How many Botox Units needed? (photo)

Thank you for your question about Botox options. Treatment areas for Botox typically include the forehead, frown lines between your eyebrows (also called the glabella), and crow’s feet. These are all considered separate treatment areas, and your treatment plan for each should be customized to address your specific needs based on muscle strength and severity of wrinkles/expression lines. The FDA recommendation for treatment of the crow’s feet is 12 units per side, but this can vary from patient to patient. Frown lines usually respond well to treatment of 15-25 units, and for forehead lines, 10-15 units. Ultimately a treatment plan should be based on your individual needs, and I recommend a personalized consultation with an experienced and qualified injector to review your options in person. Hope this helps,Nick Slenkovich, MD, FACS

Thanks for this great question about Botox injections for best results;Here are my general comments which may vary depending the overall anatomy, symmetry and proportions of the face and eyelid region.1. The vertical lines between the eyebrows may need typically 15-20 units.2. The laugh lines around the eyes which are called Crow's feet typically need 10 units3. The forehead lines depending on the anatomy and location of eyebrows typically may need 10 units.Hope you find this information helpful.Best,Dr Sajjadian

Please watch the video below. I try to explain some key aspects of the technicalities of using or getting botox. It really does make a difference who is injecting, how much and where it is injected. It is one of those treatments that unfortunately has become a commodity and it really requires a bit more of an artistic finesse approach in my mind.  
We use the neuromodulators to target and soften the muscle groups without giving that frozen look.
Hope this helps,
Best of luck,
DrC

The determination of not only how many units of Botox to employ, but the location and pattern in which to inject, them must be made after a careful examination of the patient in person.  There is a surprising degree of variability in the anatomy and dimensions of the muscles of facial expression from patient to patient, as well as the patterns of wrinkling they produce in the skin. With this caveat said, I will tell you that in our clinic, we generally use about 15 to 20 units of botox to treat the wrinkles of the glabellar region (the so called "11" lines); 5 units to treat the "bunny lines", i.e., the wrinkles that form when a patient scrunches up her nose; 10-20 units to treat the medial and lateral infrabrow regions, as well as the entire expanse of the forehead from the hairline to about one centimeter above the eyebrows; and 10 units to treat the "crow's feet", i.e., the wrinkles that appear lateral and inferolateral to the eyes when a patient smiles.  The above list covers just a fraction of the different locations and muscle groups on the face and neck that we can treat with Botox in our practice.  Once again, it must be emphasized that the dosages and locations of Botox administered can vary dramatically, depending on whether one is treating a male or a female, the age of the patient, the ethnicity of the patient, the degree of sun exposure and general health of the patient's skin, and a myriad of other factors.  It is always best to allow an experienced practitioner to take all of these factors into account over the course of a careful clinical evaluation of a potential patient.

Glabella is typically 12-24 units, forehead 8-15 units, eyes 10-20 units.  I suggest you see a physician who can evaluate you and treat based on your individual facial muscles and movement.  Best, Dr. Emer.

Thank you for your question and picture.  To treat the forehead and the crow's feet as well as between the eyebrows completely will take between 40-50 units of undiluted Botox.

Without in person exam and a good set of photos, it's difficult to comment accurately. I would assume that you would need 20-30 units in glabellar ( frown lines) area, 10-20 -forehead. Surgically, if a patient is bothered by forehead wrinkles as well as frown lines, seeing the droopy eyebrows- then a brow lift can be performed to rejuvenate the face. Best to seek an in person exam by an experienced Board Certified PS

When I treat patients it is usually 20 units per area. Forehead, glabella, and crows feet are each a separate area. It depends on what you want done. Obviously there is always room for modification per patient. Make sure  your plastic surgeon understands your desires.

When you mention treatment to your forehead, I am not certain if you are referring to treating lines across your forehead or the frown lines between your eyebrows.  The crow's feet would be considered one area, the frown lines would be considered another area, and lines across the forehead would be considered yet another area.  There can be some variation in the amount of Botox used for each person, but as a rough estimate, I would say it would be about 20 units for each area.  

The three areas most commonly treated with Botox are the forehead, glabella (frown lines), and periorbital rhytids (crow's feet).  A typical dosage for the forehead is 15-20 units, 15-25 units for the glabella, and 20-25 units for the crow's feet.