I had 20 units of Botox but it didn't work. How much more do I need? I'm thinking 30-40.

It is difficult to assess without knowing the actual points of injection. That being said I typically use a minimum of 40 units to treat the Glabella in my male patients and an adittional 20 to 40 units to treat the forehead. You should follow up with your injector or consider finding a more experienced injector in your area. 20 units is a very low dose on any male at any age.Best regards, Dr. P

More than likely you had Botox injected in the area called the glabella (in the muscles known as the procerus and corrugators), which helps with frown lines - this is the 1st place most injectors put Botox.  Treatment of this area alone is not enough to get rid of forehead lines...Botox in the forehead is needed for this.   I would suggest finding a provider who takes good before and after pictures, who understands your concerns, and who has solid reviews on line.  One other note - not everyone is a candidate for Botox in the forehead, so a thorough evaluation of your facial musculature is essential prior to treatment.

Thank you for your question. I am sorry to hear about your concerns. It is hard to say if you need additional Botox without knowing the areas injected as well as seeing you in person. If you are unhappy with your results I would recommend to followup with your provider to see if additional treatment is recommended. Best wishes. 

It's difficult to determine without pictures. However, for forehead wrinkles a combination approach is best. Forehead wrinkles need a combination of fillers, botox, lasers and microneedling/PRP for improvement. Best, Dr. Emer.

Thank you for sharing your question. Unfortunately without an in-person examination it is difficult to offer definite advice but you should have seen some improvement in your wrinkle appearance with 20 units of Botox and I would voice your concerns with your injector.  You may require additional units but ensure that your injector has the experience to appropriately treat your forehead areas of concern.