When clients refer to a Botox treatment they are usually unaware that Botox is a brand name for a botulinum toxin product. There are many different brands of every product on the market and it can be the smallest molecular change that allows another company to develop their own version of another product.
Occasionally botulinum toxin (we will refer to this as BT throughout as we use various brands) will seem to have little effect for a client - for unknown reasons.
Reduced effects have become more prolific since early 2020 (again, for reasons unknown to date).
BT resistance is a complex and confusing topic which should be more widely acknowledged and understood - not only by clinicians but by clients also.
Through research I have compiled this information for your awareness and education and give full credit to the research teams who dedicate their time to give and allow us to provide this information.
With the huge increase in unexplained botulinum toxin resistance throughout the UK at current times Revamp Aesthetic has removed availability from the treatment menu. We only provide clients with products that we have complete faith in and until there is a change in the resistance levels we just don't have the faith we like to have in current products to ethically offer you the treatments that require botulinum toxin.
Botulinum will return to our clinic but not a moment before there is an industrial insight into the reasons for the resistance level changes over the past year.
I know this will be a disappointment to many clients however any current clients will be aware that we strive for the best results from the best choices of products.
BT resistance may occur when a client has a built up of antibodies that battle against the BT or (as seen with dermal fillers) has the ability to metabolize the BT at an exceptionally high rate. Unfortunately clients with these issues will have underwhelming and/or very short-lived results from their treatment.
Prior to the highly unusual results (circa 2020) it was more than likely that when a client found BT to be less effective it was likely to have not been a case of true BT resistance but one of the following:
(1) The client hadn’t waited long enough for BOTOX to take full effect.
Unfortunately BT isn’t an instant result treatment and full development of its effects can actually take up to 14 days.
It is important with all aesthetics to hold out for 2 weeks (settling/developing stage) to see if you are simply a delayed response client.
If after 2 weeks you were not seeing the results you expected you should consult with your clinician with the awareness that - yes, you may need additional treatment BUT in some cases the BT has actually taken effect as it should but the results (although they may be dosage and treatment adequate) they might not meet the expectations you had - this is where you have to understand that a clinician can only work within their means and parameters of your chosen treatment dosing amounts.
(2) You’ve switched to a new clinician who is still getting to know you.
Any Revamp Aesthetic client will be able to tell you that I swear by starting off slow... It is much safer to undertreat a BT client and risk having a top-up requirement than to overdose and risk adverse effects.
There is absolutely nothing you (or we as clinicians) can do about too much BT or to reverse its effects.
Once BT is administered all you can do is wait for the effects to wear off - a good clinician won’t risk overdosing to rush a result. Caution, care and controlled dosing are most definitely the educated and more beneficial options.
The above should even apply if you are used to receiving unquestioned maximum doses from another clinic. A clinician who is just starting to take on your treatments and care should start treatments slowly and in small amounts until they get to know your anatomy and response to products - if that is the case then please understand they are only doing it in your best interest.
(3) The natural aging process is catching up and it’s time to update your injectable requirement.
If you are a BT regular it can be easy to forget that the aging process continues “behind the scenes.”
If the dose you would normally receive is no longer getting satisfying results it may be that your skin has lost collagen and elastin and/or your facial fat volume has decreased.
Either of the aforementioned changes can cause lines that were once only bothersome during facial expressions to deepen and become more prolific - In this case, more BT is unlikely to be the best solution. Instead, a treatment plan of BT plus injectable fillers may be recommended.
It’s routine that you “stick with what you know” however, don’t forget, if your clinician is on point they will know their products inside out and know what would be best for you.
You trust your clinician with your beauty - trust them with their knowledge and recommendations.
(4) Your provider made a dosage error or injected in the wrong location.
Even the best of the best have mishaps or indeed misjudging a dosing to muscle strength ratio - this is another prime example of why the cautious approach is the safer approach - we can always add however we cannot remove or reverse BT.
(5) You’re a patient who just does better with a different brand.
Everyone is different; all anatomy is different; all muscle strengths are different; all metabolic rates are different and all client expectations are different.
As with all my treatments I always make the client aware that we have varying brands for a reason. I tend to explain this to clients by using a comparison of moisturisers - some people swear by Dove while others find it creates excessive oil and breakouts and prefer Olay while others find both previously mentioned too heavy on their skin and prefer Aloe Vera etc.
It is always a possibility that your body just doesn’t like the specific brand used and yet may respond massively to another chosen brand - this is very much the case in all elements of aesthetics and products.
Firstly and most importantly - get in touch with your clinician.
A reputable clinician will want to know if, when and why you are not fully satisfied with your treatment and provide you with a plan of what to do next.
It is important to remember that a legitimate clinician will recognise and explain if the results are what were to be expected from the treatment/dosage.
Please listen if that is the case as we will strive to keep you safe and beautiful.
If we feel your outcome is in the expected range we will advise you of this for your own knowledge and wellbeing (remember, we have all seen the results of illegitimate “clinicians” and overdosing of product).
Legitimate clinicians will realise any short comings from the product/technique used and should that be the case they will do everything in their power to bring the treatment up to speed - this is not an opportunity for more product if you shout loud enough (which believe me some do) - this is an example of an opportunity for a clinician who is able to see the shortcomings and feels that additional product is required to provide what is required (within their power). Each clinician will have their own thoughts, feelings and protocols on dealing with this matter.
Lastly, if your clinician feels like they have exhausted every avenue that is open to them it is in good faith that they may recommend another clinician. A recommendation of this calibre is made with no prejudice - it is purely that they feel their options/techniques/product brands are not giving you the result you strive for and that another clinicians options/techniques/brands may have a chance of giving you better or differing results.
If there is a possibility that you fall in to the BT resistant category but would like to stay with your clinician then simply ask what they would recommend instead.
At Revamp Aesthetic we have many options or brands/techniques/treatments available and we will always know another option that may give you similar results to toxin related treatments.
If you decide that you would like to try another clinician then we are happy to recommend another legitimate clinician to suit the treatment field you require.
We would like you to know that if you do trial another clinician you are ALWAYS welcome to return to Revamp for the same or differing treatments.
A percentage of people look for the "best deal" and by "best deal" I mean an offer of an incredible amount of work at an exceptionally low price - 5ml of filler for £200.... A non-surgical facelift for £250.... A Kim K or Kylie J package for £195....
Yes, I agree... those amounts of work and product at those prices sounds amazing doesn't it!??
Well.... No actually, it doesn't and here's an insight as to why I recommend staying away from these "too good to be true" deals.
I'm going to give you and example of the outgoings I have to consider to run my business - each of these outgoings must be paid for by the treatment prices I charge and these outgoings must be met before I can consider having a wage to take home. I will not include the amounts but know that they are not cheap.
Premises rent * Premises insurance * Content insurance * PL and industry insurance * Electricity * Products * Equipment * Waste disposal * Sanitation * Cleaning * Advertising * Websites * Uniform * Car/Petrol/Insurance * Training * Complimentary items... I could go on but I think you will be getting the idea by now!
I have to ensure that the minute I open my business door I am able to earn my outgoings required to be open that day.
Industry insurance alone is in the 4 figure region per annum (and that's only one of the afore mentioned outgoings!).
Having read the above... Does it seem like a "clinician" providing these "too good to be true" deals is running a legitimate business? The answer is no.
The most recent offer I have seen is "1.5ml lips for £65"... I can tell you from a professional that you CANNOT even purchase the amount of product required for this procedure for the amount that the "clinician" is charging so with that being said - How are they making a profit? What products are they actually using and where are they getting them? How do they afford their industry insurance (if they have it - which is EXTREMELY unlikely) AND, if they are not insured then what are they or you going to do if your treatment goes wrong?
The other aspect I have to consider to run a successful business is that I have charge for my business area. What I mean by charging for the area is as follows - If I was to be based in (eg) Glasgow city centre and my rental outgoings alone were higher then I would need to take that in to account with my prices per treatment. The area is also classed as more affluent than say somewhere like (eg) Paisley (economy wise)... Your surrounding areas economy dictates the prices you can charge.
Here is another frightening thought... If you cant buy the real products for the price they are charging you then where are they getting it and what is is? Did you know that if you o on to certain apps (which I wont name drop) you can buy "products" - take note of the inverted commas - at as little as £1 per ml!? There is NO WAY that is real or safe product and anyone who would inject a product like this in to another human being deserves to go to jail.
Are you starting to realise why these "too good to be true" deals aren't good for you at all?
I hope that reading that short piece gave you some food for thought and helped you realise why it really is so important to understand that these people aren't offering amazing deals for the goodness of their heart - something is NOT right with their whole business and truly, if 1 person has read this and changed there mind about going for one of these "offers" then I am happy I have (as a professional) safeguarded at least 1 person.
Legitimate companies can occasionally drop fantastic offers but we have to budget to be able to provide them to you. The likes of myself, I always budget for the Halloween and birthday competitions annually and occasionally I will throw out a special offer - that is because I have been able to budget my income to accommodate these for my clients.
Think about all this information and stay safe and well!