What Does Botox Look Like Before Water is Added?

Doctor Answers 21

Botox looks like a very fine powder

Botox is prepared as a lyophilized protein. It is present in such small quantities that you can barely see it and looks like a dusting of talcum powder on the bottom of the vial. I actually returned my first vial because I thought it was emtpy.

Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Botox before reconstitution

When you get the new vial of Botox from Allergan, there's just a faint white "dust" in the vial, which represents 100 units of the crystalline powder.  It doesn't look like much - but it sure works!

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 80 reviews

Botox before mixing it with water

Botox Cosmetic comes in a sealed vial of 100 "units" per vial. It is a microscopic protein - so when you look in the vial before it is mixed with sterile saline, it looks like almost nothing. You can see fine tiny white crystals around the base of the vial. Different doctors will use different amounts of saline to mix up the botox - usually between 1 to 3 cc's. We use 2 cc's - so there are 5 units per 0.1cc of saline. Its the number of units injected that counts, not the amount of saline (although too much saline will cause the botox to diffuse farther and could lead to more side effects).

Jennifer Reichel, MD
Seattle Dermatologist
4.5 out of 5 stars 42 reviews

A fine white film

Botox Cosmetic, manufactured by Allergan, looks like a fine white film in the bottle, prior to reconstitution.

Anurag Agarwal, MD
Naples Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Botox is almost invisible before injected

You could say that Botox comes in a freeze dried powder that is almost invisible in the bottle before it is mixed with saline.

Frank Agullo, MD
El Paso Plastic Surgeon
4.9 out of 5 stars 141 reviews

Botox looks like a white powder

Botox is a fine powder that appears as a white powder at the bottom of the vial before it is reconstituted with saline.

Thomas W. Bender, III MD
Mobile Dermatologic Surgeon
4.0 out of 5 stars 4 reviews

What Does Botox Look Like Before Water is Added?

As previously stated a "fine powder" before SALINE not water is added to reconstitute it. Best to see boarded surgeons from MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

What does Botox look like before water is added?

It looks like a smudge on the inside of the glass of what appears to be an empty bottle. 

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

What Does Botox Look Like Before Water is Added?

Botox looks like a fine white powder in the vial before it is diluted with saline. The amount in the vial is very small and sometimes difficult to see.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 110 reviews


Botox cosmetic looks like white small crystals in a vial before it's reconstituted with saline & ready for use.

Anatoli Freiman, MD
Toronto Dermatologist
5.0 out of 5 stars 5 reviews

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