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Botox Injected Right?

asked 1 year ago by angela16508 in Miami, FL
Latest answer by Jeff Scott, MD
Question viewed 652 times
Tags: forehead, technique

I have injections in the muscles themselves and injection holes in the wrinkle itself. Also, he gave me 3 forhead injections for wrinkles but just put them on the lateral sides, very near to the hairline. My friend with identical lines had the lateral injections and additional 3 injections vertically in the middle of the forhead? Which is proper?

15 answers to Botox Injected Right?

Botox injection sites

Since botox works at the muscle level, I personally don't find it useful to inject into the skin wrinkle itself. I ask my patients to be specific with me about which part of their upper facial wrinkles are bothersome to them, and then design a regimen to fit their needs.

Jeff Scott, MD
Everett Plastic Surgeon

Botox injection technique needs to be individualized

Since no two people have exactly the same facial muscle structure and habits of expression, the placement of Botox needs to be individualized. I am always disappointed when I see "cookie cutter" approaches where the clinician is simply following a diagram that they may have learned in a short course.

Richard Baxter, MD
Seattle Plastic Surgeon

Botox injection technique

Every patient is different. and each individual patient also changes over time. Botox is not a "one size fits all" treatment where you can expect to have the same injection pattern or amount of Botox as your friend even if you think you have the same wrinkles. Everybody is different, and the physician should tailor the treatment to each patient's needs at that point in time. I have patients who have been receiving Botox treatments for many years and I... more

Jordana Gilman, MD
New York Dermatologic Surgeon

Correct Botox injection technique

You have to individually examine each patient, feel where the muscles are contracting actively, and inject the bellies of the active muscles with the right dose of Botox. So, even though your friend had similar wrinkles externally, she could possibly have a different underlying muscle size or arrangement, and need a slightly different treatment. That being said, there certainly are commonly used patterns for treatment. Most people don't have a lot of... more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Techniques of Botox injection vary by physician

I do not believe there is a 'right" way to inject the forehead with Botox, but certainly there are 'wrong" ways to inject. When injecting a patient, I analyze the location and size of the muscles that are causing the wrinkles. I would respond to your question with a question--Are you happy with the results? If so, your doctor's technique is fine. If not, return to the doctor who treated you and explain your concerns. Occasionally just a 'touch... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Botox and Dysport is not the same from patient to patient

The same doctor may change the areas of injections depending on the individual's anatomy, the neighboring muscle groups and contemplate the droopiness of adjoining areas before injecting Botox or Dysport. Each patient is separately evaluated. A particular patient may need different units used in the future and newer insertion sites depending on the effects of age. The physician injecting botox or dysport must utilize science, anatomy and art! see video

Ronald Shelton, MD
Manhattan Dermatologist

Results are what count in Botox injections

There are numerous variations on technique that a qualified injector might use. Every patient's anatomy andconcerns are slightly different. What counts is whether you are happy with the results..

Daniel Berg, MD
Seattle Dermatologic Surgeon

Results justify the technique!

Hi Angela In the end, you just want a good result! The answer will be there in 5-7 days. If not you can return for a touchup. Going forward, ask your doctor to explain his treatment technique. Most of us have no problem explaining conceptually how we treat common problems. Choose a well qualified injector or physician with a good reputation in your community. Expect to pay a little more for the best - usually its a wise investment. Best Regards, KC

Kirk A. Churukian, MD
Los Gatos Plastic Surgeon

Find a qualified doctor and stop worrying

I have found that when patients worry about the details of a procedure, it is usually because they choose someone who is not qualified. There are a lot of faux dermatologists and non-plastic surgeons out there injecting patients. Go to a board certified dermatologist or plastic surgeon with lots of injectable experience. The pattern is so variable there is no way to know if it was done right. Choose the best doctor and leave the details to her/him.

Mary Lupo, MD
New Orleans Dermatologist

Placement of Botox injections is individual

The placement of Botox injections depends on the pattern of the dynamic wrinkles and also on the strength of the muscles being treated. The amounts and placement of botox does depend on the patient and on the preference of the injecting physician. The location of the muscle can be identified by the patient making certain facial gestures. Then the physician can determine where in that muscle to place the injection. The injections should be into the muscle tissue itself, as... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox injections

Botox injection techniques are doctor dependent. I inject into the muscles that are causing the creases rather than the creases themselves.

Steven Wallach, MD
Manhattan Plastic Surgeon

There is no wrong way to eat a Reeses.

That does not mean there is no wrong way to inject BOTOX. However, there is tremendous variation in ways of injecting BOTOX. I think that most doctors would agree that these various approaches have their merits. There is also an important role for adapting treatment for a given face. Ultimately it is not so much how the injections were done as what is the result of treatment and are you happy with those results.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Proper Botox Technique

Dear angela16508- There are guidelines on how best to inject an area with Botox. However, each person's forehead and brow anatomy can be slightly different and the injector changes the injection pattern based on these differences. If the result is not what you expected then return to the injector to discuss the issue. Sincerely, Tom Kaniff

Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon

Botox Injected Right?

Very hard to answer since each patient has differing issues in location of wrinkles. In my practice, I try to inject in a similar location on each patient. Your question is of some concern, but if your result is acceptable than why care? From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Botox patterns for forehead

There is no right or wrong pattern to inject botox into the forehead. There are right and wrong injection techniques and, certainly, places that the product should not be injected. However, assuming proper technique, the pattern depends on the physician's experience and aesthetic sensibilities. The forehead is one of the hardest places to get a natural botox result. Of the areas typically injected, it moves the most and is frequently used in all manners of facial expression. I myself... more