Bunny Lines: 1 Shot Botox on Each Side of Nose or 3?

Different doctors have individual techniques to treat the same area with Botox. The idea is to weaken or paralyze the muscles which bunch the skin to make the bunny line wrinkles. Some patients prefer some movement. Others prefer no movement. The dose and location of the Botox will control which way it works.Discuss your goals with your doctor so that you can get the results that you want.

You should talk to your recent injector to let them know that you'd prefer a more aggressive treatment. 

Every doctor can approach both the standard Botox treatments as well as the off-label indications, differently. Treatment of the "bunny" lines involves relaxing the nasalis muscle but if there are too many insertion sites or too widespread, the elevator muscles of the corner of the mouth, such as the levator labii superioris muscle, could be affected which would make the mouth look crooked, or like a stroke occurred. Therefore, some physicians are more conservative and do not inject multiple areas, rather leaving some bunny lines present.

Every physician has his or her ways of injecting Botox and what you described are two different injection techniques. The overall goal is to relax the targeted muscles. I would recommend you go to the physician that you are most satisfied with the result.

 

Stewart Wang, MD FACS

Dr. Swengel answers this question as I would have. If you liked the treatment with the first provider and it provided the effect you were expecting, I would continue seeing them.

There is no simple one way to do things with Botox, fillers, or any other cosmetic procedures. I typically inject about 3 units on each side of the nose and on top of the nose, but others do it differently. Best to see your dermatologist again to get a touch-up.

Each physician has his/her own technique for treating the bunny lines.  You should return to your dermatologist and discuss your concerns.  More Botox can be injected if needed.  The alternative is to return to your previous dermatologist.

Not everyone does Botox for Bunny Lines- I personally love doing it- and think it is a great thing to do especially to prevent lines from etching into the nose permanently in the future.

I would go back to the one that did it the way you like it!  

 

 

Each injector has his/her own technique and style.  The correct placement of Botox into the active muscle is what achieves success.   The muscle which creates the bunny lines along the side of the nose is called the nasalis and is quite superficial.  I generally find that one injection into the muscle plane above the nasal sidewall and massaging it out along the muscle is usually all it takes.  

Every injector has a slightly different technique and Botox is highly injector dependent. I would recommend returning to see the injector that gave you the best results as that is ultimately what you're seeking. Technically, both treatment approaches are sound. I hope this information is helpful.Stephen Weber MD, FACS