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How Many Botox Injections for 20 Units?

asked 3 years ago by Iselita in Landenberg PA
Latest answer by Kenneth D. Steinsapir, MD
Question viewed 2,756 times

The nurse told me she had given me 20 units, but she only gave me 4 Botox injections. Is that normal?

Read my review "How Many Injections Should Be for 20 Units of Botox?"

3 answers to How Many Botox Injections for 20 Units?

+1

There is no normal.

Dear Iselita There are any number of way to dilute BOTOX. However most standard dilutions vary between 2.5 to 4 milliliters of saline. This produces BOTOX solutions with a concentration range of 25 units to 40 units per milliliter. Rarely an injector may use 1 milliliter of saline to reconstitute a 100 Unit vial of BOTOX. In this circumstance, 20 units of BOTOX would be contained in just 0.2 ml of saline. However, it is unusual for injectors to work with such concentrated BOTOX... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

It may be fine

Botox can be diluted to different concentrations depending on the physicians preference and the effect that is desired. Overall the most important issue is the total number of units given and the placement of the injections. If you were being treated between the brows for frown lines it may be perfectly normal to receive 4 injections for that area. It would be a little more unusual to only have 4 injections to treat crowsfeet. However, the bottom line is the end result. Botox can take... more
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon
+1

Sounds appropriate for Botox

A total 20 units of Botox Cosmetic injected via 4 injections sounds appropriate. The concentration of the solution would be 5 units per 0.1cc. Most plastic surgeons and dermatologist use concentrations of either 2.5 units or 5 units per 0.1cc. There is no cosmetic difference with the concentration. Botox Cosmetic takes a little bit of time before you see results. Wrinkle improvement starts within a few days, with maximum aesthetic rejuventation by 2 weeks after injection. Touchup Botox... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

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