Is 34 units of Botox too much?

Hello, and thank you for your question. This seems like a typical dose for your age, especially if all three areas were treated. Also, the Botox will not cause sunken areas under your eyes. 

Thank you for the question.  34 units is typically not out of the normal threshold to encompass the 11s and the crows feet.  Some people require 20-30 units just near the 11s (Glabellar area). Each eye can require 6-12 units for the crows feet depending on the patient.  It is all based on a case by case dosage requirement to relax the muscle.  The muscles will not atrophy away, but they will get weaker over time as you repeatedly inhibit them with the neurotoxin. You should not have any sunken hollows related to botox use. 

Good question. I would say most people with average facial musculature take about 30 to 40 units of Botox for a complete upper face treatment. Depending on how strong your muscles are and how much resultant movement you want will also change the number of units you will need. 

Thank you for sharing your question.  Though Botox dosing needs to be tailored to each patient’s sensitivity for the medication, 34 units over the three areas is not a large amount.  If you are happy with the results then that is all that matters.  Botox will not cause hollowness of your eyes but it can cause some muscle atrophy in the forehead which does not cause a significant cosmetic change since the muscle is already thin. Address your concerns with your injector.

34 units of Botox for the frown lines, crows feet, and forehead is reasonable.  Botox in your crows feet should not cause you to have sunken hollows under your eyes- it simply weakens the muscle around your eyes so you have less lines around the outside corner of your eyes when you smile or squint. Long term Botox of your forehead can lead to generalized diminution of your forehead muscles simply due to you not using them as much. The forehead muscles (frontalis) elevate your eyebrows and cause the the horizontal lines across your forehead, so diminution or weakness of this muscle may not necessarily be a bad thing if your goal is to lessen the appearance of your forehead lines. 

Excellent question. Thirty four units seems reasonable for the areas you had treated. Depending on the patient and their anatomy, some may require less and some may even require more. As times goes on and with repeated treatments, you may not need as much botox to relax the muscles. 

Hello and thank you for your question. 34 units is not out of line if your eyes were included in the injection. Oh the stories that are out there on the streets. Botox and neurotoxins in general do only one thing relax muscle. Hollows under your eyes from Botox? No not an issue with neurotoxins. Botox remains a temporary treatment without any lasting effects. Don't believe everything you hear. Good luck to you.

I agree, the amount of botox that you had is on the lower end of what is typically dosed for those three areas.  Dosing is determined by the number of wrinkles and the strength of the muscles treated.  If you are happy with the outcome do not worry about the amount that was injected. I would not worry too much about muscle atrophy, it can occur but usually is not  enough to be cosmetically significant.You should discuss these concerns with your provider to determine what  the risk/benefit to you is to continue with botox.

That is actually on the lower end of dosing. If you have been doing it for a while, it usually takes less to get similar results. Typical forehead, 11s and crows feet would be in the 40-50 units range. You can get some atrophy of muscles with
Botox but nothing that should affect you significantly.

Typical Botox dosing for the upper face is approximately 40-50 units so you are at the lower end of an average dose. I don't think you are having too much inject since you are having 3 sites treated. I wouldn't worry about forehead atrophy or undereye hollows. Your dose is appropriate.