I have had Botox several times. I just turned 50 and it has worked well in the past. Two weeks ago, I had the following injections that did not really do the trick: Forehead - 8 units (very few wrinkles on forehead) Glabella - 15 units (pretty deep 11's) Crow's Feet - 10 units (5 each side) Total units: 33 Two weeks later I had additional injections for further correction: Glabella - 9 units (24 total) Crows - 12 units (22 total) Eyebrow Lift - 2 units (had not done this before) Total units in 2 weeks: 56 This seems to me like a TON of Botox. I was a bit nervous, but was assured by the doctor that this was not excessive; average or slightly above, but not excessive. He explained some patients get upwards of 70 units for correction without the frozen appearance. I trusted him; but sit here and wonder what I will look like in 7 days. Any feedback appreciated.
Answer: Botox dosage not excessive, you should be OK 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.
Helpful 1 person found this helpful
Answer: Botox dosage not excessive, you should be OK 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.
Helpful 1 person found this helpful
Answer: Dosing should be individualized 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.
Helpful
Answer: Dosing should be individualized 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.
Helpful
February 9, 2009
Answer: Not too much Botox 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.
Helpful
February 9, 2009
Answer: Not too much Botox 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.
Helpful
February 8, 2009
Answer: BOTOX 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.
Helpful
February 8, 2009
Answer: BOTOX 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.
Helpful
February 8, 2009
Answer: Fifty units of Botox is a very average amount to start with. 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.
Helpful
February 8, 2009
Answer: Fifty units of Botox is a very average amount to start with. 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.
Helpful
February 8, 2009
Answer: No actually not enough Botox 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.
Helpful
February 8, 2009
Answer: No actually not enough Botox 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.
Helpful