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Botox has its effects directly on the muscle into which it is injected. Its effects only last about three months. In strabismus, the goal is to weaken the affected muscle on one side of the eye so that the muscle on the opposite side of the eye can work better.
A: Botox starts to take effect and most patients see results after 3 to 4 days. However, I tell my patients maximum results are seen at 2 weeks. It is best to have Botox treatments every 3-4 months, as it will gradually wear off within that time frame.