Did I Have Too Much Botox?

The amount of BOTOX you received is not excessive.
In my office, the majority of my patients receive a microdroplet BOTOX treatment of 33 units of BOTOX. However some patients have bigger muscles and indeed need more BOTOX. Typically these will be 48 units, 66 units and for the big boys (and some big girls) 100 units.
It is totally appropriate to try with a smaller dose of BOTOX at first and then increase the dose based on the response. After all, why pay for more BOTOX than you actually need. Generally, I like to wait a full three weeks before deciding on more treatment but this varies with the doctor.
It is important to have a follow up with your treating doctor 2-3 weeks after your treatment and have an after photo. Also discuss with the doctor what you like and don't like about your treatment so that this information can be used to modify treatment in the future.

We're sure you feel much better about your situation after reading the many responses from panel members. Your first treatment may have been quite conservative; however, it is much easier to add more units than to have too much on board initially wherein there is nothing to do to remedy the situation.
If you don't see much value in the lateral brow lift, you may want to ask about using a more therapeutic dose. Typically, we uses 5 units of Botox to this area on each side to provide a subtle, natural lift in this area.

At one sitting many patients can receive up to 30 units for the crow’s feet and 35 units for the glabella. You did not receive too many units in terms of the safety of Botox. It may be difficult to figure out the correct dose for next treatment if you keep adding more Botox. Sometimes, if you’re unhappy with the results, it is better to let it all go away and start fresh with a higher dose next treatment rather than to continue to add more only a few weeks later.

Cindy
I am assuming that you are going to the same doctor and the botox concentration and technique are the same as you have had in the past. I have injected botox into thousands of patients and I occasionally find that a patient will need more botox to get the same results that they got the last time.
That being said, 56 units is not really a lot of botox for all the areas treated. I will typically use 40 to 60 units at one sitting for the same areas. The other issue is the length of time between botox injections - you will typically need less if the interval between injections is shorter.

Many patients benefit from Botox for treatment of dynamic wrinkles of the forehead, glabella (11's), crow's feet, and droopy brows.  Fifty units of Botox is a very average amount to begin with.  Some patients may require more on their second treatment.

these initial doses are extremely low and I wonder what the specialty of the the treating physician is......this sounds like an inexperienced injector. The crow's feet area can easily require 12 units on average per side, the glabella can require 25-40 units, and the forehead sometimes needs 15-20 units or so. Of course these numbers can fluctuate a bit but the number of units he/she used on you in the initial visit, are low. You will know for sure in 7-10 days.

Cindy, Within the ranges that you give, the only area that I would be concerned about is the crow's feet. That is way more that you should need for this area. The other areas sometimes need higher amounts of Botox. If some of your crow's feet are static wrinkles, then Botox is not going to help those wrinkles. Botox only works on dynamic wrinkles by paralyzing the underlying muscle to prevent the dynamic wrinkles of the overlying skin.

In an average woman, I generally inject 20 unit in the forehead, 20 unit for the glabella and 10 units per side for the crows feet.

That has work pretty well for my patients.  Some patients, in particular male patients require more than what I have listed above.

Hope that helps.

In general, the amount you had is not excessive especially since you have been having Botox for a while. Some people begin to develop a tolerance and need more over time. Some experts believe that having Botox too frequently, as in injections too close together rather than every several months, contirbutes to this tolerance. My impression is that 15 units for the glabella and 5 units for each side for crow's feet was on the low side to begin with so I am not surprised that you needed more.

Hi Cindy,
You will be fine. Sometimes patients recieve as much or more Botox than you have without any problems. You need not worry.  Let us know how it turns out. 
Good luck and be well.
Dr. P