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WHAT TO DO IF BOTOX STOPS WORKING ON YOU


Alternative to Botox

Botox is a go-to treatment for smoothing fine lines and wrinkles, offering a refreshed, youthful appearance. However, for some individuals, it can seem like Botox isn’t delivering the same results over time. If this sounds familiar, don’t worry—you’re not alone!


As an advanced practice nurse specializing in skincare, I often address concerns like this with clients. Let’s explore why this might happen and what steps you can take to get back to loving your skin, tox or not!


Why Might Botox Stop Working


  1. Resistance Development: Botox is derived from botulinum toxin type A, a purified protein. In rare cases, your body can produce antibodies against it, making it less effective.

  2. Muscle Adaptation: Over time, repeated treatments may cause some muscles to adapt, requiring adjustments in technique or dosage.

  3. Suboptimal Dosing: If you’ve been receiving lower doses to maintain a natural look, the treatment might not be potent enough to deliver the desired results as your muscles regain strength.


How to Prevent Botox Ineffectiveness

Botox on skin for women

In my clinical opinion, it is best to never ever get Botox prior to 12 weeks after your last injection. This helps avoid the build up of antibodies to the neurotoxin. Getting Botox too soon is often what causes your body to build up antibodies, then you run the risk of not responding to the treatment.


While the chances of Botox ineffectiveness happening is very low, it can happen. I always discuss with my patients who experience this the next steps to resuming Botox treatment or alternative options.


5 options for REDUCING wrinkles and anti aging besides Botox 

Facial treatment at spa

  1. Radiofrequency Microneedling: Radiofrequency microneedling is an incredibly effective collagen inducing treatment for the skin that helps lift, tighten, reduce fine lines and wrinkles and improves skin texture and tone. Adding RF energy to microneedling, you get 3-4x the amount of collagen induction versus traditional microneedling. There is minimal downtime and you can treat the whole body, not just the face.


  1. DermaPRP: DermaPRP is another procedure that uses your own body's blood to create a natural filler. Your own PRP helps decrease fine lines and wrinkles and reduce skin laxity. More specifically, it is an extended release autologous gel made from your own blood that supports skin revitalization in your dermis to enhance the youthful appearance of your skin. It provides immediate volume like HA filler and helps support dermal health over time by releasing proteins and growth factors.


  1. Sculptra: Sculptra is an injectable that stimulates your own collagen production. This helps lift, contour, and replenish volume depleted areas due to aging. It rebuilds the structural framework of the face and addresses the underlying cause of aging: collagen loss. Sculptra is an excellent alternative to Botox!


  1. Chemical Peels: Chemical peels remove the top layer of skin and make way for new, soft skin. Chemical peels help decrease fine lines and wrinkles and help stimulate collagen and help improve pigment.


  2. Medical Grade Skincare: What you put on your skin every day matters! Medical grade skincare is all scientifically studied and proven to provide results. OTC products may feel and smell good, but factors such as ingredient concentrations and skin penetration keep them from actually being effective and changing the skin. The healthier your skin is, the better your in-office results will be. 


There is Hope for Better Skin

Happy skin on woman

It can be frustrating when Botox doesn’t work the way it once did, but there are many alternatives and solutions to explore. A proactive approach—starting with a conversation with me! —can help you achieve the refreshed, youthful appearance you desire.


Remember, every face is unique, and so is every treatment plan. Reach out to me and together we can see what works best for you.


Juliet Erb





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