Is it Normal for a Doctor to Inject Me Once on Each Side for Crows Feet?

There is no one way to inject the crows feet. I prefer to do multiple injections points by spreading the skin to see the small veins and therby try to avoid hitting them which can cause bruising. The single point injection techniques can also work but the injector needs to make sure the injection is spread out along all the crow's feet and not just concentrated at one end or the other. As this area can easily be touched up you will be able to see if it worked or not and then get more if needed. 

No one patient's anatomy is identical. Injection sites and number will vary with your individual features and  areas that need correction.  Any time you have a question about your treatment plan, I encourage you to speak up.  A patient's question and feedback are always welcome. 

If you are having your crow's feet area treated (sides of the eyes), this is usually performed with multiple (3-4) injection sites, with each injection delivering about 2 units of Botox. It is difficult to treat any area with just one single injection. Consult with a board certified plastic surgeon or dermatologist familiar with Botox injections if you have any further questions.

Best wishes,

Dr.Bruno

 

Hello,

When a clinician injects Botox the amount of fluid injected will depend on the concentration of Botox mixed up.  If your physician used a higher concentration of Botox then a smaller injection is needed to give you the same number of units.  I would recommend asking your physician what number of units were placed into each of your crow's feet areas.  In your past it was possible that your other injectionist used a lower concentration of Botox so a larger number of low-volume injections were necessary to deliver the same total number of units. 

Good luck.

Dr. Shah

Crow's feet can be treated with Botox using multiple techniques. Whether your injector uses a single injection point or five points is less important than their level of experience. Personally I prefer 3-5 injections with an additional amount beneath the outer eyebrow to lift it. I know of several very accomplished injectors who will perform one large injection and then spread it around with gentle pressure. All of these techniques work. The main question is whether your crow's feet are improved at 3-5 days. If your injector has experience, they should be. If they are not, please return and ask what can be done differently to treat this area.Stephen Weber MD, FACS

Recently published a study in the Journal of Cosmetic Dermatology discussing our experience administering Botox through one injection point in the lateral periocular area (area around the side of your eye) being as effective as when delivered through three separate injection sites. There is less potential for pain and bruising this way. The important factor is the total number of units used, not necessarily how many injection points it is administered through. As long as your physician feels comfortable with his/her method of injecting (and is experienced in the procedure), there is really no "incorrect" way to do it.

Thank you for your question. It is difficult to give you advice without seeing a photo or examining you in person. However, injections in the crow’s feet area are normal. Although, when touch ups are required an injector will assess where Botox is needed and how much and this may require less injections.
I recommend waiting 2 weeks to see your final results to determine whether the single injection has worked. You may require more Botox if your wrinkles are present at this time. Best of Luck!

The number of injection sites and the number of units required depends on the individual patient.  Your doctor will examine your crow's feet and their movement and decide what would be best for you.  If you are not happy with the results after 12 days, return for re-assessment.

Good question, Great results from Botox can be seen with a variety of injection patterns.  The most consistent results will likely come from the most consistent schedule and pattern for injection.

 Using one or three injection sites is less important than the technique and dosage to achieve the improvement of the appearance,

But without affecting the function of your eyelids. 

You are the best judge of your results, so just make a mental note of how this last Botox treatment worked compared to others.  Then, have an open discussion with your surgeon


Best Wishes

It is true that every doctor may have slightly different technique. I typically inject along multiple foci on each side of the lateral orbit for crows fee.