I had xeomin treatment for crows feet, 3 units on a side of each eye.. Total 6 units. I don't like result!

I had xeomin treatment for crows feet week ago, 3 units on a side of each eye.. Total 6 units. I don't like result because one eye is different then the other, and low eyelids are swollen! How long it can last if doctor injected only 3 units? Can it wear of faster?

Doctor Answers 12


I would recommend following up with your injector. It would also help if you posted some pictures of what you are referring to.

Bellevue Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Xeomin Dosing for Crows Feet

I suggest that you see your injector 2 weeks after injection and if results are not optimal then a top up can be done to achieve desired results.  3 Units on each side is a low dose with my dosing range for crows feet with Xeomin ranging from 12-20 Units depending on severity of lines.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 7 reviews

Crows Feet

3 units per side for crows feet does not seem like enough for that area. Most recommendations start out with 15-20 units per side. At 3 units per side that is not enough to cause the effect that you are experiencing. Please make sure that you are seeing a board certified doctor and I would also discuss the results with the doctor.

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 117 reviews


Thank you for your question in regards to Xeomin. It can take up to two weeks for total correction to set in. Also, the amount of Xeomin injected is a very small amount and typically would not have a significant result. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Xeomin for Crows Feet

This seems like a low dose for this area.  The FDA studies for Botox are based on 12 units per side.  Xeomin works like and is dosed like Botox.  3 units per side is probably not enough to cause any effect.  I usually start at 15-20 units total for lateral canthal lines aka "crows feet"  Make sure that you are going to a board certified doctor's office for the best results.  

Michael L. Workman, MD
Portland Plastic Surgeon
4.7 out of 5 stars 36 reviews

I had xeomin treatment for crows feet, 3 units on a side of each eye.. Total 6 units. I don't like result!

Are you certain that you only received 6 units?  Could it possibly have been six injections between the two sides.  I don't know of anyone who would benefit from only 3 units per side in my experience.  Discuss your results with your surgeon or at the least take a photo to e mail to him/her.  The usual dose for crow's feet of mild/moderate intensity is about 15-20 units total.  

Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Beverly Hills, Ca

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 30 reviews

#Botox #Xeomin - 6 units

Six units is a relatively small dose of neurotoxin.  I think it's unlikely that the degree of asymmetry you're noticing is due to that alone.

You should speak with your plastic surgeon to discuss exactly what was done and see if there's another possible explanation for what you're seeing.

I hope that this helps and good luck,

Dr. Alan Engler
Member of #RealSelf100

Alan M. Engler, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 125 reviews

Crows feet

Hi Selenia

Thank you for your question.  3 units on each eye is not going to make a difference in terms of outcome.  Most patients take 10-12 units on each eye alone.  It is best to follow up with your injector if you are not happy with the results.  We usually have patients wait 1 full week for the botox to fully settle.  Best of luck to you

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews


Thank you for your question.  It takes 2 weeks before seeing results.  It is unlikely with 3 units on each side you are going to see much of a difference.  Typically most patients requires 6-12 units of Botox/Xeomin in each crows feet.  In my experience Xeomin requires more units than Botox to achieve equivalent effects.  Please follow up with your physician for further evaluation and management.  Regards, Dr. Matt Elias

Matthew Elias, DO, FAAD
Fort Lauderdale Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Xeomin for Crow's Feet

Hello!  I am sorry you are unhappy with your results.  Results can take up to two weeks, but the amount you had injected is much less than the average amount needed for adequate results in the crow's feet. You will probably find it helpful to wait the full two weeks and then return to your injector for evaluation.  Best wishes!

Anna Magee, MD
Charlottesville Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.