Botox for Slim Legs?

 Botox is not for legs.  Please do not let anyone inject your legs with Botox.  This would be a very bad idea.  It would negatively affect your function and would also be cost prohibitive since it would require a very large quantity of Botox.

Botox and Dysport can be used to soften the muscular show of the calf muscles and create a slimmer look.  The calf muscles are large and the results will be dose dependent.  I would consider starting with 50 units in each calf and then titrate the dose upwards on future visits until you get the desired result.

Botox has a lot of great an novel uses, but this one just doesn't satisfy the risk-benefit equation. I know that there are all kinds of websites and medical practices peddling the idea of calf reduction with Botox, but that doesn't make it a good idea.
In order to achieve any meaningful reduction in calf size (medial head of the gastrocnemius, anyway) the dose of Botox really starts to get into the higher range. In addition, frequent applications of the toxin are required to induce atrophy. In both cases the risk of adverse events rises.
This procedure does seem very effective at reducing a patient's bank account, however. ;-)

--DCP

This would likely require large doses and could potentially result in functional weakness.
The results would be temporary.
My experience with this technique is currently limited at this time, and therefore, I am not an advocate of this technique.

Dear Dida
Yes this treatment is out there on the web. And no doubt there are asses out there doing this treatment for their patients. As the other commenters on this point have mentioned, the quantity of BOTOX you would need to atrophy this muscle would be significant, and potentially health compromising.
Also the calf is one of the big engines that allow us to walk. To top off the stupidity, these patient are essentially advised to not exercise. Let's please get a grip people.
I would encourage anyone who thinks it is a good idea to stop exercising for the purpose of helping atrophy the calf muscles to get their priorities straight and also have their head examined.
Dr. Steinsapir

Do not let anyone place Botox into your calves. It will not make your legs look slimmer and you will set yourself up for some potentially very serious complications with your ability to walk, run, or jump properly. There are several very well-accepted "off-label" uses of Botox such as to treat bands in the neck, forehead lines, crow's feet, and even some muscle spasticity disorders; but placing it into your calves for a slimming effect is NOT one of them and can potentially be dangerous.

Dear Dida,
I would not look for BOTOX to make your legs thinner. Just about all of the serious complications related to BOTOX are due to very large doses. If there is an "off-label" application for the calves, I have not heard of it, and would proceed with caution.
I hope this helps, and best regards.

This is a common request from Asian patients.  The calf muscles are treated either surgically or non-surgically (with Botox/Dysport) to slim them down.  Please consult with a board certified specialist who can better assist you with this process.

Botox will not make your calves smaller, it is an off label use, will probably make you unable to walk and would require a huge amount of Botox that would be cost prohibitive.

Hi Dida,
This is one of the most unique questions we have ever received about Botox use. The panel has weighed in and it seems like we are all in agreement. This would not be a good idea.
This area is not FDA approved, would require a tremendous amount of product and may very well not lead to your desired outcome. We would try and find a different pair of shows instead, one that would ut less emphasis on the claves. Good luck.