Botox: Q&A
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What's the Maximum Amount for 11s?
I am trying to get rid of my 11s between my eyebrows. So far I have recieved 50 botox units. 20, then 15 and 15. all a week apart. Things have softened but still have quite a bit of movement. Dr. just keeps telling me that I have strong muscles and havent met my theshold yet. At what point do I just give up? how much is too much?
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21 Doctor Answers |
Asked by
Avion
in Washington state
+3
What's the Maximum Amount for 11s?
You have received a lot of Botox for your 11s. Either you do not respond to Botox, which is rare, or something else is going on. Can you still frown? If so, I would consider seeing a different physician and seeing whether you get a better response with his injection technique. If you cannot frown, then the Botox is working, you may just need fillers in addition.
+3
Inadequate response from Botox - causes
There are several causes of your problem.
First, your corrugator muscles are broad based, i.e. .completely over the eyebrow, so those fibers will need to be relaxed as well.
Second, the wrinkles you have are very well established and it will take some filling material to fill in the wrinkle in the mean time. Patient expect the "11's" to be gone, but Botox will not always eliminatedecades of sun damage and wrinkling.
Third, you are actually refractory to Botox,...
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+2
What's the Maximum Amount for 11s?
As you can read from the previous expert posters, 50 units is a maximum for the "11"s. Try adding a HA filler to the creases. Otherwise I would be extremely careful to have any additional botox to this area. i also recommend calling Allergan cosmetic to address this issue with their clinical experts and scientists. Call 1-800-433-8871. from MIAMI
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+2
Maximum Amount of Botox
50 units is certainly a full dose of Botox if it is being used for between the eyebrows only. Assuming the Botox was properly reconstituted and stored before being injected, you should wait at least 3 to 4 months before considering additional treatment. You may also be "recruiting" different muscles in your forehead to move your eyebrows and therefore Botox might be doing its job. You can discuss this with your doctor. You might also want to consider trying Dysport next time to see...
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+1
Botox Responsiveness
A dose of 50 units of Botox (Allergan produced) in the glabella should have some degree of efficacy as far as minimization of movement (assuming that you are receiving the real product, properly reconstituted, and properly administered). Please understand that very deeply etched lines will not disappear with Botox alone. However, I have seen an occasional patient who is poorly responsive to Botox, yet responds to Dysport (Medicis produced).
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Botox for the glabellar "11s"
You state that you have had weekly additions to the botox number of units in the glabella. During an examination for this concern, I evaluate if the muscles are moving, not if the creases are still there! If you are not able to move the muscle then you need no more Botox for now. There may be continued improvement of the creases as time progresses and the muscle is no longer able to make the skin fold like an accordion. YOu have probably develoepd these creases from years...
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+1
For 11's dual therapy with Botox and Fillers.
I like to "nuke" the 11's for a new patient. Using a HA filler like Juvederm or Restylane along with the Botox can give you a running start. Fillers work for a long time when done in concert with Botox, because the muscular action isn't "milking" the filler out of the area. Unit wise, 20 plus 15 plus 10 sounds like a lot. Watch your brow position, as extravisated Botox can cause problems in adjacent muscles!
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Maximum Amount of Botox for Frown Line?
Hi Avion. It sounds like you have more than enough to relax the muscles in this area. Even if you had extremely developed muscles, 50 units is a lot and should have done the trick.
If you cannot animate (move or contract) the muscles that cause the frown, then you do not need more Botox and your injector needs to think more about a dermal filler like Restylane. If you are not able to move the muscles and your injector has not already suggested a dermal filler...
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+1
Botox and a 2 week touch-up
I would wait 2 weeks before adding botox after the initial injection, as it can take up to that long to see the full effects of the botox. Usually 20-30 units is sufficient in the glabella but in a man with strong muscles (or woman), more may be needed. However, you have had A LOT of botox added into that area. If you cannot move those muscles, the wrinkle there is a wrinkle at rest and will not be fully corrected with the botox (which works better for the dynamic wrinkles...
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Austin Dermatologist
+1
Botox touch ups should be 2 weeks apart
You might need more Botox if you are a man. Some men need up to 60 units in the glabellar ("11") area between the eyebrows. But, you mentioned your touch-ups were only 1 week apart and it can sometimes take up to 2 weeks for all of the effect to "kick in". So if you just had your 2nd touch up you need to wait 2 weeks afterwards to see the full effect. That being said, if you can't move it at all but see furrows you might need some filler, such...
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+1
Treatment for the "11's" when Botox fails to eliminate
If your concern is persistence of the 11's with or without movement, then Botox isn't the entire answer. These frown lines are the result of long standing activity of the frown muscles and will need to be "filled" with hyaluronic acid fillers like Restylane or Juvederm, or permanently softened by placing your own tissue under the frown lines to fill the depression. This latter procedure can be performed under local anesthesia and is an excellent, more...
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+1
Getting rid of the 11s may require more than Botox
You seem to have received a significant amount of Botox for your brow furrows. In my office, the normal dose is between 20-30 units, depending on the patient. I generally tell my patients not to expect the Botox to take full effect for a week or so.
If you still have a significant amount of movement, you may be the rare patient who does not respond to Botox. However, if you only have a small amount of movement but still have deep lines, this might mean that the Botox has taken effect,...
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Pasadena Facial Plastic Surgeon
+1
Botox, Dysport, Wrinkle Treatment, Beverly Hills Botox Dysport, Los Angeles Botox Dysport
Wow, that's a hefty dose of Botox. It takes 5-7 days for Botox effects to peak, so you might want to wait a few weeks to see the final results. I typically do one treatment using Botox using between 16-24 units in the Glabellar area (11's). I have the patient return for a follow up full treatment at 1 month and then at 4-6 month intervals to maintain the effects.
+1
It's not clear why you're still able to frown after receiving so much Botox.
I read your concern. In most patients, 25u Botox is adequate for treating your frown lines and reducing most of your muscle activity in that area. I like to check all of my patients around 7-10 days following their treatment so I can assess for a possible dose-adjustment.
In some male patients with strong frown muscles, 50u Botox may be necessary. I have not had to exceed this dose in any of my patients.
If your frown muscles are paralyzed and you still have wrinkles, Injectable...
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+1
Botox may require supplementation with hyaluronic acid fillers to eradicate glabellar frown lines
Botox may require supplementation with hyaluronic acid fillers to eradicate glabellar frown lines. While botox relaxes muscles the etched lines may need support with a filler.
+1
How much Botox for glabellar lines
Thank you for your question. There are a number of concerns here. Firstly, although the amount of Botox required to relax glabellar muscles varies from person to person usually 50 units is tje maximum. it usually takes 2 weeks to see the full effect. Are you sure you are getting all the Botox you are paying for. One would also have to examine you to see if something else were going on. If you are really not responding to Botox you could switch to Dysport.
+1
Botox and glabella lines
Treating the glabella lines usually does not require that much botox, and further more I would give it at least two weeks before considering re-treatment.
+1
Maximum amount of Botox
If I am doing the math right you have received approximately 100 units of Botox in the space of a few weeks just for your frown lines. I have been injecting Botox for 16 years and have never heard of such a thing! The average patient does quite nicely with 20-25 units. You may be one of those rare patients in which Botox doesn't work and switching to a different variant may help (Dysport or Myobloc for example). You may also have the misfortune of not having a very skilled...
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+1
How many units of Botox for 11's
It's true that the number of units required to relax the glabellar muscles varies from person to person, depending on the strength and size of the muscles, but 50 units in the glabellar complex should be plenty.
In some people the Botox wears off faster, like in those engaged in strenuous exercise, such as marathon runners, but there should be an effect.
Additionally, there are several other issues to consider:
1. Are there static wrinkles there that will not go away with...
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+1
How certain are you that you are getting all the BOTOX you are paying for?
This story sounds fishy to me. BOTOX takes time to work. Generally a service is have its maximum effects at 2-3 weeks after service. Any reasonable injector would have advised you to wait before reinjecting you unless they know you were likely under-treated. Some office fib about how much BOTOX is actually used. Be suspiciously if your treatment was very cheap. If the dose you have received does not get the job done and there is no evidence that the...
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+1
Botox
The vial of Botox we use contains 100 units. Most patients receive between 25-50 units of Botox into the forehead muscles. Its best to inject the area with the Botox and then wait to see what the results bring. It will take about 10 days for the Botox to take full effect. Allow the time for the Botox to work. After 4 months you can get another injection.
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