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Does the Amount of Botox Injection Depend on Race or Ethnicity?

Doctor Answers 13

Botox in patients of different ethnic backgrounds

Fantastic question Yny -

The largest contributing factor to differences in Botox treatment and results in patients of different ethnic diversity has to do with the thickness of the dermis. Different ethnicities tend to have thicker or thinner skin thickness.

Patient's with thicker are more resistant to getting the wrinkles that Botox is designed to treat in the first place however once they do get them can require larger amounts of Botox to get good correction of the wrinkles.

Typically darker pigmented skin types can have thicker dermis.

I hope this helps.

San Francisco Plastic Surgeon
5.0 out of 5 stars 37 reviews

4000 Dublin Blvd
Dublin, CA 94568

Amount of Botox needed for different races or ethnicities

While different races/ethnicities have different skin properties such as skin thickness, the main issue is muscle strength, and this is more a function of usage, men having much stronger muscles than women, etc. An experienced and highly trained injector will know what to do with you after reviewing your facial musculature during various movements.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

4256 Bathurst Street
Toronto, ON M3H 5Y8

Botox injections

Ethnicity has nothing to do with the amount of Botox needed to be injected to obtain the desired result.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Amount of Botox required


Botox is used to relax the facial muslces that cause wrinkles. Although different races tend to have differences in facial musculature, each patient will be dosed with Botox based on the size and strength of the particular facial muscles rather than their race. Good luck with your Botox.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

23211 Hawthorne Blvd.
Torrance, CA 90505

Amount of Botox depends on muscle bulk

The amount of Botox used in a treatment, depends on the muscle mass or muscle bulk of the individual being treated.

On average, we use more Botox in men because their muscle bulk is bigger than that of women. There is no race or ethnic influence to Botox amounts used in treatments.

Thank you for your question yny.

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

6850 35th Ave NE
Seattle, WA 98115

No ethnic or race dependence

Botox does not discriminate. It is effective in all races, ethnic groups and ages. There may be a higher dose requirement for men purely on the basis that men's musculature is usually larger than women's.

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.5 out of 5 stars 38 reviews

114 E. 71st Street
New York, NY 10021

Botox depends on the individual person, not race.

Botox needs depend on the individual person, not on race. While the muscle bulk/function may differ in general between different races, the primary focus is on the individual patient since there is wide variability within as well as among different races.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 64 reviews

10 East 53rd Street
New York, NY 10022

Botox Dose and Race/Ethnicity

Hi yny,

The dose of Botox is dependent upon the strength of the muscles. In that some ethnicities have thinner or thicker muscles, there can be a small variation in dose.

More significant is the increased dose needed for some men compared to women.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

16311 Ventura Blvd
Encino, CA 91436

Botox and ethnicity

Excellent question and I would have to agree with Dr. Williams explanation.

The dose of Botox is usually related to the bulk of the muscle treated and secondarily to the number of wrinkles present.

Thicker skinned individuals may require more Botox and larger muscles require more Botox.

In the end, the amount of Botox is estimated based primarily on the above two factors as well as the individuals history of response to prior treatments.

These are far more important when calculating the dose then the race/ethnicity of the individual. However, we do make generalizations about the skin which is related to racial differences. For example, keloids (bad scars) are typically related to thickness of the dermis. We know that blacks are effected 19 times more often then whites whereas Asians are effected 6 times more likely than whites.

I hope this helps.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 58 reviews

880 W Central Rd
Arlington Heights, IL 60005

Amount of Botox does not depend on race

Botox treatment is titrated to the individual patient based on the amount of muscle, not necessarily the patient's race or ethnicity. For example, males have stronger corrugator muscles in the glabellar region (between the eyebrows) than females. Consequently, males tend to need more Botox than females. It is difficult to make a broad statement about different races and ethnicities in regards to Botox. The most important point is that if a patient's muscle of facial expression is very strong, that patient will likely need more Botox than the average patient.

Sirish Maddali, MD
Portland Plastic Surgeon

244 Western Ave
South Portland, ME 04106

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.