July 30th, 2018

how long does your botox last?

​How to make Dysport or Botox last longer? How long does it last for you? Do you think it is related to the injector or to your habits?

Some theories exist on rapid metabolism. For example, if you are exercising a lot or really physical for your job (armed forces, police, firefighting, flight nursing, professional athlete, etc.) you have more potential to metabolize medication faster (same with being very thin or having a rapid metabolism). If you are training for a marathon, triathlon, or Hood to Coast; expect to go through units more rapidly. During this time you may need to be injected more frequently.

As you age, you may need more units. BotulinumtoxinA may not work as well over time and you may become more resistant to its effect over time. If this happens, consider increasing your original dose or trying a different brand. Tell your injector if you are not getting the longevity you have had in the past. Together, troubleshoot what is happening. You should get your records from past injectors to see if the injection pattern and dose is the same as 10 years ago. If it is the same as 2008, you may need to change it up.
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As to what YOU can do, one review article in Dermatological Surgery (2018 Feb, p249-260) discusses the myths and reality of neuromodulators. The main truths according to authors Dover, Monheit, Greener, & Pickett are:

1. Neither Dysport or Botox are superior in effect.
2. Protein load does not increase "spread" in Dysport.
3. The amount of fluid used for reconstitution does not influence treatment effect.
4. Icing before and after injection may decrease efficacy
5. Exercising the muscle for 2 hrs daily until the height of effect increased duration.

Lastly, according to a study in 2012, taking oral zinc with a phytase enzyme four days before injection and the day of injection can increase, by a few weeks, how long neuromodulators last (JDD, 2012 Apr, 507-511) and speed up how quickly they take effect. This study has not been replicated.

How long does your Botox/Dysport/Xeomin typically last? Do you think duration is based on your injector or on your habits?


#botox #dysport #xeomin #toxin #wrinklecare #portlandoregon #pdx #swportland #lastlonger #neurotoxin #injectables #fillers