How to Know if Agreed Botox Units Are All Applied?

asked 3 years ago by Fiantella in Wichita, KS
Latest answer by Kenneth Beer, MD
Question viewed 809 times
Tags: crows feet, eyes, forehead

I got 50 units of Botox for the forehead, crows feet, and eyes: 10 each eye, 20 frown line, and 10 forehead. My face only has just lines; not wrinkles. I did not get good results this time. I saw the powder, but how can I know if there are really 50 units? She it diluted in 1 cc.

In my previous procedures, the injectors would dilute more and made up to 3 shots on each eye; but this time she just applied 2 and concentrated in an area. Which method makes Botox be more well-applied or evenly distributed?

My previous treatments showed results in 24 hours; this time I have waited 5 days to see some results. What happened?

5 answers to How to Know if Agreed Botox Units Are All Applied?

Did I get all the Botox I paid for?

You rely on the integrity of the physician that you see. Most doctors will inject you with exactly what they say. Some will cut corners and if your sense is that you are dealing with someone that is not doing what they say, ask about the dilution. Botox comes in a bottle of 100 units, Dysport in 300 units. Different doctors reconstitute with different amounts of saline. The dilution does not really matter but the amount of units injected does. I tend to inject with about 25... more

Kenneth Beer, MD
Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

Botox. It's all about the units.

We reconstitute Botox differently for different uses. I wet it down more for arm pits, less for eyes. You are right, it's units that count. But there has to be trust between you and your provider. If there isn't, how can you let them put a needle to your flesh? Short of them buying the 50 unit vial (half size) and using it all up in front of you and giving you the empty, I don't know that there is any way to "prove" how many units we used.... more

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

Different dilution rates can still yield similar results

The only way to know for sure how many units of Botox are injected is to ask your provider. You should be able to trust him or her. If you don't trust him, you should go elsewhere, but there are several explanations that might account for the variances you're noticing. The Botox comes to us as a freeze-dried powder in a glass vial. Each injector reconstitutes the powder with a saline solution. They can put in 1, 2, 2.5 or even 4 ccs of fluid. The more saline, the more dilute it will be... more

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

Botox Injections

Botox can be diluted in many concentrations. Its effect is always the same when injected by an appropriately trained individual in how to dilute and how to inject the material. The important thing is how many units where injected and where. This is why it is important to have an appropriate individual that you trust to perform a medical procedure on you, do the procedure. Usually, it takes 3 - 7 days to see the results with Botox. Depending on the dose, it should last 3 - 6 months. I like... more

Richard Greco, MD
Savannah Plastic Surgeon

Botox and lines

Botox injections usually take 5-7 days to "work." Every injector uses a different technique. Some doctors use more concentrated Botox than others, so the amount of injection will be different.

Steven Wallach, MD
Manhattan Plastic Surgeon

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