Question 1

How do I know if my injector is experienced?

Accepted Answer

Review before-and-after photos from their actual patients — not stock images. Look for natural expression preservation, symmetrical results, and improvement without the frozen look. Ask how many neurotoxin treatments they perform per month — injectors doing 50+ monthly treatments develop calibrated muscle intuition that less frequent injectors lack. Board-certified dermatologists and plastic surgeons with dedicated aesthetic practices are the highest-credential standard.

Question 2

Is Dysport better than Botox?

Accepted Answer

Neither is categorically better — both produce equivalent cosmetic results in experienced hands. Dysport may onset slightly faster and spread slightly more. Some injectors prefer Dysport for large areas (forehead) and Botox for precise areas (around the eyes). The injector's experience and technique matter far more than the product selection.

Question 3

At what age should I consider preventive Botox?

Accepted Answer

Most dermatologists who practice preventive injection begin when dynamic lines are first noticeable — typically late 20s to early 30s for forehead and glabellar lines, sometimes earlier for patients with very expressive faces or significant sun damage. Starting in the mid-20s without any visible dynamic lines is aggressive and not universally recommended. Let visible expression lines — not age alone — guide the timing.

Question 4

Does Botox really help migraines?

Accepted Answer

Yes — for chronic migraine specifically (15+ days/month), the evidence is strong. The PREEMPT trials showed statistically significant reductions in migraine frequency, headache days, and migraine severity in patients treated every 12 weeks. It is less effective for episodic migraine (under 15 days/month) and is not FDA-approved for that indication. Response varies — approximately 50% of chronic migraine patients achieve 50%+ reduction in migraine days.

Question 5

How much Botox is needed for sweating?

Accepted Answer

The standard dose for axillary hyperhidrosis is 50 units per axilla (100 units total) — significantly higher than typical cosmetic facial doses. Palmar treatment uses 100 units per hand. Dosing may be adjusted based on sweat zone area and clinical response.

Question 6

Can I exercise after Botox?

Accepted Answer

Avoid vigorous exercise for the first 4 hours — after that, moderate exercise is acceptable. Most providers recommend waiting the full 24 hours for high-intensity exercise. The theoretical concern is that increased blood flow from exercise accelerates systemic toxin distribution before full receptor binding. After 24 hours, this risk is negligible and exercise can resume normally.

Question 7

Why does my Botox wear off in 6 weeks?

Accepted Answer

Short duration (6-8 weeks) is most commonly explained by under-dosing, high exercise volume, individual metabolic variation, or treatment of a high-movement area (crow's feet). Discuss unit counts with your provider — increasing dose often meaningfully extends duration. If you are an athlete training daily, your metabolic rate genuinely accelerates neurotoxin clearance and you may need higher doses or more frequent treatments.

Botox & Neurotoxins — Medical Questions Answered

Botox & Neurotoxins Guides

Botox & Neurotoxins: Complete Guide

Botox vs. Dysport vs. Xeomin vs. Jeuveau: What's the Difference?

Preventive Botox: Should You Start in Your 20s?

Botox for Migraines: How It Works and Who Qualifies

Botox for Excessive Sweating: What to Expect

Botox Aftercare: What to Do and Avoid After Treatment

How Long Does Botox Last? What Affects Duration

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