How Botox Patients Can Determine When Their Treatment Needs an Adjustment

How Botox Patients Can Determine When Their Treatment Needs an Adjustment

Posted on January 15, 2026 by Dr Eleonora Fedonenko

The key mechanism behind cosmetic Botox procedures is the temporary relaxation of facial muscles responsible for dynamic lines and wrinkles. These lines become more prominent when muscles are activated while frowning or smiling, for example.

Because the optimal placement of Botox depends on each individual’s anatomy and physiology, and because there is substantial variation between individuals, determining the precise location and size of the required dose relies heavily on the practitioner’s skill and experience. They may not always get it 100% right the first time.

Botox Results Become Clear Enough to Evaluate After Two Weeks

The Botox toxin typically spreads quickly through adjacent tissue after injection, but it may take several days for the full effect on the targeted muscles to become apparent. It’s considered normal to wait up to two weeks after treatment for the full effects of a procedure to develop.

Especially when treating first-time patients, practitioners tend to err on the side of caution and avoid overcorrecting problems. After waiting a couple of weeks after treatment, it’s possible to evaluate the results and apply minor corrections where needed. Corrections may address persistent lines and wrinkles that require further treatment, or may be used to correct visible asymmetries, such as when one eyebrow arches higher than the other or when one side of the forehead has more freedom of movement than the other.

You can evaluate the results yourself by making a range of facial expressions, including the same ones you used to make your facial lines and wrinkles more visible. If you find that muscle movement while frowning, smiling, or squinting, or raising your eyebrows still results in wrinkles becoming visible, then this may indicate that the initial dose was insufficient.

It’s also not uncommon for subtle asymmetries to develop after treatment. This is more likely during first-time treatments, before your practitioner becomes aware of exactly how your facial muscles interact and how they respond to Botox.

Recognizing When Your Botox Results Are Beginning to Fade

After treatment, as the body gradually metabolizes and eliminates the Botox, muscle activity gradually returns to normal. One giveaway is seeing makeup powder start to adhere to slowly re-emerging facial lines as the skin reverts to its original texture. This tends to happen first around the eyes or forehead.

Parts of the face that undergo the most dynamic changes while smiling or squinting tend to recover their ability to move first. If you (or others) notice that your face is looking tired or stressed, this may be a sign that the effects of your Botox procedure are wearing off.

Some patients see the results of Botox treatments start to last longer after multiple touch-ups. This happens as muscles start to adapt to being used less often, and you adjust to the more restricted facial expressions that come with Botox use.

Botox Patients Can Schedule Touch-Ups to Fine-Tune Their Results

If you notice any signs of asymmetry after 2 weeks or have any concerns about the results, schedule a follow-up with your practitioner. They may be able to address your concerns and make subtle adjustments with microdoses of Botox.

Similarly, don’t wait for all the benefits to wear off before getting a touch-up. Your practitioner will, of course, advise you on when to reschedule your next treatment. Over time, their estimates should become more accurate as they learn how you respond to each treatment and how best to tailor it to your needs.

Have Questions About Your Botox Treatment? Contact Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and have extensive experience performing Botox procedures. We tailor all treatments to each patient’s needs and prioritize minimalist application and natural-looking results. We invite you to contact us for more information on this or any of the other non-invasive cosmetic procedures we offer. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.

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Meet Dr. Fedonenko

Dr. Eleonora Fedonenko is a member of the American College of Physicians and is Board Certified in Internal Medicine.

She completed her Residency at the University of Virginia School of Medicine in 1998 and has since specialized in Cosmetic Dermatology.

She obtained additional training in aesthetic medicine procedures soon thereafter, and the results of her extensive training and experience show in each and every patient’s face. She’s a doctor that can truly been trusted with your skin care and anti-aging needs.

Our Specials

  • Botox $11 per unit (20 units minimum)*
  • Juvederm $750 per syringe*
  • 10% OFF Latisse
  • * New clients only

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6221 Wilshire Boulevard
Suite 102, Los Angeles, California 90048
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