Does Botox Concentration Vary from Doctor to Doctor? Doctor Answers, Tips
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Does Botox Concentration Vary from Doctor to Doctor?

I read that Botox is purchased by doctors in a powder form. And that the Botox is diluted such that one doctor may give lower concentration botox then another.  If this is true, how can i be sure that the doctor doesnt dilute my treatment more than it should be?

24 Doctor Answers | Asked by anon
+3

Units count Not dilution

Botox comes in an airless vial with a film on the sides (the Botox)> It is then reconstituted by the physician or nurse. The dilution is placed into the vial and can very between 1-10 cc. Obviously the 10 cc product is 1/10th as strong as the 1 cc product. However, they equalize out when it is injection time. The physician using 10 cc dilution is going to put in 10 times as much as the physician uising the 1 cc dilution when he is putting in say 5 units,. I attended an... more
+3

The reputation of the doctor is paramount

Doctors can "water down" the Botox, without increasing the commensurate amount injected, or use Botox that is old. Signs of this are when the Botox appears to go away quickly, or frequent "touch-ups" are necessary when the initial dosage was not adequate. Botox should also be administered in a medical setting, not a party or carnival environment. While it may not seem to be a big deal to return frequently for repeat injections, there is some evidence that frequent low... more
+3

Pay by the Unit, Treat by the Area, or Find a New Saloon!

The concentration of Botox may vary from one doctor's office to the next, depending on the preference of the individual physician. Some may choose a concentration of 4 units per 0.1cc, down to 1 unit per 0.1cc, all dependent upon the volume of saline that is mixed into the 100 unit Botox vial supplied by the manufacturer. Assuming the doctor knows the relevant anatomy and the proper dosage, the concentration doesn't matter when it comes to achieving the desired treatment response. Most... more

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+3

Have this question answered prior to deciding on a provider.

This is a very common question about Botox. Botox does come in a powder form. In order to inject Botox you must first reconstitute it into a liquid form. A sterile isotonic saline solution is used. This is where patients may become confused because it is within the proper guidelines to reconstitute the Botox with different volumes. It is best to have your treatment done by an experienced well-trained provider who uses a consistent reconstitution. In my office we adhere to the guidelines... more
+2

Botox concentration usually doesn't matter

Although there are recommended dilution parameters, there is no set standard. The main thing that matters is how many units you have received. If both doctors give you 20 units for example, then it does not matter how they diluted it. The next important thing is outcome. If you are getting the outcome you are looking for, then the dilution is not important again. The last important thing is cost. If they price per unit, then again the dilution does not matter. If they price per area and... more
+2

Make sure you go with someone you trust. Botox is not a flu shot.

Although there is a recommended dilution, many qualified physicians use slightly different dilutions. The key is getting what you pay for and that is based on the actual units that are injected. Some doctors inject based on volume, however in those cases it is not clear to the consumer how much botox they are actually getting. Paying for it by the unit is the most clear way to measure what is actually being used. Also, alway seek an experienced person who understands the science as well... more
+2

Botox concentration - depends on how you mix it

A fresh Botox bottle has 100 units of Botox and is diluted with 5 cc or 6 cc of solution. When it is diluted to 5 cc for example, each cc (ml) contains 20 units. So 5 cc of diluted Botox contains 100 units of Botox. So, if you see the doctor mix the Botox, ask the amount of dilutent (the number of cc's so you can calculate the numer of units in each cc injected.
+2

Botox Concentration and Freshness Can Vary - Find Physician You Can Trust

Physicians reconstitute Botox with different amounts of saline solution, which means that the number of units of Botox you receive per cc of the solution that is injected may vary from practice to practice. For this reason it is important for consumers to understand how many units of Botox are being injected into a given treatment area, and to select a physician who prices Botox by the unit. It makes no sense to price Botox "per area". Pricing "per area" means one... more
+2

Botox dilution is not so important.

I agree that you ought to keep track of the number of units that is being injected to a certain area. If not, when you go to a new provider, you may end up paying for more units than you need, or find the injections to be less effective because you did not receive an adequate number of units. While the number of units is more relevant than dilution, even more important is whether the injector knows what he or she is doing. I suggest you look into the credentials of whoever will be treating... more
+2

It can vary

A doctor can vary the concentration, the amount and the location that Botox can be injected. All of these factors should be something that an experienced Botox administrator should be able to explain. In addition they should have rationale behind why they have injected in a particular location, with a particular concentration and in a particular amount. It can be helpful to ask how many total units of Botox you've gotten. Keep track of it yourself between treatments and especially if you... more
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