How many Botox units for horizontal forehead lines?

I have about four forehead wrinkles that are getting deeper every day.  I call it my "washboard" forehead. How many units of Botox would I need to relax these forehead lines?

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10 answers to “How many Botox units for horizontal...”

A: Treatment of forehead line with Botox

Ronald Shelton, MD

Every patient is different. Your washboard may involved larger muscle bands than another patient’s and the number of units may be higher. Some patients only get 10 units in their forehead and others can get 50. The number of insertions is also different patient to patient. See an experienced... more

A: Botox units will depend on how strong your muscles are

Manish H. Shah, MD

I will typically start with up to thirty units of Botox to the forehead alone to weaken the muscles. Some people have strong muscles and need more but at a first meeting with a patient, I will not know that. I have them come back in two weeks for a recheck and a booster if they need more Botox. Botox only... more

A: 25 units.

George J. Beraka, MD

Hi! Of course, everyone is different, but this is the dose that we use for most patients in New York City.  Others use a little less, but I believe that if you use more, it lasts longer.

A: Everyone is different

Mary Lupo, MD

The answer is: as much as you need to improve the lines without dropping your brows. There is no pat answer to this question as everyone is different: different age, skin thickness, forehead height, is there redundancy of wrinkles?, etc, etc. Therefore, go to a board certified dermatologist, or plastic surgeon... more

A: I use 25-50 units

Christopher L. Hess, MD

Depending on the length of these line determines how many units you will need.  I typically use 50 units on the forehead. I avoid the lateral brows to prevent sagging.  Most of my patients stay paralyzed for about 5 months with 50 units.

A: There is no hard and fast rule.

Kenneth D. Steinsapir, MD

 Dear Cabbie02 I am not a big fan of injecting BOTOX into the forehead.  The muscle up there, the frontalis muscle is the only elevator of the eyebrows.  This means that any BOTOX injected into the frontalis muscle will drop the eyebrow position.   Yes one can certainly create a glass... more

A: Botox

Trevor M. Born, MD

Dear Cabbie 02 The treatment of the forehead and glabella with Botox will depend on the position of your eyebrows, and the desired shape of your brows.  It is best to treat the muscles that are pulling down on your eyebrows first then treat the forehead muscles so that your eyebrows do not drop. The rang... more

A: Botox for horizontal forehead lines

Bryan K. Chen, MD

Frown lines between the eyebrows should probably be injected along with the forehead to reduce the risk of dropping the eyebrows with forehead injections alone.  Since you have never had Botox to the forehead, I would start with about 10 units.  You should be aware that if your forehead muscles are... more

A: Botox needed for forehead lines depends on sex

Arnold R. Oppenheim, MD

This would depend quite a bit on which sex you are. Males require many more units than females. The general configuration of your forehead lines would also be important. If your forehead lines extend all the way around and curve around the frontal region you would require a few more units to avoid the Dr.... more

A: # units botox

Edmond A. Zingaro, MD

You would need to consult with a plastic surgeon in your area to determine how many units would be needed to treat your problem.  Generally though, about 20 - 25 units are needed to treat the forehead.

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