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How Much Does Botox Cost?

I am going to get a Botox injection for frown lines, forehead lines, and crow's feet. What is the best price for Botox or average cost?

Doctor Answers 232

$300-$800 per 3-4 months depending on the areas treated

Botox lasts usually 3-4 months on an average but may be longer in some patients and shorter in others. It can take up to 1 full week to see results. The 3 areas usually done are the crow's feet on the sides of the eyes, the frown lines between the eyebrows, and the forehead creases. I charge $300-350 for 1 area, $500-600 for 2 areas and $675-800 for all three areas. If someone wants their upper lip done also with the other areas it is an additional $175 and an additional $300 for the neck platysmal muscles. Sometimes botox just doesn't seem to work as good as other times for whatever the reason. If the patient comes back for a touch-up within 2 weeks then I only charge $150 for a touch-up fee.

David Hansen, MD

Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 29 reviews

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Botox Prices in Los Angeles

In LA, I've seen everything from $9-$14 per unit.  On the lower end of the price range, you'll typically see less-experienced doctors and on the higher end, doctors and/or plastic surgeons with much more experience.

It's always smart to shop around, but don't necessarily go for the lowest price.  If you find a plastic surgeon with lots of experience injecting in the middle range at around $12/unit, it's probably worth the extra $50-$100 total you may pay on 30-50 units.

Another thing to look for, which many experienced practices and doctors offer, is Brilliant Distinctions.  It's the "frequent flyer" program for Botox/Juvederm/Latisse by that manufacturer, Allergan, which earns patients points with every purchase that can be saved up for a free treatment, or, redeemed for smaller discounts more frequently. 

Daniel Yamini, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 17 reviews

Cost of Botox in Los Angeles

The cost of Botox in Los Angeles varies by practice according to several factors including:

  • Who's doing the injections? Generally speaking, it is more expensive when a physician injects than a nurse, NP or PA.
  • Where are procedures done? Generally it is more expensive at a traditional medical office than at a medical spa, Botox party or other informal location.
  • How experienced is the practitioner? Generally speaking, more experienced practitioners can charge more because they provide better results and have a more established clientele.

Prices for Botox in our area of Los Angeles and Orange County generally vary between about $8 per unit for the lowest priced providers to up to $20 per unit for the most exclusive practices. By area, we have seen it vary from about $150 - $350 but areas are defined differently at different practices.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Dallas Botox Prices

We charge Botox Cosmetic by the area. The three most common areas are the crow's feet, forehead, and the lines in-between the brows (glabella). I typically use approximately 60 units for those 3 areas and charge $575. So in our practice we charge about $10/unit. I personally do all of my own injections and have treated over 2000 patients last year with Botox. I have considered raising prices over the past few years, but in today's financial turmoil, even though surgical prices have risen in my practice, Botox and other injectible prices have remained the same for the past 4 years.

I tell my patients that it is not the total price that is important, but how many units are used. For instance, if a patient goes to a spa and pays $150 per area, that may sound like a great deal. However, when the patient ask how long the treatment is supposed to last, the spa responds "2 months". I have seen that many of those less expensive treatments often consist of around 10 units (and therefore carrying a "non-deal" $15 cost per unit!). So, what initially looks like a great bargain, is in fact just a treatment with an inadequate amount of Botox. Always ask your injector how many units they are using, so you can determine what price/unit you are getting. Experienced injectors know that there is no such thing as a standard amount of units, as everyone's facial anatomy and muscular strengths are variable, even from one side of the face to the other.

As the only Facial Plastic Surgeon in North Texas to have Diamond status with Allergan, we have found that in today's economic environment, patients want value as well as quality. Understand that when you go to a non-physician med-spa for injectible treatments, there are more hands in the "cookie jar" diluting the price for your treatment. For example, the med-spa that is owned by a non-physician, with a nurse injector, is the hardest model to stay competitive in today's world. In that scenario, the patient is paying for the cost of the Botox; PLUS the cost of the nurse to inject the product; PLUS the fee for the medical director to sign off on the nurse doing the injections; AND the profit for the medspa. By going to a physician, the patient can cut out 2 of the middle-people. The chances of getting more product for the same price is greater by going to a doctor's office for your treatment.

Another factor to consider, more high volume practices have more patient incentives from Allergan and the other manufacturers. My patient's receive rebates from the company, instant savings at the checkout, and regular reminders about upcoming treatments and specials that are sponsored by Allergan. This program is only available to the nation's busiest, most successful practices.

I always tell my patients that you get what you pay for. However, you need to advocate for yourself and understand what you are getting for your dollars. Ensure that your injector is experienced and properly trained; that you are getting FDA approved Botox Cosmetic from Allergan; and know how many units you receive. As well, a physician's office should maintain a medical record of your treatments so you can optimize and customize your Botox to achieve the best effect and value. Good Luck!

Benjamin Bassichis, MD, FACS
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Botox pricing depends on the doctors preference

Botox can be bought by essentially any person with a DEA certificate. Allergan sells it in 50 and 100 unit vials. They are shipped overnight delivery on dry ice to keep the toxin effective it should be opened, reconstituted and used the same day ideally. The Botox will work best this way. Price points will change by who the injector is and what their motives are. Botox can be reconstituted so that you getting a very dilute amount of product. So a by the area approach may really only give you a small amount of product. Or you could be getting old Botox that is a week old and will not last for very long.

So better questions are not how it is priced but rather, When was the Botox reconstituted? How many units will I be getting in the areas of concern? The other doctors answers are reasonable about the dollar values per unit. $10-20/unit depending on the part of the country you live in.

Best advice: ask the questions above and know who is injecting you.

Michael J. Brown, MD
Leesburg Plastic Surgeon
4.0 out of 5 stars 6 reviews

Botox cost varies and so does the experience of the people injecting it

Offices charge for Botox in two ways - either by "area" or by "unit."
It is my feeling that charging by "area" leads to fraud since the office can dilute the Botox by whatever ratio they want and the patient never actually knows how much Botox they have received.
There is also the possibility of cross-contamination between patients since the office is using the vial over and over again for several patients. The alternative way of charging for Botox is by the "unit."
Allergan just started supplying 50 Unit vials of Botox. In my practice, this is the average amount of Botox for a typical patient. 50 Units will cover the crow's feet (2.5 units each), the glabella (25 units) and the forehead (20 units). This amount of Botox allows for significant reduction in wrinkles but allows you to maintain facial animation.
The charge per unit varies around the country from anywhere between $9 and $20+ per unit. In my practice, I charge a flat fee in 50 unit increments.
The second vial is only needed if you are having your neck treated for bands or your scalp treated for headaches.
It is my policy to open up the new vial of Botox right in front of the patient so they can be assured that they are getting fresh product and getting what they are paying for.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 61 reviews

Cost of Botox

In Seattle, the cost usually ranges between 10$ and 16$ per unit. It varies depending on a few things. 1. Expertise of the injector, 2. Who the injector is (physician vs other), 3. Whether an office may be running a special. The number of units placed in an area can vary. For instance, for the frown lines between the eyebrows, studies show that the right amount for most women is 25 units. However, in my practice, I may put in as few as 10 (young female with a very petite forehead) or as many as 30 (larger forehead, strong frown line). We usually have 2-3 "botox" special events per year, and we also have an ongoing special price for VIP patients to reward them for coming to our clinic.

Jennifer Reichel, MD
Seattle Dermatologic Surgeon
4.5 out of 5 stars 32 reviews

Botox cost is determined on a per unit basis or per area

The cost of BOTOX in most Toronto offices is based on a per unit cost. This ranges from $10 to $16 in most offices. Some offices charge one fee for any unit, while in some offices the fee per unit of Botox is increased in more challenging areas Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 230 reviews

Cost of botox by the Unit

I usually charge $12 a unit for botox. The number of units depends on the site. The "eleven" lines or glabellar area I usually use 20 units. Also I used 20-30 units for the forehead. In the crows feet I use about 15 units per side or 30 units total. To give a Botox brow lift I use 5 units total. Finally to give a patient a natural smile or soften the sad look of the mouth I use about 10 units. You can calculate the math to determine the cost depending on what you would like to get. Botox cost is going to vary by location as overhead will be different in different areas of the country. Maintaining a park avenue office is much more costly than an office in New Jersey so my price may be lower than someone in Manhattan. Someone in Bucks County Pennsylvania may have lower costs and thus lower prices still.

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

Botox Pricing

Actually, Botox Cosmetic is affordable. According to the American Society for Aesthetic Plastic Surgery (ASAPS), the cost per treatment in the United States averages between $300.00 and $500.00, with results that last up to 4 months on average.

First, you always need to meet with the Physician or Nurse to determine if botox is the right product for your facial concerns. A lot of patients come in and think they need Botox when they may need an injectable filler or laser resurfacing.

During a free consultation a worksheet is presented to the patient  with a projected number of units that will most likely be used during an injection session. This gives the patient a very good idea of the amount it will cost to complete a session.

At our facility for any new client the cost  of Botox is $11.00 per unit (for first visit only) . Regular price is $13.00 per unit.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.