3 Botox injections possible into procerus muscle or not? (Photo)

Question

Hi all. I'm 27 and have a few fine lines (11s) and horizontal ones aswell right between the eyes that bother me. The horizontal ones come from the procerus dragging down when I frown I believe. On the example picture I marked where all the lines are. Would 3 injections be possible here to really treat the whole area (2 into the high up going 11s and one right into These horizontal lines?) I marked the three injection points in red. Also how many units would you recommend? Thanks in advance.

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  The area in question can certainly be treated with Botox, but the actual number of injection points and the number of units is entirely a case-by-case situation.  I would recommend consultation with an experienced injector and let them examine your face in both rest and movement (animation).  Someone that is familiar with the safety and anatomy of the area will be able to make recommendations that will give you the best results and ensure your goals are communicated clearly so you can be satisfied.  Please see an expert, and best of luck!

Milan Doshi, MS, MCh · Answer

Hello, Thank you for your question. Yes, we can do Botox for the procerus area, but discuss your concerns with your doctor and do it only with a board-certified doctor.
You may need around 16-20 units in divided doses for the whole area.
Thank you.

Anthony Farole, DMD · Answer

Hello, your diagram is good but a self photo would’ve helped. However having said that I would recommend you start with three injections into the proverus areas as recommended. The total I would recommend would be 12 units or .1 mL times three.
If that dose does doesn’t completely resolve your concerns you certainly can have it repeated.

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question- we would always recommend a face to face consult for accurate treatment advice however in regards to your question its not so much the number of injection sites but more the units. An experienced injector will be able to guide what's best for you based on your anatomy.
I hope that helps with your query, best wishes

Robert T. Buchanan, MD (retired) · Answer

The reason that Allergan's initial Botox Cosmetic study got only a 70% reduction in glabella lines was that the stud'y had everyone treated with 5 specifically placed injections of 4 units instead of looking at the patient's specific muscles and injecting them appropriately. Without an exam of your muscles and their resultant action it is impossible to make any specific recommendations. Besides, you should not be trying to figure out what you need. Instead, you should be researching injectors and the results they get. Does that person know the anatomy of the area exceptionally well and, instead of injecting into specific areas, instead injects the specific muscles using micro-droplet technique. By doing so, you can get 100% resolution of the offending muscles and get longer lasting results.

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