Reply: 28th November 2023 From: JNL Aesthetics
Doctor Joseph Novoa Libermann
Answer: Hi,
I'm sorry to hear you're facing challenges in achieving the desired results.
Regarding your question about why these treatments may not be working and if there's a stronger toxin available, I can't say for certain. It appears you may have received larger quantities for platysmal bands without the expected outcome.
There are a few possibilities: the desired result might be unattainable with Botox/neurotoxins, or you could be developing resistance to the toxin. Even if it worked before, it might not work as effectively on your upper face now.
It's unlikely that two practitioners made an error, but to rule out any issues, I recommend avoiding further treatment for at least 4 months. Please take pictures of your neck for a consultation with me in 4 months.
Platysmal bands respond well to neurotoxins, especially for vertical lines visible when tensing the neck. If the lines are horizontal, not caused by the platysma, Botox or other toxins won't be effective. For horizontal lines, collagen stimulation treatment like hyperdiluted Radiesse would be more suitable.
Feel free to book a free consultation, and together we can devise a treatment plan based on your needs.
Best regards,
Dr. Joseph Novoa Libermann
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