14 Units in Strong Glabella Enough?

Question

I just realized my doctor has been only putting 14 units of botox in my glabellar for the last year! Makes sense why I've been feeling like I've needed more more often. My muscles are very strong, as I have previously had consistently 20 units with a doctor that is further away from my house. Doesn't 14 units seem low? I feel scammed. Especially because they price $15 for 20 units or less, and $12 for 20 units or more. I've ALWAYS told them I want 20 units. Always.

Mariusz Sapijaszko, MD, FRCPC · Answer

Each patient is different but, in general, the results of Botox treatments for the frown lines depend on the amount of Botox injected (at least 20 unit), the location and depth of injections and the age of the patient (younger patients do better).14 units of Botox in the frown line will work but only for a short time.I hope that helps

Jason E. Leedy, MD · Answer

The amount of botox for the glabella that is needed depends on the muscle strength, anatomy, depth of the lines, quality of the skin, and patient expectations. Sometimes 14 units can be enough, sometimes 28 units is needed. Sometimes fillers are needed to improve the outcome, sometimes Botox does the trick. It really depends on many factors and it is impossible to say how much is enough for a patient without an exam. That being said, if you aren't getting what you want, or feel that you haven't been treated honestly, then seek out a different plastic surgeon. But always be careful about finding someone simply to do what you want, as opposed to doing what is best. That can lead to problems. Good luck!

Kurtis Martin, MD · Answer

The standard dose of botox for the 11's is 25 units. Some people use more, some use less. If you are not getting the result you desire, ask for more.

Kenneth Hughes, MD · Answer

Every patient is different and requires a different dosage depending on how strong the muscles are, but most see a great result with 20-25 units injected to the glabella. 

	Good Luck

Frank Agullo, MD · Answer

The standard treatment for the glabella is with 25 units of Botox. Some patients require less, others a little more.

Thomas A. Lamperti, MD · Answer

I normally put at least 25 units of botox in the glabella as it is a quite strong muscle in most people. You'll also find that using a bit more botox may help it last a little bit longer overall.

Michael A. Zadeh, MD, FACS · Answer

14 Units of Botox is definitely a small dosage for treatment of the Glabellar area. Usually between 25-35 Units are needed to adequately treat moderate wrinkles of the glabella. Those with deeper wrinkles may require even more. If you are not satisfied with your result you should schedule a follow-up with your injector. Good luck!

Haven J. Barlow, MD, FACS · Answer

Depending on how much muscle activity you have and how much correction you want usually helps determine how many units you should get. It sounds like you need more than 14 units, especially since you are having to go more often. I would suggest trying a new injector and requesting 20 units at the least. Unfortunately, driving further isn't always a bad thing, particularly if you get the result you are looking for with that injector.

Grant Stevens, MD · Answer

Try another office... or make sure they give you 20 units on your next appointment.   20 units is the average amount but it is not uncommon to get 14 units in this area as well.

	 

	Dr. Grant Stevens        Marina Plastic Surgery Associates          Marina del Rey, CA         The Institute

Mark Taylor, MD · Answer

In my hands, 20-25 Units usually produces a solid, long-lasting result for Botox of the Glabella.

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14 Units in Strong Glabella Enough?

Answers (16)

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