Several years ago I ordered Botox and it ended up staying on the delivery truck over night because our office was closed (June in Florida 🔥 ) . When I unboxed it, the dry ice was missing (not melted). I refused to use it on my patients and contacted my rep who had the science dept from Allergen contact me and told me that in an uncontrolled temperature environment, undiluted Botox is good for 6 months. Just an FYI. They did replace the vial for me free of charge and told me to throw the other one out (which I didn't do). I ended up using it on myself and my staff just to see if it was still effective and yes, it certainly was. But I didn't want to take that chance on my paying patients.
I know this is two years old. The statistics show that during the pandemic there was more drinking, smoking, drug use and clinical depression. Many people lost their jobs or were home with their children 24/7 and still trying to work from home. The point is the stress level and the aging process are correlated. Nobody was going out or making them selves up, so expecting the same results that they had with Botox or fillers in the past may not have been a reality. As Julie Horne stated in a recent video of yours we are not magicians and do the best that we can with what we've got to work with. Thank you 🙂
I love your channel. You're both so interesting and I love hearing all what you have to say. I like that you don't promote any products, but rather talk about the science behind it. Thank you!
I had some Disport ,It didn't work went back charged me again Still was not working good so i gave up. trashed almost $600.00 plus hour 1/2 drive off work . My friends also said theres didn't work .I never had any problems before.
@@DrTimPearce dude it’s the vaccine causing this. You know the vax is a protein. But it’s a protein that really cleans up toxic waste from the weather.
It is always possible that the client/patient has developed a resistance. Failing that if the number of clients finding poor response has increased since the pandemic I'd be ascertaining if the client was vaccinated for covid. If they were; it is very possibly the vaccine seeing the toxin as an antigen and so it attacks it.
we got the same problem in iran too i think something that was missing , is the stress level of patients and an increase in use of alcohol for cleaning of hands and face
Thanks for your comment, Hamid. Interesting to hear you struggled in Iran too. Such a tricky issue. It seems the perils of 2020 are endless! If you're interested, here's the Facebook Live we did to reveal our survey results from 1,856 clinicians in 33 countries: facebook.com/watch/?v=1701699936671422&extid=HFGsVq1SKPoVg4iz All the best, Miranda
Even 15 years ago, it starts to really look good after 4-5 days. Then it looks good for 3-4 weeks. By 7-8 weeks, fades. I have NEver had 12 weeks result.
No most don’t unless you are in your 20’s or early 30s. It’s very normal For the 7 week mark that movement is returning as the receptors on the muscle wall are regenerating. Kind regards Mary. Clinical advisor for Dr Tim
Thank you so much for all your information shared. Most of all i admire the compassion that shows straight from your heart! And that you truly do, first and foremost advocate, First Do No Harm! Love y'all
An interesting observation I made is alot of my friends had the same problem here in CA that were vaccinated. The botox isn't working & if it does it's a very short period. I , myself, didn't get vaccinated & after getting back on my botox every 3 months for 9 months I was back to normal & botox working good. Just an abnormal observation made. I wonder if this improves with time? 🤔
People do say this, but we found this problem before the vaccination programme had been rolled out, in the early part of 2021 so I don't think it's the vaccine. It could be the immune response to both the infection and the vaccine perhaps
Hello there ! I got another one. After injecting I changed my every Day Cosmetik Routine a bit. I sprayed a slight amount of DMSO on the skin before massage. (which is juvenating ) BUT it loosens up paralysis 🙂, so, after 3 weeks all the movement was back. Bingo 🙂
Hi! Thank you for all of the very informative capsules... Love you both... Here in Canada I am finding somewhat the same w clients...not all...I am thinking part of this “issue” may be in part d/t having more time to see ourselves in the mirror, we are more critical...also stress I believe is contributing...what do you think?
Is woking out for less than 2 hrs daily, (45 mins of briskwalk treadmill, and 30 mins of jumping and 15-30 mins of pilates) 6x a week on a airconditioned room makes the botox wear off faster?
yes- but there's no point in the long term because you lose your patients. Happens when people first start out, and usually because they try and be cheap or they are scared of side effects.
That is exactly what is happening! Especially with the "Mom and Pop" shops being run by RNs or RPNs -they offer specials to entice the customer/ patient. Over-dilute/ or do a scam reconstitution.. ..they keep the profit. It's very sketchy... AND COMMON. The whole process is turning into a grift. They don't care if they lose the client. Cause the specials keep new ones coming in. And plausible deniability excuses keep it going i.e. "everyone responds differently" "maybe it was a bad batch" and "you've built up a tolerance" and so on. It's just like being scammed by your auto mechanic or plumber or appliance repairman. Regulators should be on it. It's really a licensing issue. People are getting fleeced. You have to pay up and find a trusted injector. MD injectors are more on the up and up.
How about from the time the Toxins from being ordered to the condition there are kept in whilst in transit ' could these alter the longevity too ? Also with Botox that need to stay refrigerated ' are they also kept in refrigerated transit ? I truly hope so 🙏. I love your channel so much ' Thank you for sharing 💗 💙💜 Truly is appreciated.
Yes some toxins need to be in transit in cold chain storage too. Delivery is usually at a premium because of this. Kind regards Mary. Clinical advisor for Dr Tim
Great video guys! As a novice injector I note your comment about losing product on the surface of the skin! I’ve noticed the hub of my needle slipping from the syringe when exerting pressure on injection and thus product leakage and loss - any preventative advice for this ? Luer Lock syringe / depth of injection?
a year late but ive noticed if there is a bit of resistance i.e pt is tense it increases pressure and can cause the needle to slip off the snug fit syringe to advance the a bit more, that usually does the trick
get needle/syringe combo devices. the needle comes attached to the syringe and wont ever come off. I use BD 1cc 31 gauge 8mm for botox and 1/3 cc combos for dysport
My inflammatory responce kicks in 2 minutes after I have botox (I've tried all brands) and my forehead becomes inflamed, this is meaning the botox dosnt work on me, do you have any suggestions on how I could combat this ?
Dr, I had 2 units of Botox into my crows feet and three units along my lower eye from medial to lateral. I have experienced puffiness, eye bags and what seems to be a droopy lower lid that fell to my cheeks. It has been 5 months since injection and only the puffiness has improved. I still see worse bulging creases when I smile (worse than before) and lines that trace my orbital rim to my cheeks. What should I expect now? What do you think happened and do you think this is reversible? Thank you very much.
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Several years ago I ordered Botox and it ended up staying on the delivery truck over night because our office was closed (June in Florida 🔥 ) . When I unboxed it, the dry ice was missing (not melted). I refused to use it on my patients and contacted my rep who had the science dept from Allergen contact me and told me that in an uncontrolled temperature environment, undiluted Botox is good for 6 months. Just an FYI. They did replace the vial for me free of charge and told me to throw the other one out (which I didn't do). I ended up using it on myself and my staff just to see if it was still effective and yes, it certainly was. But I didn't want to take that chance on my paying patients.
I know this is two years old. The statistics show that during the pandemic there was more drinking, smoking, drug use and clinical depression. Many people lost their jobs or were home with their children 24/7 and still trying to work from home. The point is the stress level and the aging process are correlated. Nobody was going out or making them selves up, so expecting the same results that they had with Botox or fillers in the past may not have been a reality. As Julie Horne stated in a recent video of yours we are not magicians and do the best that we can with what we've got to work with. Thank you 🙂
It’s so strange , I luckily haven’t come across this issue yet but my gosh I have seen the issue across all forums
I love your channel. You're both so interesting and I love hearing all what you have to say. I like that you don't promote any products, but rather talk about the science behind it. Thank you!
Thank you for your kind words, Wendy. Tim is most definitely his own man! All the best, Miranda
Could the efficacy have decreased in those having the Covid vaccine??
People are saying that but we did our survey before mass vaccination had started.
Thanks both 🧡...I love the way you break topics down, and explain processes 🤓...this has been incredibly helpful 🙌🏻
Thank you so much Gaynor 🙌🏻
I had some Disport ,It didn't work went back charged me again Still was not working good so i gave up. trashed almost $600.00 plus hour 1/2 drive off work . My friends also said theres didn't work .I never had any problems before.
thanks a lot from chile!! incredibly helpful.
Thank you Tim and Miranda. We have found patients have been finding they need stronger doses lately and It is not lasting as long.
Thank you got commenting, I'm glad you found the video useful :)
The vaccine causing that. As it’s a protein that breaks down toxins that are in the air. Which is why cases go up with the weather.
@@DrTimPearce dude it’s the vaccine causing this. You know the vax is a protein. But it’s a protein that really cleans up toxic waste from the weather.
It is always possible that the client/patient has developed a resistance. Failing that if the number of clients finding poor response has increased since the pandemic I'd be ascertaining if the client was vaccinated for covid. If they were; it is very possibly the vaccine seeing the toxin as an antigen and so it attacks it.
we got the same problem in iran too
i think something that was missing , is the stress level of patients and an increase in use of alcohol for cleaning of hands and face
Thanks for your comment, Hamid. Interesting to hear you struggled in Iran too. Such a tricky issue. It seems the perils of 2020 are endless! If you're interested, here's the Facebook Live we did to reveal our survey results from 1,856 clinicians in 33 countries: facebook.com/watch/?v=1701699936671422&extid=HFGsVq1SKPoVg4iz All the best, Miranda
@@mirandapearcemindset tnx. do you also have instagram account?
Even 15 years ago, it starts to really look good after 4-5 days. Then it looks good for 3-4 weeks. By 7-8 weeks, fades. I have NEver had 12 weeks result.
No most don’t unless you are in your 20’s or early 30s. It’s very normal
For the 7 week mark that movement is returning as the receptors on the muscle wall are regenerating.
Kind regards Mary. Clinical advisor for Dr Tim
Thank you so much for all your information shared. Most of all i admire the compassion that shows straight from your heart! And that you truly do, first and foremost advocate, First Do No Harm!
Love y'all
And yes to the bubbles , I find this critical with frontalis. I find Botox is easier to inject here due to bigger volume ! 👏🏼
I bought a generator because power outages stressed me out so much
How can a muscle that has been using Botox get even bigger than before when it has been relaxed for so so long? I don't understand that.
It's the gap between treatments that allows muscles to grow.
Excellent!
On Google it states you can freeze Botox? What’s peoples thoughts on this?
An interesting observation I made is alot of my friends had the same problem here in CA that were vaccinated. The botox isn't working & if it does it's a very short period. I , myself, didn't get vaccinated & after getting back on my botox every 3 months for 9 months I was back to normal & botox working good. Just an abnormal observation made. I wonder if this improves with time? 🤔
People do say this, but we found this problem before the vaccination programme had been rolled out, in the early part of 2021 so I don't think it's the vaccine. It could be the immune response to both the infection and the vaccine perhaps
Hello there ! I got another one. After injecting I changed my every Day Cosmetik Routine a bit. I sprayed a slight amount of DMSO on the skin before massage. (which is juvenating ) BUT it loosens up paralysis 🙂, so, after 3 weeks all the movement was back. Bingo 🙂
Hi! Thank you for all of the very informative capsules...
Love you both...
Here in Canada I am finding somewhat the same w clients...not all...I am thinking part of this “issue” may be in part d/t having more time to see ourselves in the mirror, we are more critical...also stress I believe is contributing...what do you think?
Is woking out for less than 2 hrs daily, (45 mins of briskwalk treadmill, and 30 mins of jumping and 15-30 mins of pilates) 6x a week on a airconditioned room makes the botox wear off faster?
Love your Conure!!!!!
So cute
Can injectors cheat with dilution of botulinum toxin at all? Thanks,
yes- but there's no point in the long term because you lose your patients. Happens when people first start out, and usually because they try and be cheap or they are scared of side effects.
That is exactly what is happening! Especially with the "Mom and Pop" shops being run by RNs or RPNs
-they offer specials to entice the customer/ patient. Over-dilute/ or do a scam reconstitution.. ..they keep the profit. It's very sketchy... AND COMMON. The whole process is turning into a grift. They don't care if they lose the client. Cause the specials keep new ones coming in. And plausible deniability excuses keep it going i.e. "everyone responds differently" "maybe it was a bad batch" and "you've built up a tolerance" and so on.
It's just like being scammed by your auto mechanic or plumber or appliance repairman.
Regulators should be on it. It's really a licensing issue. People are getting fleeced. You have to pay up and find a trusted injector. MD injectors are more on the up and up.
How about from the time the Toxins from being ordered to the condition there are kept in whilst in transit ' could these alter the longevity too ? Also with Botox that need to stay refrigerated ' are they also kept in refrigerated transit ? I truly hope so 🙏.
I love your channel so much ' Thank you for sharing 💗 💙💜 Truly is appreciated.
Yes some toxins need to be in transit in cold chain storage too. Delivery is usually at a premium because of this. Kind regards Mary. Clinical advisor for Dr Tim
Great video guys! As a novice injector I note your comment about losing product on the surface of the skin! I’ve noticed the hub of my needle slipping from the syringe when exerting pressure on injection and thus product leakage and loss - any preventative advice for this ? Luer Lock syringe / depth of injection?
a year late but ive noticed if there is a bit of resistance i.e pt is tense it increases pressure and can cause the needle to slip off the snug fit syringe to advance the a bit more, that usually does the trick
get needle/syringe combo devices. the needle comes attached to the syringe and wont ever come off. I use BD 1cc 31 gauge 8mm for botox and 1/3 cc combos for dysport
Hi I was wondering how this relates to Metox?Also why you haven’t mentioned it,so now I’m wondering if you don’t rate the product?Thank you.x
Maybe during Covid they were stressed out and aged more so they think that the Botox didn't last as long...
My inflammatory responce kicks in 2 minutes after I have botox (I've tried all brands) and my forehead becomes inflamed, this is meaning the botox dosnt work on me, do you have any suggestions on how I could combat this ?
Dr, I had 2 units of Botox into my crows feet and three units along my lower eye from medial to lateral. I have experienced puffiness, eye bags and what seems to be a droopy lower lid that fell to my cheeks. It has been 5 months since injection and only the puffiness has improved. I still see worse bulging creases when I smile (worse than before) and lines that trace my orbital rim to my cheeks. What should I expect now? What do you think happened and do you think this is reversible? Thank you very much.
Everything returns to normal when left to it's own devices after Botox, you could speed it up by purposefully moving exercising the muscles.
I love your videos ! So informative 💉💉💉