Botox for Glabella

Farbod Esmailian, MD answers: How many Botox units for 11's or frown lines?

I received 20 units of Botox yesterday. Now I think I may have been cheated, he just wanted to get his $256 and the 20 units he injected were not nearly enough to get "rid" of the moderate/severe "11's" on my forehead. What is the average amount of units needed for this?


Farbod Esmailian, MD
8 months ago

The full effects of Botox can take as long as 2 weeks time. In general, it takes about 5-7 days before you see the effect of the paralysis. Even then, the lines dont go away that fast. Depending on how deep the lines are, it may take months and several treatments before the lines show improvements. I usually inject 20 unit in the glabella (the "11" lines).

Botox is not just a one time shot. It requires maintenance to achieve the results desired. Hope that helps.

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A: One day after injection is not enough time to see Botox results.

Daniel C. Mills, MD
12 months ago

If you just received your Botox injection yesterday, you would not expect to see any results yet as it has only been one day since your treatment. To see the effects of the Botox it takes on average 3-5 days from the injection day. The complete results are usually noted at about 7 days.

The average amount of Botox used for the “11” lines between the eyebrows is around 20-25 units for a female. Males will usually require more units as their facial muscles are often thicker and stronger. Ultimately the number of units you need depends on the size and strength of your corrugator muscles.

We tell our patients to call us between 10-14 days if there is any question as to their results. We will then bring them back in for after pictures to compare the results and perform a touch-up procedure if necessary.

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A: Botox Expectations

Harold J. Kaplan, MD
4 months ago

Generally, most patients benefit from a standard dose of 20 units of Botox to treat frown lines. The reason being, to create the frown, there are several muscles involved that need to be dosed. To use less than ideal will result in little or no effect which would definitely be wasted time and money combined with disappointment.

As mentioned by the panel members, most people will not begin to see the effects for 24 to 48 hours. Thereafter, it may take up to 14 days to see the full benefits. It would appear that your practitioner did not take the time to provide you with correct information and patient education for your expected outcomes.

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