Is 10 Units of Botox Per Side Too Much for Crows Feet?

Hello, 


  10-12 units of Botox per side represent a typical treatment for crowsfeet.  I think the best time to start treating areas is before permanent creases form in the skin.  In cases of poor outcomes after Botox, it is typically the result of placing the medicine into the wrong muscle groups rather then using too many units.


Hope this helps.

 

Thanks for the question. Botox is an excellent option for treatment of the crow’s feet.  Allergan, the maker of Botox, typically recommends 12 units per side, but many physicians and nurses inject between 7-13 units per side depending on the individual patient. Botox is a very customizable treatment, and the appropriate dose should be determined by a qualified provider during a consultation. 

Do you like your results? If you do, then 10 units was probably not too much. In fact, 10 units is a typical quantity administered for this concern. Enjoy your results!

The average number of units for crows feet is 25-30 units. If 5 units work for you then this is all you need. The higher dose will usually last longer, but you should use the minimal amount necessary to get the look you want.

For crow's feet, I use anywhere from 6 to 16 units per side, with an average dose of 9-12 units per side.  Six units per side is reserved for people that barely have any crow's feet, even when smiling broadly.  Sixteen units per side is for people that have crows feet that go up to the temples and down the cheeks.  Nine to twelve units per side works well for most people, who are in between.

Remember, also, that higher dosages typically last longer than lower dosages.

All good feedback from panel members.  10 units per eye area is a very standard dose for most.  Although you are still quite young, the "recipe" is determined by muscle action at the time of the treatment regardless of age.  Much may change in the two years since you had your first dose at 5 units each side.  If you tend to animate mostly around the eyes, then 10 units is not unreasonable. 

Your final decision on your treatment plan should be determined by the end result and duration.

 

 

I have treated patients with botox for almost twenty years for cosmetic indications. It is very rare that I use less than 9 units per side for crows' feet. This is because there are three insertion sites per side to provide a smooth result. I have certainly treated many patients in there early thirties. As the age increases to the fifties and as sundamage and smoking damage increases the units may need to be increased to even 15 units per side with more than three insertion sites. That does not involve the lower eyelid which I rarely treat and would be more for bulging eyelid muscles rather than crows feet that extend over the cheekbone. The latter is more related to the smile muscles which I don't want to relax. The increased units you received may incease the duration of your good effect.

The amount of Botox used depends on the individual. I've used as little as 5 units per side, and as much as 12.5 units per side for more difficult lines. Most of the time, I use between 7.5-10 units per side. You should suffer no ill affects from your treatment.

There is no one set appropriate botox dose for the crows foot area. 10 units per side is certainly a reasonable dose, though some patients need more and others need less. A lot of the variability is based off of the strength and activity of the eye muscles in the area.

The majority of my patients will require around 25 units of Botox to minimize crow's feet on both sides. In some cases, patients may require less. I hope your treatment gave you the results you were looking for.

Dr. Joseph