How long will Botox last in crows' feet?

Hello, I had 3 units (one shot each side) of botox injected for each crows' feet area. I noticed that the injector injector a bit closer to my eye than usual, and now my eyes look terrible. How long can I expect this to last? Thanks.

Doctor Answers 15

Botox for crow's feet - dosage

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When Botox was finally approved by the FDA for crow's feet a few months ago the recommended dose was 12 units per side.  3 units per side may soften the wrinkles but may not remove them.  It is also possible that the very small dose will only give a short term effect.

Orlando Plastic Surgeon
4.6 out of 5 stars 13 reviews

Low dose Botox

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Botox in low doses typically does not last very long.  It hits a max at 2 weeks out and then slowly dissipates beginning approximately a month after that.  The appearance should return to normal in about a month and will probably be gone completely at 2 months.  Good luck!

Jennifer Parker Porter, MD, FACS
Bethesda Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

How long will Botox last in crows' feet?

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Botox usually last 3-4 months when injected the correct amount to see a full result, if you were under-dosed, the results will last a shorter time, about 1-2 months 

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Botox for crow's feet

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Botox in the crows feet can smooth out the wrinkles by your eyes. It can also lift the lateral brow depending on where it is injected.

3 units is a very small dose and likely will give a minimal effect. Standard around ten units or more. It does take at least five days to see any results and ten days for maximum effect. If at ten days out you are still not happy with the results, go see your treating physician and let them evaluate it. Rarely can an issue like this.not be fixed. 

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
4.9 out of 5 stars 71 reviews

Botox for treatment of lateral periorbital rhytids (crow's feet)

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The typical dosage for treatment of crow's feet is 10-12 units per side.  What may be happening in your case is that the 3 units is only partially treating your wrinkles, therefore leaving a "terrible" looking transition between the treated and untreated areas.  

Such a low dose is unlikely to last the typical 3 months of a full dose.  However, it may be worthwhile to be evaluated by an experienced physician as usually there are ways to "touch up" Botox results which may be less than satisfactory.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Botox around the eyes

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Botox generally lasts about 4 months and perhaps a little less around the eyes.  If you are unhappy with the injection results I would suggest you returning to your treating physician for evaluation and correction.

How long will Botox last in crows' feet?

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Botox typically lasts about three to five months, though you will notice it dissipating sooner than that. 

Botox and The Eye

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Botox typically lasts 3 months, but you will notice it wearing off a little sooner.  3U total should have done very little.  The more units you use around the eye, the longer the duration of effect.  I suggest speaking to your injector if you are unhappy.  I wish you the best of luck, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Botox for Crow's Feet

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Neurotoxin (Botox, Dysport, Xeomin) should all last about 3 to 5 months for the Crow's feet. For some patients, it goes away more quickly, for other it lasts longer. The teaching is to inject a centimeter away from the edge of the orbital bone. Some injectors inject in one location per side, some in more than one. I like to tailor my number of injections to the individual's lines. Our wrinkles are all different.
In general, 3 units per side is a very low dose and won't last long for most patients. If you are young and have only 1-2 little wrinkles on each side, it might be the correct dose. I mean, I just injected 5 units TOTAL into a young female patient's forehead - she has a very petite forehead.
I'm not sure why your eyes "look terrible". If I was your doctor, I would certainly want to hear from you.

How long does Botox for Crow's Feet last?

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3 units of Botox to the crow's feet is barely anything. I would not be surprised if you don't see any results at all. If your treatment was recently then the terrible appearance of your eyes might be related to the injection process. If the Botox has indeed taken effect and is responsible for your unwanted result then don't worry, with that low a dose the effects should probably be gone within a month or two. Hope this helps answer your question!

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

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.