How Many Units to Botox Crow's Feet?

When treating patients with concerns about their crow's feet (wrinkles around the eyes), I usually start at 8-12 units per side.  This depends on the depth of the wrinkles and the size of the orbicularis muscle (the muscle that is being treated with Botox for crow's feet).  If this is not enough, then I see the patient back in two weeks for further injection.  I think the extra visit is worth it for the few patients who need the extra Botox, because it saves all the rest of the patients from purchasing unnecessary Botox!

To minimize the risk of side effects and ensure optimal results with Botox, it's crucial to work with an experienced, board-certified professional who understands proper dosing and injection techniques. For crow's feet, typically 10-15 units per side are sufficient, making a total of 20-30 units usually adequate for both eyes. It's important to discuss your previous dosages and their effectiveness with your new provider and express any concerns about changes in the treatment plan. Seeking a second opinion or consulting another experienced practitioner can also be beneficial if you're unsure about the recommended treatment plan.

Thank you for your question.  The muscle responsible for "crows feet" is donut shaped and encircles each eye. When you squint or smile it contracts and creates those lines.  Injecting the lateral portion of that muscle with 8 -14 units of Botox per side is common dosing and will prevent that contraction.  An experienced injector will assess your eye area, determine tone of the surrounding skin, and provide realistic expectations based on your presentation.  Extra care should be placed on Botox injected in the under-eye area to avoid sagging skin.  In some cases of severe lines, a second tier of Botox may be administered, further out from the first.  Best of luck to you.

The amount of botox needed to treat crow's feet is depended on a couple of things. How severe the lines are and how much movement you want or don't want. Typically, I will inject between 5 - 7.5 units of botox per side to help minimize and soften the lines. I hope this helps to answer your question.

I usually put 2 units in each line in the crow's feet region and continue down into the cheek if a patient desires. In total units, this may vary from 4 to 24 units for both sides. This treatment really softens creases that form around the eyes when smiling. 

While every patient is different, and the injector should tailor the treatment to each individual patient, most patients do well with 8-12 units of Botox to the lateral orbital (or crow's feet) area on side.  I typically start with around 10 units for each side.  As always, a consultation with a well-trained, board-certified physician is recommended to determine the treatment and recommendations for each individual patient.
All the best,

The amount of Botox used around your eyes will depend on the strength of your muscles in that area. On average, 8-12 units per eye are needed. 
Hope you found this answer helpful.  All the best!

I typically use ~ 12 units per side for crows feet. I know surgeons who do more and I know surgeons who do less. The best is to taylor it to each patient. If you have had 22 u before and been happy I would stick with it. Botox is one of those medicines that people can react to differently so remember your numbers and stick with it. We can always add more. That is my approach. I often ask patients to return 2 wks after the injection and will "top off" areas that need it.
Best of luck,
DrC

Thanks for the question. Smoothing out the crow's feet is an excellent application of Botox, and treatment of this area can also give a nice, natural lift to the eyebrows. The usual dose (per side) is around 10-12 Botox units or 30-36 Dysport units. That said, some patients may be better treated with fewer or more units, depending on their anatomy and whether they've been treated before. The total number of units you were receiving before sounds appropriate. Best regards,Dr. Mehta

Your intuition is probably correct. You have had 'perfect' results with 22-24 units of Botox. Stick with it.  22-24 units is a typical dose for the Crows Feet.  39 units sounds excessive. 

There are "average" amounts of Botox in any given area of the face, however, every practitioner will make their own decision.  I personally decide dosing based on the muscle movement with expression, and how happy they have been with prior injection amounts.  I would say that the average  total amount for a middle age person with moderate crows feet lines to be about 25-30 units.  I feel that if it is the patient's first time for Botox, it's better to err on the side of caution, we can always add more, but not take it away.