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How Many Botox Units for 11's or Frown Lines?
asked 3 years ago by Angyismn in Chicago
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 102,661 times
Tags: forehead, 11s, cc, frown lines, units
I received 20 units of Botox yesterday. Now I think I may have been cheated, he just wanted to get his $256 and the 20 units he injected were not nearly enough to get "rid" of the moderate/severe "11's" on my forehead. What is the average amount of units needed for this?
44 answers to How Many Botox Units for 11's or Frown Lines?
+1
Botox Expectations
Generally, most patients benefit from a standard dose of 20 units of Botox to treat frown lines. The reason being, to create the frown, there are several muscles involved that need to be dosed. To use less than ideal will result in little or no effect which would definitely be wasted time and money combined with disappointment.As mentioned by the panel members, most people will not begin to see the effects for 24 to 48 hours. Thereafter, it may take up to 14 days to see the full benefits. It...
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+6
One day after injection is not enough time to see Botox results.
If you just received your Botox injection yesterday, you would not expect to see any results yet as it has only been one day since your treatment. To see the effects of the Botox it takes on average 3-5 days from the injection day. The complete results are usually noted at about 7 days.
The average amount of Botox used for the “11” lines between the eyebrows is around 20-25 units for a female. Males will usually require more units as their facial muscles are often thicker and...
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+5
Botox takes several days to start working
I can understand your frustration. However, you state that you just had the Botox yesterday. It will take 3 to 7 stays for it to start working and sometimes up to 2 weeks for the final effect. So, please be patient to see the effect.
However, it does usually take between 20 to 30 units for the glabella (your "11's") area. It takes another 15 to 25 units for your forehead and another 2.5 to 5 units for around each eye (crow's feet).
I hope this is helpful.
+4
Botox today gone tomorrow.
Angy,
You seem to have a real distrust for your injecting physician. There is no reason for a practitioner to "cheat" you. The effects of Botox are temporary, lasting only 3 or 4 months, so you will undoubtedly need future treatments. Your injector certainly wants you to be a satisfied customer, to keep you coming back for more treatments. Don't be so skeptical, trust your physician, especially if he/she is a board certified plastic surgeon. Twenty units is a perfectly...
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+3
Botox 25 to 30 Units is Best Frown Line or 11's Treatment
Wait two weeks to evaluate your Botox result. If after two weeks yiou see nothing go back and see your doctor. It takes at least 4 days to see a result after Botox treatment.
I have had many patients respond well to 15-20 Units of Botox. However in patients with thicker skin and large muscle and in patients who have had Botox before I now use 25-30 Units for best effect.
+3
It takes 2 weeks to see the maximum benefit from Botox.
I assume you are talking about the vertical lines between your eyebrows. We call this the glabella.
I personally use 25 units for women in this area and more for men. But many doctors use 20 units, so this is perfectly proper. Of course, exactly where along the muscles the Botox is injected makes a big difference.
You will probably be quite happy in a few days.
+2
Too early to judge results
I also use 20 units as a standard treatment for glabellar frown lines ("11's"). It usually takes 3-4 days to see any effect, and 7-10 days to reach maximum. If, at the end of that time, you have not achieved the results you desire, it may be that your creases are so deep and have been there so long, you may need a small amount of filler (e.g. Juvederm) to finish the job. It is not uncommon to have to use the two products together.
+2
Losing our "11's" With Botox
The furrows that form over time between the eyebrows (also known as the "11's" or glabella area) is one of the most common indications for Botox, and often gives the best results. The amount of Botox required depends on you and the size of your muscles. Doses of 20-30 units can achieve excellent results in this area in women, while men often require more. It takes about 2 weeks to see the full effect, and sometimes a touch up is required to make sure you are getting the best...
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Adam J. Mamelak, MD
Austin Dermatologic Surgeon
Austin Dermatologic Surgeon
+2
Botox dosing for "11"s
The usual starting dose for the lines between the eyebrows in an average woman is 20 units. I like to use that dose and have my patient return in 2 weeks to assess and add additional Botox if needed. Then I know the exact dose appropriate to that patient and in the future she will not need a touch up visit. Another thing to consider is that if after 2 weeks the movement is gone but the wrinkle is still there you may need a little filler.
+2
Yesterday? Botox doesn't work that fast!
Botox takes several days to start to kick in and the maximal results are seen in 7-10 days. If you got it yesterday it is waay to early to judge if it is too much or too little. Any effect you see today is probably largely placebo effect.
Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
Washington DC Oculoplastic Surgeon
+2
Botox injection for forhead
It may take up to two weeks to have the full effect of the Botox on your frown lines. You will most likely see more improvement
If you can still re-create the lines, all it means is that you either needed more units of Botox injected or you did not have it injected in the right location.
I routinely see patients two weeks post injection to determine if a "touch up" is needed and also to learn how I can do it better for that particular patient the next time...
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+2
Botox does not kick in overnight
Botox takes a few days before you see the effects, so results would not be expected on the day after your injection. It is perfectly normal that you have not noticed anything yet. It usually takes 3 days for the results to appear, and can even take up to 10-14 days to really see the full effect of a particular dose in some patients. That is why touch-ups are not recommended until 2 weeks after the initial injection.
20 units of Botox is a reasonable amount to inject for the glabellar region...
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Anita Patel, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
The amount is correct, but it doesn't work until 4-7 days.
The amount of Botox injected in that area is normally around 20 units. I would hope the doctor explained to you that the affect doesn't occur for at least 4 days and even sometimes 7 days. Botox works by blocking the receptors in the muscle, so it doesn't respond or contract. These receptors need at least 4 days to bind to the Botox.
Just be patient, and you should see a result in a few days. If after 7-10 days, it doesn't look better, call the doctor for a touch up.
David A. Dreyfuss, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+2
Not So Fast! Botox Doesn't Work Overnight.
The average number of Botox units I use to treat the glabellar frown lines (the so-called "11's") is 20 units. For most patients, the effects begin to show within 48-72 hours. Some patients may get the same results with less Botox, other patients require slightly more.
I caution patients to wait at least 3-4 days before judging the outcome. If the level of paralysis or areas of paralysis are insufficient at that point, I will re-examine the patient to see whether a...
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Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
How many units of Botox is enough
I can appreciate your frustration, and the office should set the proper expectations for a treatment. Each patient is different in the number of units that is needed. You should not judge the results of botox for a week to 10 days. It is better to be conservative with injecting the glabella. For most female patients, 20 - 25 units is sufficient. However, an injector can safely inject some more units if needed a week to 10 days after the initial treatment.
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+1
Botox Dosage
Angyismn,
20 units of botox in the Glabella region is a standard/average dosing for the "11s" between your brows. However, this number can vary person to person depending on the strength of your muscles and severity of the lines. Having moderate/severe lines, you may require additional units to get the desired response, however at only 1 day post-treatment, it would be difficult to tell since the Botox has not even begun to work yet. Give it one week then...
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+1
Botox works well on the "11's" on a forehead.
I typically injected 20 to 25 units to treat the glabella area. I am unsure of why your area didn't work. If the lines are severe, you may need to have some of your forehead injected as well. In addition, you may need a filler and over time, the Botox will freeze this area with repeated injections. It is always important to go to an experienced injector.
Michele S. Green, MD
New York Dermatologist
New York Dermatologist
+1
2 weeks for best results with botox
20 units is considered the normal starting dose by many doctors. Therefore, I wouldn't jump to the conclusion that you weren't given enough. Remember, it's easy to put more in but impossible to take out if too much is injected.
You really need to wait 1-2 weeks for maximum results with botox. Results are a bit faster with dysport. After the 2 weeks, see the doctor back if you feel like you need more product.
Gary Goldenberg, MD
New York Dermatologist
New York Dermatologist
+1
How much Botox is enough?
Firstly, be patient. It takes a few days for Botox to start working and two weeks to see the final results. Twenty units in this area is a commonly used amount. Depending on the severity of the lines as few as 12 units may be effective. Some people require more. Again, you need to wait two weeks before you know what the results will be.
Dina D. Strachan, MD
New York Dermatologist
New York Dermatologist
+1
Botox doesn't work overnight
The full effect of Botox may not be demonstrable for up to two weeks so, before you rush to judgment, give it a bit of time. Twenty units is not an unreasonable dose. If your lines are not improved after 14 days, then you should return to the physician to discuss the result. It may be possible that you also need some filler in the area which is not mutually exclusive of the Botox.
+1
Botox and the 11's
Botox is not a filler, it works on weakening the muscles that cause the 11's and can take 7-10 days to kick in. If you have the 11's at rest, with no muscle flexion in your glabella, you might need a filler along with the Botox. if there were no lines there at rest, then just give it a week or so and they should get better. having said that, there are patients that need more than 20 units to weaken the muscle, the stronger the muscles are, the more Botox they need.
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Julio Garcia, MD
Las Vegas Plastic Surgeon
Las Vegas Plastic Surgeon
+1
Not cheated. You must wait for it to kick in.
The dose of Botox you received for the "11"s is the average dose for this area in females. Someone forgot to inform you that it takes Botox 7-14 days to kick in. Even with Dysport, it takes 2-3 days to kick in. If you still have lines after 14 days, revisit the doctor for a touch-up. This was obviously the first time you have ever had Botox so it may take a bit of tweeking your dose the first time you receive it as everyones muscles are slightly...
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Carla R. Retief, MD
Nashville Dermatologic Surgeon
Nashville Dermatologic Surgeon
+1
Cheated on the Botox?
I agree that the average femail requires at least 25 units to treat the vertical forehead lines. But some require more than this. Chances are that you were not short changed by your doctor.
+1
Botox works for eyebrow worry lines
20-25 units in women and sometimes more in men. However, Botox takes 2-3 days to kick in and up to 10-14 days to see the full effects.
Botox relaxes under the skin muscles that cause glabellar (i.e. between the brows) frown lines and thereby, soften the appearance of these wrinkles. You should notice a significant reduction or inability to cause wrinkling of your glabella area (by moving these facial muscles) if your Botox is working well...
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Robert Strimling, MD
Las Vegas Dermatologist
Las Vegas Dermatologist
+1
Unit's for the 11's or frown lines
A certified doctor should not be trying to cheat you out due to the fact that Botox is NOT permanent and we want you to come back to keep you happy with the results you want. Results cannot and will not be seen the day after use of Botox. Dysport does have an earlier onset then Botox and its results may be visible 1-2 days after treatment. Usually they appear around 5-7 days, however, the peak of the product’s potential will be seen around week 2. It is totally normal to use about 20...
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Yael Halaas, MD
Manhattan Facial Plastic Surgeon
Manhattan Facial Plastic Surgeon
+1
It takes 3-5 days for botox results to show
If you received Botox injection just yesterday, it is normal to see no effect until 3-5 days later and then it takes about 10 days for Botox to reach its full effect. The effect will wear off in 3 months. So to answer your questions, it is way too early to know whether or not you have been cheated.
Sincerely,
Martin Jugenburg, MD
+1
Botox Is Great for the Glabella "11's"
Hey, you weren't cheated !! The recommended dose is 20 units but you should wait 10 days to judge the effectiveness of your botox. If you do not have a great amount of "weakening" of you 11's you may want to go back and see about getting more !!! Be carefull too much botox and be disfiguring a sure sign of having "too much done."
Paul E. Goco, MD
Nashville Facial Plastic Surgeon
Nashville Facial Plastic Surgeon
+1
Botox for the "11"s or Glablellar Furrows
Botox for the "11" lines or glabellar furrows is an excellent treatment. This was actually the first area where the cosmetic use of Botox was discovered. Most patients require 24-28 units in this area, but some may require more and some may require less. If you didn't get significant improvement after 2 weeks, I would call the doctor and have him evaluate the response. Perhaps you need a small touch up. And generally, over time and additional treatments the improvement should...
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Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
Los Angeles Dermatologic Surgeon
+1
Botox, Wrinkle Treatment, Beverly Hills Botox, Los Angeles Botox
Botox using anywhere from 8-2o units should create relaxation of a typical Glabella (11's) however, the full effect of the Botox is not immediate and takes 5-7 days for the effects of the Botox to peak.
+1
Botox for the "11"s
The typical starting dose for the glabellar region or the "11"s, is 20-25 units. For those with more muscle in this region, they may need more. Usually, I might inject at a lower dose so that the patient does not need to purchase additional Botox. If the patient needs more Botox, they come back in two weeks for further injection. This way, they only purchase enough Botox to take care of the problem.
P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon
Salt Lake City Facial Plastic Surgeon
+1
Botox Units Needed for Frown Lines
Hi,
The inital FDA approval for Botox Cosmetic for the frown area is 20 units to last 3-4 months. However, every person's anatomy is different and the strength and bulk of their muscles is different. Generally for men, 20 units may not be enough since their muscle mass is bigger. What I usually counsel patients is to wait the 10-14 days after placement to see the final result and to come back to the office for evaluation if it is not enough.
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+1
How Many Botox Units for 11's or Frown Lines?
The amount of Botox to treat any particular area is very patient dependent. I have some patients that require as little as 10 units and some that require much more. If the dose you received is not enough in you, you should return to your physician and ask him to evaluate you for more Botox. You will then have it in your permanent record.
+1
Botox dosing may vary from the frown lines to the forehead creases, to the crows feet.
The recommended dosing for Botox in the glabellar region (frown line, "11's") is 20 units. We often treat patients with 24-28 units as this region often requires it. There are however many variables that come into play, one being the position of your eyebrow's as well as whether or not you have excessive eyelid tissue. In any case, I would recommend that if you still have movement that you are unhappy with, to go back to see him and I am sure he would...
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+1
Botox for the number 11 lines
About 20 units to the glabella for treatment of "the number eleven lines" is sufficient. However some people, particularly men, often require more.
Darrick E. Antell, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
Not cheated, just misunderstanding Botox's immediate effect.
20 units is a very good starting point for your frown lines. What the doctor may have neglected to explain clearly or you may not have understood until now, is that Botox can only weaken muscles. It can not "fill in" lines that are already present. If you continue to keep up with the Botox (unfortunately, this is true... ) the creases will not be allowed to reform, and will gradually soften and smooth over time (months...). If you want a faster fix, the synergistic combination of Bo
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+1
It's not working after 1 day
Botox will begin to have a noticeable affect after 3 to 5 days, on average. You did recieve an average starting dose, so wait and see. The dose can be adjusted easily, and I always have patients return for a recheck soon after the first treatment.
+1
Glabella treatment with botox
Botox was studied and it was recommended that twenty units be used in the glabella. Some physicians use more and some patients need more, while other doctors use less.
+1
Talk to your Surgeon...
It is unfortunate that you have not called your surgeons office, assuming you had a board-certified plastic surgeon administer your injections. If you have, then it is unfortunate that you do not have confidence in their response, which was undoubtedly that it is too early to draw any conclusions about yesterday's treatment. It is also unfortunate that you did not leave the office understanding fully how Botox works, how long it takes to work, and how the dosing regimen is chosen...
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Andrea Paolo Basile, MD
Naples Plastic Surgeon
Naples Plastic Surgeon
+1
Amount of Botox for frown lines
The frown lines are caused by 3 different sets of muscles. I will typically use 25-35 units for women, and 35-45 units for men. Some may do well with less, others may require more. If your treatment was not enough, it is easy to add additional Botox. I would wait 3 weeks to see if you need more, however.
Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
Botox units injected for "11"
Every person, male and female, may require a slightly different amount of Botox to their glabella ("11 sign").
In general, however, I use 20-24 units, and we get consistently excellent results.
My fees are higher than what you paid so I think if you received 20 units for that price, you were treated appropriately and you were not overcharged.
+1
Generally 20 units is a standard amount that works well for most people.
Thank you for your question.
For the 11 lines (glabellar area), 20 units is a pretty standard dose. For those with stronger muscles, it can go up to 25 units, and the reverse would apply for those with weaker movement or with history of multiple botox procedures.
I have seen individual cases where one specific treatment of Botox "doesn't take" and there is minimal to no effect. Whether this is due to injection technique or inactive botox from the bottle, it is unknown. Some people...
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Don Mehrabi, MD
Beverly Hills Dermatologist
Beverly Hills Dermatologist
+1
Recommended Units of Botox for the Glabella
Botox injection should be performed by an experienced practioner in an ethical and professional manner. A frank discussion regarding risks, benefits, and intended number of units should be discussed between patient and physician. In general, twenty to thirty units should be injected into the glabella, upper nose, and mid forehead.
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Botox for Glabella
The full effects of Botox can take as long as 2 weeks time. In general, it takes about 5-7 days before you see the effect of the paralysis. Even then, the lines dont go away that fast. Depending on how deep the lines are, it may take months and several treatments before the lines show improvements. I usually inject 20 unit in the glabella (the "11" lines).
Botox is not just a one time shot. It requires maintenance to achieve the results desired. Hope that helps.
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Farbod Esmailian, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
Botox treatment for horizontal forehead wrinkles and frown lines
Forehead treatment:
Horizontal "worry" lines
Usually requires 8-16 units of Botox
Blended w/ glabella lines below
Glabella treatment:
Vertical "11" or frown lines
Usually requires 16-24 units of Botox
Blended w/ forehead above & bunny lines below
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
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