How Much Botox is Safe to Use in One Appointment?

asked 3 years ago by soluckyimlanguid in chicago, il
Latest answer by Steven Wallach, MD
Question viewed 2,430 times

I have finally saved up enough money for treatment of my hyperhidosis. I will be getting treatment for my underarms. I am also considering getting my forehead done at the same time. My question is getting this large amount, is it safe? Thank you for your time.

9 answers to How Much Botox is Safe to Use in One Appointment?

Are high doses of Botox safe?

As the other panel members stated, your concerns (although appropriate) should be relieved in knowing that it would take much more Botox than what you are contemplating to cause concern. Botox is routinely administered in much higher doses for medicinal purposes. Being that you are making a large financial investment in treating hyperhidrosis (sweaty underarms) with Botox, you may want to have the forehead treated first if you need reassurance about your reaction to Botox... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox dose = upper limit, toxic dose

Typical Botox injected is 2 or 3 bottles if large areas are treated for hyperhidrosis. To give you an idea, it means 200 - 300 units. The toxic dose would be 30 bottles. No one in their right mind would inject that amount and it is unnecessary, impractical, and very costly.

Hratch Karamanoukian, MD
Buffalo General Surgeon

Botox safety

You should have no safety concerns about this. Usually, 50 units is placed into each axilla (arm-pit) and 6-15 units in the forehead. This is well below the 2500-3000 units, which is said to be a toxic dose. I am curious, however, that you are saving up money for the procedure. Most insurance companies do cover BOTOX. They would like another treatment modality be attempted first for the control of hyperhidrosis. Usually, this means a trial with medical grade aluminum chloride or an... more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Botox quantity for injection often not toxic

The quantity of Botox for hyperhidrosis is highly variable and dependent on the type and severity of the hyperhidrosis, the area of the treatment region, and the past experience with Botox. The quantity necessary for Botox injection are not enough to cause complications or toxicity to a patient. However, the injection amount should be titrated to the area in order to minimize the cost and the overall amount of Botox used. In some patients, requiring increased amounts of Botox compared to... more

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

One Botox session for underarms and forehead is safe

For the average sized person, the toxic dose of Botox is 2500-3000 units. The typical dose of Botox for the underarms is 50 units per side, and that of the forehead is about 15 units. So to answer your question, yes, I believe it is safe.

Bryan K. Chen, MD
San Diego Dermatologist

Botox to each armpit

I usually place about 50 units in each armpit. This is well under the toxic dose at any one time. I would't worry too much.

Steven Wallach, MD
Manhattan Plastic Surgeon

200 units is safe

Typical cosmetic uses of Botox Cosmetic uses 50 to 100 units. However, it is safe to use more Botox per session. You will be fine if you receive 200 units of Botox. We often use even more Botox for non-cosmetic (medical) conditions without any problems. Good luck with your injections.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Botox safe and effective for hyperhidrosis and wrinkles

Botox Cosmetic is safe and effective for hyperhidrosis and the wrinkles you describe. The treatment is local, meaning that the small amount of volume injected should not go throughout the body. Problems arise if too much is used and gets into the blood stream. It can cause paralysis, particularly of the breathing muscles. A skilled doctor can evaluate you thoroughly and help you. It sounds like you should be able to get all areas treated however.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Safe to Botox underarms and forehead at the same time

Thank you for your question. You should have no problem at all. The amount of Botox needed for hyperhidrosis of the axillas is roughly 100 units (1 full vial). The amount of Botox for the forehead is generally 20-25 units, or less. So at most, you can expect to receive around 115-125 units of botox in all the areas. The lethal and dangerous dose of Botox is around 2500-3000 units (or 25-30 full vials). You will not be approaching that at all! Enjoy the botox and you should do fine!... more