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How Many Units to Botox Crow's Feet?

I have had Botox for a few years and love it. I have changed my location. I have a new person doing Botox, my problem is I have always maintained 22-24 units that has been perfect and on one occasion 28 units. Which was great as well. My problem is this, my new person that is doing Botox has guessed 39 units I was shocked, I told her no.

Asked 44 months ago by Beverley Daly

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crows feet units

Botox dosage for crow's feet

Even though Botox Cosmetic is not yet FDA-approved for injection in the crows feet for cosmetic improvement, its use in this area is widely accepted and performed very regularly. Like any area of the face, the units (dosage) of Botox injected depends on a variety of factors including the severity of the wrinkles, the position of the eyebrows and eyelids, the amount of muscle movement, the condition of your skin, your history of botox use, and ultimately your cosmetic goals... more

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Daniel Yamini, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

Botox units for crow's feet

Generally, we inject between 5-10 units of Botox on each side for crow's feet. If you had great results with 22-24 units, then you should stick with it. 39 units sounds like too much and may have to do with the lack of skill on the injector's part.

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Depends on wrinkles

This would depend on the lines and their formation. If a single line less units. Multiple lines more units. If the wrinkles extend quite a distance from the lateral canthus (outer part of the eye) more units. It is safer to inject the superior lies ( upper wrinkles) than lower ones. Usual for me, like the others, is 8-9 units. Touch up with 2-3 units two weeks later if patient and I feel the need. Fillers (Cosmoderm or Restylane) if patient wants total correction.

Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

Botox for Crow's feet usually 12-16 units per eye

The information card I have from the Botox manufacturer Allergan gives 12-16 units per eye as the correct dosing. If you want a lower dose, you can insist on it ...you can always come back and have more administered, and going with the "lowest effective dose" is exactly what the Botox company recommends.

Debra Irizarry, MD

Crestone Plastic Surgeon

ASPS

Botox - Units for crow's feet

For younger patients in their 30's, 8 units usually suffices per side; for patients in their 50's it might be 16 units per side, if orbicularis fibers other than the usual lateral fibers are treated. Too much Botox can cause relaxation of undesired muscles, for example the lip lifting muscles, so experience and understanding of facial muscle anatomy is important. Too much can also create undesired effects, like the "apple cheek" look of excessive orbicularis relaxation. more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Botox for Crows feet

The amount varies depending upon the severity of the crows feet. I typically start out with 7.5U on each side for the average person, however I can range from 7.5 to 15U on each side. I do three injections along the crows feet. I would start out with the lesser amount first and if you need more, I would do more injections. Dr. Behnam.

Ben Behnam, MD

Santa Monica Dermatologic Surgeon

Crowsfeet botox

Amounts vary. 7.5 units per eye for crowsfeet is the average. Persons who receive botox regularly and whose periorbicularis muscle has weakened long term require less. The usual interval of injections is 4 months.

Lee Kleiman, MD

Annapolis Facial Plastic Surgeon

Botox for Crow's Feet

I almost always start with 8 units of Botox for each side of the eye, 16 units total for both sides. Each side gets 4 injections of 2 units each. This works well for the majority of patients in my office. The dose can always be increased, if necessary, in the future.

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Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

Botox Cosmetic for Crows Feet

Thanks for the question. The amount of Botox Cosmetic you will require for your crows feet depend a lot on your age, your baseline rhytids (wrinkles), and the condition of your skin. In general, 24-28 units should suffice for a treatment of the crowsfeet. However, it is not uncommon to use more Botox in these areas, especially in people with extensive rhytids which prefer less movement. I recommend you discuss your needs and desires and past experiences with your clinician. It is... more

Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon

ASPS

Botox injections for Crow's Feet: Lateral Canthus - Do I need Botox injections?

Botox injections are as much a science as an art. As a plastic surgeon, I begin my evaluation by noting the amount of skin resiliency in the lateral canthus, the condition of the skin, the severity of dynamic wrinkling, and the extent of static wrinkling. These parameters should all be assessed. From that point, the patient and I discuss alternatives to treatment as well as the amount of botox to be injected. I also discuss the duration of treatment, type of injection including dilution,... more

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Botox for Crow's Feet

I generally use between 7.5 and 12.5 units of Botox per side for crow's feet, depending on the patient. However, there are some patients who have smile lines around the eyes that can add to the attractiveness of a patient. Some smile lines add warmth and pleasant character to the face. Lines and wrinkles should not be removed simply because they can be removed. Removal or softening of wrinkles should be something to consider only if a patient feels the lines make them look unpleasant... more

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Botox for Crow's Feet

Hi Beverley, Perhaps, your injector was quoting you Dyport units, which are greater than Botox units? I generally use between 8-14 units of Botox or Xeomin per side, depending on the severity of the Crow's Feet and the apparent strength of the orbicularis oculi muscle that creates them. If I am using Dyport, instead of Botox or Xeomin, I I generally use 25-40 units of Dysport per side. I hope this helps! Dr.Sunder

Sarmela Sunder, MD

Beverly Hills Facial Plastic Surgeon

Range of botox for crow's feet - 8-20 units per side

The typical range is 8-20 units per side. The amount of botox that is needed depends on how severe the wrinkles are and what your response has been in the past. You've been really happy with 22-24 units, so tell the new person that you would prefer to start there. More botox will result in a more "frozen" look; it will also last longer, lenghtening the time that you can go between treatments.

Melissa Chiang, MD

Houston Dermatologist

Units of Botox for crow's feet varies - More is not always better

In general, for a younger person whose crow’s feet are not present at rest, but only appear with animation, then 6-8 units per side is generally an adequate dose. As we age, the crow’s feet become more prominent and may be present in repose. In these cases, a slightly larger dose may be warranted (i.e. 10-14 units per side particularly when the lines move laterally towards the malar area). There's no harm in using a smaller dose, since one can always wait a few... more

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William F. DeLuca Jr, MD

Albany Plastic Surgeon

ASAPS ASPS

Botox units for crows feet

The amount the patient needs for each area, including crows feet, depends on several factors. The number and depth of lines, how many lines you have and how strong your muscles are. In general, you may need 10-20 units per side.

Gary Goldenberg, MD

New York Dermatologist

How Many Units to Botox Crow's Feet?

The amount of Botox that your first injector used is certainly in the right ball park and should be the amount used in the future. 39 units in the crow's feet area seems excessive to me especially if this was your first visit with the injector. i tell all of my first time patients that we are trying to obtain the maximum result with the least amount of Botox. i make very careful notes of how much is injected (usually starting with 10 units per side), the exact location... more

Donald M. Brown, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Botox units for crow's feet

While the amount of Botox used varies, I typically use 20-25 units for women and 25-30 for men.

Lori Stetler, MD

Dallas Dermatologic Surgeon

Botox for crows feet

In my practice, 7.5-10 units per side is required to get great results in most patients. Certainly, the amount depends on the depth of the crows feet. I always start with the minimum amount I believe will work and check the patient back in a couple of weeks. We can always put more in if necessary at that time.

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Missy Clifton, MD

Bentonville Dermatologist

Typical amount used is 7-12 units

Depending on age of the patient and the intensity of the crows feet there is no exact amount to say what you would need. However, generally on the “average” patient, meaning not the extreme cases, anywhere between 7-12 units can be used for each side. If you have been happy with what you were receiving I would stay with what you know and to what you have become accustomed.

Yael Halaas, MD

Manhattan Facial Plastic Surgeon

Botox injection for crow's feet

I think your previous, successful dose is a very good choice. I typically inject between 8 to 12 units of botox on the outer part of each eye, for a total amount that ranges from 16 to 24 units. This variation is based on severity of the wrinkles and how far they extend. Depending on the age of the patient and state of the skin and muscle, I also do a small injection of 1 to 2 units immediately below the mid portion of the lower eyelid, in order to open the eye more and minimize wrinkles... more

Leyda Elizabeth Bowes, MD

Miami Dermatologic Surgeon

Botox for Crowsfeet

I can see why you would think 39 units would be a lot. I tend to do 8-12 units per side. The more you do, the longer the duration. Sometimes, though doing too much in the crows feet can lead to issues with your smile and even worse eye muscle movement disorders. see video

Philip Young, MD

Bellevue Facial Plastic Surgeon

Botox Dosage for Crow's Feet

Amount of Botox necessary to treat an area is somewhat variable, but 39 units for this area seemsrather high. I think most providers would use 20-24 units for both sides total, maybe 28 units rarely. But to start off by suggesting 39 units.... that seems a little out of line. I charge based on the area(s) that I'm treating and not based on the number of units that I use. I think if this doctor is recommending almost twice as much Botox as what you've used before with good results I... more

Andrew Kaufman, MD

Los Angeles Dermatologic Surgeon

Amount of Botox is not an exact science

The amount of Botox is not an exact science but an art and can vary from person to person. I would be more concerned about the skill of the injector, his training and experience. Also, has the Botox been stored correctly? Is it newly mixed or is it old?

Robert E. Zaworski, MD

Atlanta Plastic Surgeon

ASPS

Botox for Crowsfeet

The ideal dose of botox will vary from person to person. The crowsfeet areas is one of the most effective treatment areas. I generally will use from 6 - 10 units per side but have used as many as 15. As one other physcian mentioned, if the amount you were receiving was working well for you, then there is no good reason to change. I do find that the ideal treamtent interval in the crowsfeet is slightly shorter than in the foehead. Three months rather than four. more

Andrew B. Denton, MD

Vancouver Facial Plastic Surgeon

Choosing the right dosage

The dosage of Botox for crows feet can range from 8 to 12 units per side in most people. The dosage varies depending on the strength of the muscles. If in the past a certain dosage was sufficient, it sounds u likely that now you need a higher dose. If unsure, do not hesitate to get a second opinion. Sincerely, Martin Jugenburg, MD

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