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Using 25 Units Max In The Glabella, What Are The Best Spots For Botox Injection?

asked 10 months ago by anon
Latest answer by Harold J. Kaplan, MD
Question viewed 196 times
Tags: best, glabella, technique

I would like to know excatly where best for injections of botox for glabella only region, no forehead. Would they be slightly different when forehead not being treated?

8 answers to Using 25 Units Max In The Glabella, What Are The Best Spots For Botox Injection?

Proper Botox Dosing

This question is best answered when the patient is being evaluated at the time of the treatment. Animation, gender, treatment goals, use of other facial muscles etc. are factors that are taken into consideration.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox for brow furrows

When treating the glabella region with Botox, 2 groups of muscles are injected. The procerus muscle creates a horizontal line across the bridge of the nose. The corrugator muscles lie somewhat parallel to and above the eyebrows and create vertical lines between the brows. On average 25 unitsis used with 1 injection to the procerus and 2 injections to each corrugator muscle for a total of 5 injections.

Boris Volshteyn, MD, MS
Reno Plastic Surgeon

Expert advice on botox for between the eyebrows (glabella)

Botox and Dysport work by relaxing hyperactive muscles of expression such as the "corrugator" muscle that causes the vertical furrows between the eyebrows. This region is often referred to as the glabella, but in terms of Botox dosing and placement it is important to understand that it is the muscle that is injected, not arbitrary surface landmarks or regions. An expert injector asseses the size and activity level of the muscle as well as its specific anatomy in each patient.... more

Richard Baxter, MD
Seattle Plastic Surgeon

Botox depends on the individual

25 units can definitely be helpful to most patients, however, everyone is different. I have some patients that require 35 units to the glabella and anything less results in significant persistance of the lines. So while 25units is a great go to dose, it may not be what you need. Furthermore, where can depend on each patient as well. some patients recruit from farther out on the forehead laterally for muscle movement, while some people are much more central. ... more

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon

Botox technique

I find this question a bit puzzling. I am all for patients being informed and knowledgeable, but it seems odd that a patient would be asking for specific dosing and injection site information. If this question is coming from a physician looking for technique instruction, then there are more appropriate ways to learn this,

Matthew Schulman, MD
New York Plastic Surgeon

Botox for Facial Lines & Wrinkles

Botox is best used for expressive or dynamic facial lines. The upper one-third of the face is perhaps the most popular place for Botox injections. Glabella is a region of the forehead between your eye brows. There are three muscles that contributes to either vertical and/or horizontal lines in this region. One of the muscles called the procerus runs vertically while the other two paired muscles called corrugators run obliquely. Botox should be injected into these muscles.... more

Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon

It depends

It is important that you have an experienced doctor evaluate you in order to achieve the results you are looking for. If you have a particularly low-set brow, care must be taken not to further drop the brow. Treatment of the forehead at the same time will definitely change one's strategy based on the interplay of the two areas with regards to brow position. That being said, I typically treat with 20-25 units divided between the midline, head of each brow, near a line... more

Colin Pero, MD
Dallas Facial Plastic Surgeon

Botox for Glabella

To treat just the glabella (vertical lines near the head of the brows and the horizontal line at the top of the nose), 25 units of Botox should be enough to get 3-4 months of correction. The doses should be placed directly between the brows (near the top of the nose), near head of each eyebrow, and then finally just above the pupils where the top most hairs of the eyebrow are. My dosing strategy is 5 units in the procerus muscle (the middle injection) and 10 units in each... more

Sumit Bapna, MD
Columbus Facial Plastic Surgeon

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