Question About Baby Botox for Forehead?

I've read a few articles online about "Baby Botox," which involves receiving a smaller-than-average dosage of Botox to soften wrinkles somewhat, but still allow natural facial movement. Is this something most experienced cosmetic dermatologists would be familiar with? I'm a 33-year-old woman and have light static forehead wrinkles I'd like to reduce. I've considered Botox, but am concerned it would be obvious to others that I've had Botox if I can't move my forehead or eyebrows. Thank you.

Doctor Answers 18

Natural results following Botox treatment of the forehead

Great question! There is truly an art to Botox and Dysport treatments which is why it's important to go to an experienced injector. I've never used the term "Baby Botox" but it's a catchy way to describe what most of us already do...

For patients your age, I typically use half the number of units in the forehead (10-12 units of Botox or 30-35 units of Dysport) versus what I typically use in the muscles between the eyebrows (glabella) or near the corners of the eyes (crow's feet), each of which usually require 18-20 units (60 units of Dysport). Patients with deep wrinkles or strong forehead muscles certainly may require a greater number of units. 

The goal is to give you a natural look with some residual movement but eliminate or soften the horizontal forehead lines. Over-treating the forehead can cause the eyebrows to feel heavy. An additional benefit is that a lighter treatment is less expensive for patients, as, in our practice, we consider 10-12 units to be just half an area.

I feel another important technique is to inject evenly across the forehead. This gives a nice, consistent, natural effect, avoiding that "Mr. Spock" look when only the outside portions of the eyebrows are moving. In patients with lower brows, I inject a little less Botox or Dysport in the spots right above the outside of the eyebrows. 

As I mentioned, your best bet is to seek a consultation with an experienced facial plastic surgeon, plastic surgeon, or dermatologist and communicate with them exactly what your desires and concerns are. 

Best Regards,

Dr. Mehta

Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

Dosing for a natural look.

Most plastic surgeons and cosmetic dermatologists are familiar with dosing for a natural look. Most of us do not refer to this as baby Botox . Keep in mind that the frozen Botox look is outdated. I like for my patients to have some movement and I discuss this with them at consult. If you are trying to treat static lines , know that Botox doesn't do that. Botox softens dynamic lines. I do tell my patients that the advantage of Botox in your situation would be to prevent the worsening of those lines as you age.

Natural facial movement can still be made after Botox

Thanks for your question. With an experienced injector, it is possible to receive Botox injections that look natural and not overdone. You should still be able to make normal facial expressions because Botox reduces muscle activity but does not radically change it. A certified plastic surgeon or dermatologist will know what dosage is best to achieve the results you are looking for.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.5 out of 5 stars 68 reviews

Botox getting a natural-looking result

Expertise with Botox, just like anything comes with experience and appropriate  training.  An experienced Botox provider should be able to provide a very natural looking result. Some, however believe that a completely frozen look is desirable. A few things you can do before your Botox injections are
- Check with Allergan to find some of the top providers of Botox in your area
- Look at the philosophy page on the website to see if you agree with the philosophy of the plastic surgeon
- Take a look at the nurse injector providing your injection. These are people who probably have access to as much Botox and filler as they like.  You might be able to learn something about the philosophy of the nurse based on their ability to make expressions and the fullness of their lips

Michael Law, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 97 reviews

Low dose of "baby" botox for subtle relaxation

What you seem to be describing, is not what the other doctors to-date have addressed. Rather than using 1 or 2 units in each insertion site, you seem to be referring to a physician, in an off-label manner, mixing the Botox with a significantly greater amount of saline than is commonly done. In this way one would be able to give 1/2 or 1/4 a unit per injection and inject wider areas than they had in the past. The result would not be as strong a relaxation, nor the duration of effectiveness as long. I am not aware of any medical studies investigating the effectiveness, nor safety of this. I have heard of it being done.  There is a chance though, that regardless of the greater dilution, and lower number of units, the Botox injected into certain areas might relax an important muscle group which could make you very unhappy, such as if you had problems speaking or eating or looked like you had a stroke because of an unequal facial appearance. 

Be cautious.





The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 38 reviews

Baby Botox

We have seen more of a trend to the more natural than "frozen forehead" look that was once more popular.  Most experienced dermatologists will know how much Botox to inject based on their clinical exam with you (i.e. how strong your muscles are in motion). It is always best to try just a small amount and to go back for a follow up visit a week later to evaluate if you need additional units. It will definitely soften the lines on your forehead and prevent the forceful movements that can lead to more deep wrinkles over time.  

Diane Walder, MD
Miami Dermatologist
5.0 out of 5 stars 3 reviews

"Baby Botox"

Your original question titled scared me! Ha! I'm glad to see that what you're referring to (I've never heard this term used before) is just a conservative dose of Botox. Any physician can provide this for you, provided they are experienced in working with the product. At your age, small maintenance doses of Botox would work well in preventing future wrinkles while still allowing you lots of facial expression movement. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 34 reviews

Botox for natural movement

Low dose Botox softens the lines but still allows some natural movement.  The effect will not last as long as a full treatment with Botox.  Most patients do not want to lose all of their facial expression and would rather return for treatment more frequently. 

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 20 reviews

Using low doses of Botox

I have many patients who come in who want less than obvious reduction of forehead, frown lines, or Crow's feet wrinkles. You can always do smaller doses as a great preventative treatment, and its easier on the budget too. I often have my patients follow up 2 weeks later, and if they want more Botox, it can always be added.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 39 reviews

This is called intradermal Botox

I do this technique with Botox, Xeomin or Dysport.  There are very small muscle fibers that run from the deep muscles of your face to the skin.  Probably the botulinum toxin targets these fibers. I have found it very useful in the forehead if you want to be able to move the forehead after injection.  The affects are more subtle.  I especially like it for fine lines of the face over the cheek bones. It may not last as long as botulinum toxin placed in the muscles.  It take some practice to get it right.  

Stuart H. Bentkover, MD
Boston Facial Plastic Surgeon
5.0 out of 5 stars 22 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.