lived effect, or no effect at all.
Other doctors use Botox to relieve underarm sweating (when antiperspirants don't work) or to relieve palmar hyperhidrosis, excessive sweating on the palms of the hands. Instead, a BOTOX treatment plan plus injectable fillers to plump your skin can help you maintain a youthful appearance and your natural facial expressions. If you're still not getting results, you may be one of those rare people who are “immune to Botox.” If you are looking for an experienced BOTOX provider in Eugene, I invite you to schedule a consultation with me at Movassaghi Plastic Surgery. A provider with experience with both can help you determine if Dysport is a better alternative to BOTOX for you.