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How to Prevent Wrinkles on Forehead and Between Eyebrow?

I'm a 25 year old female and I want to get Botox as a preventive treatment for wrinkles on my forehead and in between my eyebrows. On average how many units would that be for someone my age with few wrinkles?

Asked 37 months ago by missnataleigh in san antonio, texas

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Botox as a preventative measure

Hi missnataleigh, We do in fact have patients that use Botox as a preventative measure. In most cases, these are patients that have just begun to see the beginnings of the fine lines associated with static wrinkles (those wrinkles caused by movement of the forehead muscles and muscles around the eyes). The number of units depends on the severity of the wrinkles, but if none are visible, it's hard to dose accordingly. If wrinkles are visible, the area between the eyes would normally be... more

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Start conservatively, add more Botox units as needed

The number of units is variable based on your individual muscles and the effect desired, but it usually takes 20-30 units of Botox for the glabella (area between your eyebrows) and at least 15-20 units for the forehead. I will usually start in a conservative fashion, and see my patients back in a week or two to add more units if needed.

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

Botox dose depends on severity of wrinkles

This depends on how severe the wrinkles are. The standard dose in the cosmetic package insert for the glabella frown lines (the only FDA approved location - all other are off label) is 20 units injected over 5 injection points (4 units per site) The forehead dose ranges from 6-20 units for severe wrinkles, and in my experience, typically require about 8 for early or mild lines. Hope this helps!

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Botox softens worry lines

Lines that form following repetitive muscle contraction that causes crimping of the skin can be softened by holding a muscle still with Botox or Dysport. The amount used varies depending on factors such as a patient's gender and the strength of muscle contraction. A good starting dose is around 20 units to see an effect-the duration varies somewhat depending on the dose. Of course, the amount of softening you get is related to how long the lines have been present and may... more

Vaishali Doolabh, MD

Jacksonville Plastic Surgeon

ASAPS ASPS

Botox for forehead and between eyebrow

Botox is a neurotoxin that relaxes the muscles and prevents frowning. Botox, or even Dysport, is great for preventing future frown lines. I have been getting Botox myself for the past 6 years and I love it. The amount of Botox differs from person to person. It depends on the strength of the muscles and the frown lines you can create. Typically, in the frown lines between the eyebrows, I inject 15 to 20 units in females and on the forehead about 7.5 to 10. Dr. Behnam Santa Monica. more

Ben Behnam, MD

Santa Monica Dermatologic Surgeon

Botox - how many units

It's really hard to say exactly how many units you'll need - it really depends on your anatomy. Each area could take anywhere from 10-20. You can always start conservatively and wait for the BOTOX to start working, then go back for touch ups if you need more. Regardless, BOTOX is great for wrinkle prevention - I've been using it on myself since my late 20s Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon

Not To Many Units

Whether you want to have Botox placed as a preventive measure would depend mostly on your priorities in life and financial condition. As more data is accumulating regarding Botox it definitely appears that people who have Botox placed periodically develop less and more superficial dynamic wrinkles. But whether you want to make the investment is the question only you would be able to answer. Since you do not have lines, I would recommend the minimal which would be 15 units in the... more

Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

Does not depend on your age

It depends on the strength of your muscles, not your age. 15 to 30 units could be used between the eyebrows, or more or less. The forehead could take an additional 12 to 20 but this can make the eyebrows come down too much. Expert physicians know where the correct placement and amount would be – seek consultation.

Ronald Shelton, MD

Manhattan Dermatologist

Botox works on dynamic wrinkles

Contrary to what some people think, Botox can prevent wrinkles - static wrinkles. If you have dynamic wrinkles (wrinkles only when you contract your muscles) these eventually turn into static wrinkles (wrinkles that are present even when you are not contracting your muscles). This is due to years of stress on the dermis which leads to breakdown of the structure of the skin and dermal atrophy - static wrinkles. If you have dynamic wrinkles and block the muscle movement with Botox Cosmetic,... more

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David Shafer, MD

New York Plastic Surgeon

ASPS

Do not overdo it with Botox

Botox should not be used to prevent wrinkles but to address them. The amount of Botox needed to address the forehead and glabella (area between eyebrows) varies for each patient. I tell my patients that we will start conservatively (approximately 25-30U total for both areas) and reevaluate as we go. You want to avoid a frozen appearance as this does not look natural. Discuss your concerns with your physician, and they will develop a treatment plan appropriate for you.

David A. Robinson, MD

Munster Plastic Surgeon

ASPS

Botox is not intended for the prevention of wrinkles

To missnataleigh, Hi! If you have no wrinkles, leave yourself alone! They will come soon enough, and I don't think you can prevent them. For women who do have wrinkles, I tend to use a little more than other plastic surgeons because I think that the results last longer with a few more units. I usually use 25 units for the forehead and 25 units between the eyebrows. Exactly where the injections go is more important than the number of units.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Fewer units of Botox are required for wrinkle prevention at your ages

It varies, but generally speaking, about 20-25 units for the glabella and about 15-20 units for the forehead are needed. In your case, fewer units, e.g. 10-20 units to the glabella and 10-15 units to the forehead may be all that is required. Botox has its peak effect approx 2 weeks after injection, so you could always start with fewer units for your first injection session, and add additional units as needed, later on. Good luck.

Bryan K. Chen, MD

San Diego Dermatologist

Botox dosage depends, but there is a reasonable average

The number of units injected will depend on the degree of dynamic wrinkles that you have. But in general, 20 units for the glabellar area and 20-25 for the forehead would be an ideal start. I'm not a big fan for injecting large doses specialy the first time. I learned through clinical practice that every patient is a little different. I do not mind to even give a small touch up in 2-3 weeks to acheive a great result. I found that my patients like this approach as it is more affordable. Good... more

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Botox in a young person

I only use Botox on patients that have the forehad wrinkles, etc.. I do not use it as a preventative measure. In general, it would take bout 35-40 units to inject those areas.