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Is the Dilution of Botox Different for the Lower Face Than the Upper Face?

asked 8 months ago by anon3688
Latest answer by Ronald Shelton, MD
Question viewed 457 times
Tags: face, comparison, dilute

18 answers to Is the Dilution of Botox Different for the Lower Face Than the Upper Face?

What is the Dilution of Botox?

Hi Anon. We do not know of any injectors that use a different dilution for different areas of the face. We do know of injectors that use a different dilution than we use, but once an injector has chosen a dilution, normally he/she uses that same dilution everywhere on the face. It's important to note that dilution is a less important factor when it comes to your results. The most important factor is how many units were received. This is a better gauge of... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox dose and proper injection is key, not dilution

The most important factor for good results is using the proper dose in precisely the right muscles. The dilution (or how concentrated the Botox is mixed) is not that important because you can deliver the identical dose with different solutions. Just like you can have $10 in one, five, or ten dollar bills. Usually the more concentrated the solution, the harder it is to deliver a precise and accurate dose. So if you are trying to inject very small doses around the mouth, you want to avoid a... more

Daniel Yamini, MD
Los Angeles Plastic Surgeon

www.sunsetcosmeticsurgery.com

Different Dilutions

The dilutions would depend on the choice of the physician. I feel one needs more precision on the lower face so I use the minimal dilution...adding only 1 cc. There are numerous muscles on the lower face that require precision, thus, I do not want migration of Botox. A baby drooling might be considered cute, but in a babe that can be a real turn off. Smiles can be affected if Botox is not delivered properly. Mrs. Chaney and conservative Republicans might like, her... more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Some doctors use different dilutions of Botox and Dysport for different facial regions

Yes, in some practices, some doctors might use a more dilute Botox or Dysport for the upper forehead to get diffusion and a more concentrated form near the glabella/eyebrows to minimize the chance of diffusion into the upper eyelid muscles. Most doctors seem to use the same concentration of Botox in the different areas of the face but different doctors can choose to use different dilutions. What is important though, is the number of units injected per anatomic area. This is... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox dilution depends on injector preference

Greater Botox dilutions are sometimes used to help with greater Botox diffusion over a treatment area--for example, around broad areas over the forehead, crow's feet, or the armpits. For treatment of the lower face and around the lips, I often use standard, lower dilution volumes to precisely effect specific muscle groups along the jawline and around the lips.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

Botox Dilution for Upper and Lower Face Does Not Differ

The dilution of Botox does not differ when it is to be injected in the upper face, lower face or neck. What differs is the amount of Botox injected into the muscles of facial animation to achieve the desired effect.

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

Is the Dilution of Botox Different for the Lower Face Than the Upper Face?

The dilution should be the same with one exception. We dilute Botox, Dysport and Xeomin futher when treating the vertical lines around the mouth.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox Dilution Does Not Change With Placement

With regards to Botox dilution, it should not vary with where it is going to be injected anatomically. Every physician dilutes the Botox to the measure that they feel comfortable with. Some like it more concentrated per ml, while others like a little more volume. However, no matter what the dilution, the units of Botox or Dysport used is the real key, and this is what can vary depending on the location. The glabellar region ( between the eyes) generally needs more... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Botox dilution

We use the same dilution every time and do not change it based upon the target muscles or location of treatment on the face.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Dilution is immaterial.

Typically doctors use dilutions of 2-4 milliters of injectable saline per 100 units of BOTOX. This is entirely a matter of personal perference. There is no reason that this dilution needs to be different between the upper and lower face and it is not.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox injection and its dilution

No definitely not. The conventional and common dilution for botox is 4 units in 0.1 ml of injection. In the muscles of the upper face we inject 4 units in each site. For the lower eyelid and the upper lip I usually start up with injecting 2 units in each site and increase it to 3 -4 units if become necessary.

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon

How to dilute Botox

Although the technique of Botox reconstitution and injection will vary from physician to physician, I always dilute every vial of Botox the same to make the same concentration. The amount of Botox (number of units) I inject will vary from area to area based on the amount of solution I inject. In this fashion I feel there is much less chance of error in having to remember which bottle has which concentration.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Botox diliution

I use the same dilution for all areas of the face, however I will use less units in some spots than others. For instance, the lip lines I use 1 or 2 units per injection at most.

Steven Wallach, MD
Manhattan Plastic Surgeon

Reconstitution and Results

Botox comes as a dry "residue" in a sterile vial. In order to inject this medication into the appropriate muscles, one must reconstitute it with sterile saline solution. What really matters is the actual number of units being administered and the skill/experience of the person injecting the substance. We generally use a lower dosage around the mouth and lower eyelids than in the forehead and frown lines.

Evan Black, MD
Detroit Oculoplastic Surgeon

Botox Concentration and Dilution

Within reason, the dilution of Botox (number of units per ml of liquid) has little to do with the results. In my opinion, each physician should pick a dilution level that they like and than should use it always at that mixture. Once Botox is mixed, there is no way to know how concentrated it is. If you keep multiple vials around that are mixed at different concentrations, this invites the opportunity for error. I have trained my staff on how to mix Botox... more

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

Botox Dilution-Should It be Different For Different Parts Of The Face?

Dear Anon3688, How physicians inject Botox varies greatly from doctor to doctor. Each doctor will use the technique that they feel will give them the most consistent and aesthetic results. Some injectors will use the exact same dilution ratio with Botox everywhere they inject on the face and vary the dosage they inject. Others will vary the dilution ratio to achieve the dosage they want. Simply put, there is no one" right way' to inject Botox. It... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

Botox units vs Botox dilution (reconstitution) for upper vs lower face

Botox reconstitution (addition of bacteriostatic saline to make a solution) stays the same for all parts of the face injected. What differs is the number of units that may be needed to achieve desired results in upper vs lower face. Botox Cosmetic is FDA approved for glabella and crow's feet. However, Botox injections are frequently used in other areas of the face when relaxing certain muscle function is needed. Botox injections in the lower face can be used to bring... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox dilution

Allergen does not call for differential dilution for various areas of the face. I try to be extremely consistent so that I can assess the effect and duration of treatment across the continuum of my patient population.