How Botox Kicks In

Introduction

For anyone who has received Botox, or any type of “Tox ” injection, you know it takes time to see the final results. During the 2-week time frame, the Tox medication starts “working its magic”, but it happens at different stages. 

For example, you may temporarily notice an eyebrow raising higher than another, or the glabella (11’s) showing more movement on one side, versus the other. Rest assured that everyone’s “Tox settling journey” looks a little different each time.

Keep reading below to learn more about:

  • Commonly asked questions about botox settling
  • The different stages of how Tox may settle and what to expect
  • Helpful images of a real client’s Tox journey over a 14 day period
BTW, we use the term “tox” to collectively refer to Botulinum Toxin injections rather than just using a brand name like “Botox” since there are many different brand names 🙂 .

Table of Contents

What is botox?

Botox, and other brand names like Xeomin, Dysport, Jeuveau, and Daxxify are all neuromodulators used cosmetically to soften lines and wrinkles by stopping the communication between the nerve and the muscle. At Elite, we especially like Xeomin for Tox injections because it is double-filtered and does not have any unnecessary proteins, making it a cleaner Tox option for our clients.

How long does it take for botox to fully settle?

It takes a full 14 days from initial botox injections, or any type of neurotoxin, to fully settle. Some clients may see effects of the Tox working after a few days, but the full effect takes 14 days. 

Does botox settle at different times?

It is not uncommon for Tox injections to settle at different times. In the client pictures below, you will see an example of how Tox can kick in at different rates over the 14 day period. 

Like mentioned earlier, it is not uncommon to see:

  • An eyebrow raising higher than the other
  • The 11’s moving on one side more than the other
  • Or the crowsfeet moving differently when you smile

**It only becomes a concern if unevenness is still apparent after 14 days**

Can botox settle unevenly?

Yes, Botox, and other neurotoxins, can potentially settle unevenly. This is because the medication can “kick in” at different rates. If however, there is still unevenness after the 14 day period, call your provider to go in for a follow up appointment to discuss your options.

  • At Elite, our providers check-in with our clients 1 week post-treatment to see how their Tox is settling, and from there can assess if a client may need to be seen at the 2-week mark for a follow up. 
  • We provide a free touch up after 2-weeks and before 30 days (if needed) if our recommended dosage did not take as expected. 

Ensure you are going to a provider/office that puts your care and safety as a priority and follows up with you!

Does botox settle quicker the second time?

Tox injections can sometimes settle faster after subsequent treatments, but not usually as soon as the second treatment.  When you do consistent treatments over a year or so, the muscle is often weaker and treatments can last longer (and potentially kick in faster). Regardless, each treatment is different so we always recommend 14-days before judging it!

 

We also recommend people make facial movements for a few hours after injections, to help the Tox bind to the nerve receptors a little faster. 

  • Read more below on tips to help make your Tox last longer

Botox progression photos: day 1 to day 14

Keep reading below for an inside into Tox treatment progression over a 14 day period. 

Before Tox injections:

Below are before images, or baseline, of a client who was treated with Xeomin in the following areas:

  • Glabella (11’s)
  • Forehead
  • Crows-feet

These photos show the natural movement of each muscle group before treated with Tox

48 hours after Tox injections:

Just 2 days after the injections, and you can already see some changes and softening of movement, especially in the crows-feet and forehead. 

5 days after Tox injections:

In these images you can see that the eyebrows look a little uneven when she raises, and her glabella is taking a little longer to kick in than the other areas. Rest assured, this is normal! The effects of the Tox medication is still working to its full potential.

1 week after Tox injections:

There’s a major improvement in the muscle movement and softening of lines/wrinkles after 1 week. However, you can see that the client’s eyebrows are still a little uneven, but again its best to wait the full 14 days to let the Tox settle.

10 days after Tox injections:

Below you can see how nicely the Tox is continuing to settle. Note: there is still slight movement in her glabella and crows feet, but overall everything is settling evenly and still has a few days for final results.

14 days after Tox injections
Before & After:

The final results 🙌  

This client did not need any touch-ups, as the Tox results were exactly as she and our provider discussed. However, if at this time a touch-up was needed, that is when scheduling a follow up appointment with the injector is important. 

Watch the full transformation video below 👇 

Are follow up appointments for botox important?

Yes follow up appointments for Tox, and any injectable treatment, are important! We recommend clients book a follow up appointment if they are nearing the 14 day mark and have concerns or unevenness in their Tox treatment. It is always important to wait the adequate amount of time (14 days) before getting any additional touch-up injections and to not wait too much longer than 30 days post treatment either.

What happens if you don't see results from botox?

If you do not see results from your Tox, it is best to talk to your provider and go in for a follow up appointment. From there, the injector can ask questions, provide a possible explanation, and in most cases will improve the treatment for client satisfaction. 

Is it normal to start seeing effects of botox right away?

Yes, it is normal to see some effects of Tox working right away. Some people to start seeing the effects of Tox working a few days after injections, and others take a little longer! Full results are shown after 14 days.

Elite Medical & Aesthetics is a premier med spa located in Lone Tree, CO that takes a holistic approach to natural results. We pride ourselves in having an all nursing staff of NP’s with safety as our #1 priority. 

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What’s the Difference Between Sculptra & Fillers?

Introduction

By now you have probably heard about Sculptra, an injectable treatment that stimulates natural collagen production. While this product has become a popular “new” treatment on social media, it’s actually been around since 1999! 

There are many questions we get at Elite Medical and Aesthetics about the differences between Sculptra and fillers, and this blog will help break down those differences and cover additional common questions. 😊 

Table of Contents

How is Sculptra different than fillers?

The main difference between Sculptra and hyaluronic acid (HA) based fillers is that Sculptra stimulates the production of natural collagen. Sculptra is an FDA approved injectable that may help to replace lost collagen for up to 2-4 years, making it a more natural treatment that dermal fillers. 

A more definitive breakdown of the two injectables is explained below 👇 

  • Traditional HA fillers are made of a smooth, gel-like substance called hyaluronic acid. Once this is injected into the desired area, there is an instant change in volume restoration usually after one treatment (this can vary per person). HA fillers typically last around 10-12 months depending on the product and person and CAN be dissolved.
  • Sculptra, on the other hand, is made of Poly-L Lactic Acid (PLLA) that works to stimulate the body’s own natural collagen. Results are shown over a period of time and a series of treatments, rather than instantly. Results typically last 2-4 years and it CANNOT be dissolved.

Does Sculptra last longer than fillers?

Yes, Sculptra does last longer than fillers! As mentioned, Sculptra is made of PLLA, which is the same material sutures are made from for surgical stitching. PLLA stimulates collagen and elastin production. Overall, most people enjoy results around 2 years, and some up to 4 years. Whereas HA fillers, are metabolized over a 10-12 month time frame, depending on the filler product used. However, keep in mind that Sculptra injections do require a series of treatments, and HA filler results are typically immediate after one full treatment (as followed by your provider’s treatment plan).

Is Sculptra more expensive than fillers?

Per vial, Sculptra is priced similar to a syringe of filler (around $800 for a single vial). Keep in mind though, it does take an average of 3 treatments, and the number of vials needed is determined in a consultation prior to the treatment.

Overall, this does make Sculptra more expensive than HA fillers, but the results can last longer than HA fillers. 

  • Note: injectable treatments like filler and Sculptra are an investment, especially when seeing a licensed and trained provider. “You get what you pay for” when it comes to treatments like these. Rest assured at Elite, we offer Cherry Payment Plans and Elite Wallet to help with budgeting. Learn more below 👇 

Is Sculptra safer than fillers?

There is not enough published evidence to prove that Sculptra is any safer than HA fillers. However, there is a theoretical decreased risk of vascular occlusion since Sculptra is more liquid than fillers. Dr. David Saadat said at a 2022 training in Valencia, CA that you can “put Sculptra anywhere” and “cannot occlude a vessel with it because it is a liquid” (when it is mixed correctly). A review of the literature does show cases of vascular occlusion, but we cannot know how it was mixed. Infection, pain, swelling and bruising are always a risk any time you puncture the skin.  

So, basically all injectable treatments come with risks and potential side effects. It is important to go to a medically trained and licensed injector to ensure that your safety is top priority, regardless of the treatment/product is being administered. 

Does Sculptra treat different areas that filler can't?

Sculptra treats many of the facial areas that filler can with the exception of the lips and close to the eyes

There are a few areas on the body that Sculptra can treat as well, including:

  • Buttocks
  • Hips
  • Thighs
  • Upper arms

Is Sculptra permanent?

No, results from Sculptra are not permanent. While this injectable treatment has long-lasting results up to 2-4 years, the PLLA is still metabolized by the body over time. However, the production of collagen is natural and lasting, but keep in mind as we age we continue to lose collagen and elastin in our skin (hence, why this is a great anti-aging treatment 😉).

  • At EMA, we recommend talking to a provider about your aesthetic goals and concerns to ensure you are on a customized treatment plan best for you!

Which is better, Sculptra or Radiesse?

Which injectable is “better” for YOU is a question that should be discussed with your provider during a consultation, because some people are better candidates for different injectables. However, the main differences between Radiesse and Sculptra are:

Radiesse:

  • Can provide instant volume in a single treatment when used at full strength
  • Can also be used diluted and used as a collagen stimulator similar to Sculptra
  • Produces collagen by acting like a bridge of minerals (calcium hydroxylapetite based)
  • Produces more natural appearing results

Sculptra: 

  • Simply a stimulator for collagen production (takes up to 3 sessions for visible results)
  • Does not provide instant volume, but build’s the body’s own collagen
  • Produces collagen through an inflammatory process
  • Stimulates collagen using PLLA (the same material sutures are made of)
  • Produces natural appearing results

Sculptra and Radiesse are both considered advanced injectables and require specialized training to prevent side effects such as lumps, bumps, and inflammatory nodules. 

Again, it is best to consult with a provider to see which kind of injectable treatment is best suited for your anatomy, goals, budget, and time frame. Our providers take the time to assess and get to know clients on a more personal level, in order to provide the best treatment plan and provide explanations. 

Is Sculptra the best filler option?

Sculptra is a great injectable option for many people, however knowing if it is the best option for you is determined with your provider! It is important to learn about the various treatment options suitable for your concerns and goals, risk factors, what to expect, and ask as many questions possible! 

We pride ourselves on our thorough consultations where we put “people over profits” and genuinely help you decide what treatment is best for you, even if it’s no treatment at all!

Book a consult below to talk with one of our providers:

Elite Medical & Aesthetics is a premier med spa located in Lone Tree, CO that takes a holistic approach to natural results. We pride ourselves in having an all nursing staff of NP’s that put safety as #1 priority.

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Talk with one of our providers about Sculptra