If your doctor recommended 50u of botox she must have quoted you for multiple areas ( glabella, frontallis, crows feet) . I would say that for the forehead alone it would be anywhere from 8-10 units of botox. Hope that is helpful .
Please make sure that your doctor didn't mean 50Units of Dysport and not Botox. If it is Dysport, that dose is appropriate.
50 units of Botox at $600 is not unreasonable for some patients. Obviously, she is suggesting treatment of multiple areas (forehead, between eyebrows, around eyes and possibly under the eyebrow). I typically see very nice results for the forehead alone with 8-10 units of Botox. I hope this information is helpful for you.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Never a bad idea to obtain second opinions. But sounds like you are hearing good stuff from the first doc...
There is a great difference in an in person consultation and one done with pictures over the internet. This can be one of the reasons for a difference in the suggested treatments. Also, there are multiple ways to treat specific problems. Perhaps the suggestion was for an alternate method other than Botox. Make sure that whomever you see is an expert injector and that you are comfortable with him or her.
It is important that you are comfortable with your doctor. If you have any doubts, seek a second opinion and compare the approach and amount of units recommended by the two.
When you have a consultation, your are seeking a professional opinion. Although the Plastic Surgeon suggested more units than you were comfortable with, that is not necessarily a red flag. One point I would make is that when you treat the horizontal lines of the forehead (frontalis muscle), without treating the lower central brow (corrugators), a strange result known as muscle recruitment can occur. In this situation, the corrugators try to perform the job of the frontalis muscle, leading to a strange hyperfunctional appearance. Although this doesn't always happen, I warn patient s that it is possible. In my opinion, treatment of the corrugators and frontalis (about 40 units) is synergistic and more aesthetically pleasing. The choice is ultimately up to you.
The most important thing is that you feel comfortable with the doctor that is doing your injections. If you don't feel comfortable with the way your consultation went then you should get a second opinion. Best of luck to you.
There is no harm in having a second opinion, especially if you didn't feel perfectly content with the first doctor.
Thank you for your question. If you are having doubts about your first consultation it never hurts to get a second opinion. It is easier to give an accurate recommendation in person. Each provider may have a slightly different suggestion for you about correcting your areas of concern.