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Is it Normal for a Doctor to Inject Me Once on Each Side for Crows Feet?

asked 8 months ago by Missprissy
Latest answer by James McMahan, MD
Question viewed 328 times
Tags: crows feet, injection

This new doctor did one tiny poke on each side!? In the past, I've had little injections near all the lines (5 or 6 on each side)? Did I go to the wrong doctor or is this how some Doctors inject Botox for crows feet??

20 answers to Is it Normal for a Doctor to Inject Me Once on Each Side for Crows Feet?

Crow's feet injections

No one patient's anatomy is identical. Injection sites and number will vary with your individual features and areas that need correction. Any time you have a question about your treatment plan, I encourage you to speak up. A patient's question and feedback are always welcome.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox/Dysport - 1 injection site versus 3

Recently published a study in the Journal of Cosmetic Dermatology discussing our experience administering Botox through one injection point in the lateral periocular area (area around the side of your eye) being as effective as when delivered through three separate injection sites. There is less potential for pain and bruising this way. The important factor is the total number of units used, not necessarily how many injection points it is administered through. As... more

Monika Kiripolsky, MD
San Diego Dermatologic Surgeon

The proof of Botox is in the results

You may get perfectly satisfactory results with a single Botox injection on each side for treatment of crow's feet lines. Most experienced injectors use at least two or three injections per side to spread out the product and paralyze as much of the outer orbicularis muscle as possible. The advantage of a single injection is less pain and lower risk of bruising which is more common around the eyes. If you don't get the results from a single injection that you... more

James McMahan, MD
Columbus Plastic Surgeon

Number of injection sites for Botox

If you are having your crow's feet area treated (sides of the eyes), this is usually performed with multiple (3-4) injection sites, with each injection delivering about 2 units of Botox. It is difficult to treat any area with just one single injection. Consult with a board certified plastic surgeon or dermatologist familiar with Botox injections if you have any further questions. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Individualized Botox

Good question, Great results from Botox can be seen with a variety of injection patterns. The most consistent results will likely come from the most consistent schedule and pattern for injection. Using one or three injection sites is less important than the technique and dosage to achieve the improvement of the appearance, But without affecting the function of your eyelids. You are the best judge of your results, so just make a mental note of how this last... more

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon

Botox for Crow's Feet

There is no one way to inject the crows feet. I prefer to do multiple injections points by spreading the skin to see the small veins and therby try to avoid hitting them which can cause bruising. The single point injection techniques can also work but the injector needs to make sure the injection is spread out along all the crow's feet and not just concentrated at one end or the other. As this area can easily be touched up you will be able to see if it worked or not and then get more if... more

Navinderdeep S. Nijher, MD
Ocala Plastic Surgeon

ocalaplasticsurgery.com

Is it Normal for a Doctor to Inject Me Once on Each Side for Crows Feet?

I have used Botox to soften unwanted lines and wrinkles, including the Crow's Feet, for over 20 years and that's how I treat the Crow's feet and have done so for many years. Other doctors still use multile needle sticks, but I use a single injection along the orbital rim under the Crow's Feet, on each side, for a great result.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox injection for crows feet

It is true that every doctor may have slightly different technique. I typically inject along multiple foci on each side of the lateral orbit for crows fee.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

It may be perfectly normal.

Hello, When a clinician injects Botox the amount of fluid injected will depend on the concentration of Botox mixed up. If your physician used a higher concentration of Botox then a smaller injection is needed to give you the same number of units. I would recommend asking your physician what number of units were placed into each of your crow's feet areas. In your past it was possible that your other injectionist used a lower concentration of Botox so a larger number... more

Manish H. Shah, MD
Denver Plastic Surgeon

Botox for crows feet

It depends on whether he thought he was getting all the active muscle with the one injection. Wait a week or so and see. You can always have a little more added.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

Crow's feet can be treated with Botox using multiple techniques

Crow's feet can be treated with Botox using multiple techniques. Whether your injector uses a single injection point or five points is less important than their level of experience. Personally I prefer 3-5 injections with an additional amount beneath the outer eyebrow to lift it. I know of several very accomplished injectors who will perform one large injection and then spread it around with gentle pressure. All of these techniques work. The main question is whether your crow's feet... more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

How many injections of Botox in crow's feet?

Injections of Botox can be done as a vertical series of injections into the substance of the muscles, easily seen by having the patient scrunch their eyes shut as the Botox is injected. The injection can also be done into one central point. For Dysport, since it tends to diffuse more in the tissue when injected, one injection is often all that's needed.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Location of Botox injection

What matters is where the Botox is deposited, if it can be dispersed into the desired area with a single needle stick, doing more injection sites makes no difference. How the Botox gets to where it needs to go is not the issue, it is where it is placed to achieve the desired effect.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Crows feet Botox Injection

There are many different ways of injecting the crows feet. Typically, three small injections are performed, however there are physicians who only do one to avoid the risk of bruising. Dr. Behnam.

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Botox for crow's feet

I typically do 3-4 injections per side for crow's feet, placed right under the skin, being careful to avoid visible blue veins. In my hands, one injection per side would be very rare.

Richard Ort, MD
Lone Tree Dermatologic Surgeon

How many Botox injections are needed to treat crows feet

Injection style varies but with the average diffusion of Botox or Dysport being about "thumb size" often only one injection is needed to cover the majority of wrinkles. I would encourage you to discuss this with your doctor. Sometimes the location of blue veins under the crows feet determine the best/safest injection technique.

Ann Lott, MD
Lincoln Dermatologist

Proper technique for injecting Botox into the Crow's feet area

There is no absolute right or wrong way to inject the Crow's feet. There are always going to be some minor differences from physician to physician which they prefer because it has worked well for them in the past. I normally inject in two different areas but there have been times when I have placed one and even three injections depending upon the patient. I would wait a minimum of one week to assess your results. I also encourage my Botox patients to return in one... more

Ted Brezel, MD
Long Island Dermatologist

Botox injection technique for crow's feet

There isn't a specific right or wrong way to inject Botox, and techniques will vary from physician to physician. It can take up to 2 weeks for Botox to be maximally effective. I always have any patient who is new to me, even if they're not new to Botox, to return for a follow-up examination to make sure that the dose and pattern of placement is achieving the desired result. Be sure to return to the doctor for a visit if you're not sure you've achieved the desired result. more

Kimberly Finder, MD
San Antonio Dermatologic Surgeon

www.theliposurgeryclinic.com

Crows feet

There seems to be as many ways to inject as there are injectors. I use 3 injections on each side. Remember it is not the wrinkle but the corresponding muscle that needs to be injected

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Injections for Crow's Feet

Injection techniques vary by injector. I tend to do 2-3 injections per side for crow's feet, but I do vary it if patients need more or less units there. See how your results are and if you find you were happier with your prior injector, return to him/her.