Suitable Dysport and Botox doses for crow's feet

Carla R. Retief, MD answers: How many units to Botox crow's feet?

I have had Botox for a few years and love it. I have changed my location. I have a new person doing Botox, my problem is I have always maintained 22-24 units that has been perfect and on one occasion 28 units. Which was great as well. My problem is this, my new person that is doing Botox has guessed 39 units I was shocked, I told her no.


Carla R. Retief, MD
3 months ago

The dosage of  Botox depends on the degree of wrinkling and the history of prior eyelid surgery. For an average person in their late forties I use a range of 30 -35 units whereas on a much younger patient I may use 18-25 units. Also, there is variabilitiy related to a patient's sensitivity to botox. Some people require alot more than you would expect and vice versa. Dysport dosages are twice what Botox are but they cost similarly. My patients are really enjoying Dysport with its quick onset.

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