"My Botox Isn't Working": An Updated Guide to Why Results Can Vary (And How to Optimize Treatment)

April 3, 2019


Sometimes clients call and say “my Botox didn’t work this time!” Sometimes they worry it’s because they used “the other one” (Dysport or Xeomin) or that “it was diluted” or that “maybe it was old”.  Although these worries are understandable, I want to assure you that none of these are accurate and education here is key! 

Correct dosing of Botox, Dysport, or Xeomin is part science and part fine art and varies based on each individual need and situation. And although your dosing maybe be similar at each appointment, your results may not always be the same. There are a multiple reasons for this.

First let’s address those worries that I’ve overheard over the years, and then we’ll discuss a few other reasons why Botox results can very from treatment to treatment. 


Is my Botox “diluted?” Botox, Dysport and Xeomin are all reconstituted with a specific amount of sterile saline according to specific manufacturer guidelines, which our injectors follow exactly. You will not receive any improperly reconstituted or overly diluted Botox, Dysport or Xeomin at Body Tonic.


As far as newness of our products, we perform about 160 Botox appointments each month, which means we are ordering more than 50 NEW vials of Botox, Dysport, or Xeomin every month direct from the US manufacturers. NEW NEW NEW:)


Do be aware of pricing if you go somewhere else for Botox, and of course research the establishment and injectors. I once had a rep tell me she wouldn’t even call on establishments that price their Botox below a certain price. Deeply discounted Botox is probably not from the manufacturer or is improperly reconstituted. 


As far as the worry that Dysport or Xeomin is “generic” Botox, or that they don’t work as well, that is simply not true. They are equally effective products that are simply made by different manufacturers. Dysport is made by Galderma who makes the Restylane products (Restylane, Lyft, Silk, Refyne, Defyne and Sculptra), and Xeomin is made by Merz who makes Belotero and Radiesse. The active protein in each product is slightly different. It can actually be good practice to switch between all three periodically so your body does not build up antibodies to any one in particular.


Other Reasons Your Botox Maybe Not Be Working As Well

So, you had your Botox and it’s been 10 days but you still have movement. What happened? There are several reasons why it might seem like your Botox didn’t work as well as your previous treatments. Those reasons would be: 


~The amount of units received

~How long it has been since your last Botox treatment


~The possibility your body has built up antibodies to the neurotoxin


Here are some things to take into consideration:


You might be the type of person who comes every three months for your Botox appointment. And let’s just say life gets in the way and you end up not coming in for another treatment for 8 months. Well, when you are fastidious about your appointments, you will likely use fewer units at each appointment as your muscles will have become weaker. When you wait longer between each appointment, your muscles become stronger as the effects wear off. This means you will likely need more units at the next appointment. Trust your injector to tell you how many units you will need to use to achieve the results you are looking for. If you take a chance and use less, you’ll probably be back in a few weeks anyway for more units.



If you have started working out a lot more, your body is going to metabolize through your product more quickly than if you are a less active person. After all the product is simply a protein and your body will break it down over time.


Consider Switching.

It is possible to build up antibodies to Botox over time. If you’ve stuck to all the proper guidelines above: coming for your regular appointments, getting the dosage your injector recommends, and your still not getting the results you are wanting, try one of the other products. While all three products are from the same toxin, their molecular makeups are slightly different. Try switching back and forth and see if you like the results from one better than the other. We all have our personal preferences!


Be Specific About What You Want.

Some people like to be frozen - they want zero movement in their face. This will require more units, for example, than the person who wants a slight brow lift and wants their crow’s feet treated. Be specific about what you are looking for so they know exactly how and where to inject you, and you won’t be disappointed.


Be Flexible With Budget.

I know budget can be a very valid issue for medical spa treatments. However, if you are on a budget, it’s best to have to have some wiggle room for yourself, rather than be stuck to a very particular sum. I have seen this happen often. If budget is a concern for you, our injectors recommend to wait until you have saved a little extra rather than skimp on how many units you use. Skimping on units used will only get you a lesser result. It’s best to either treat one small area properly, or wait until you can save a little more to treat the entire face with proper dosing.


I hope these tips help! In general, the best bang for your buck is to keep your appointments every 3-4 months, stick to properly dosing just one area if budget is a priority, and try switching up the products if you find one hasn't been working for you! Happy injecting! 

P.S. We have a great year-long savings special on Botox right now! Details on our Monthly Specials Page.

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