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.
Question About Baby Botox for Forehead?
Doctor Answers 20
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.
Low dose Botox
Natural results with baby Botox of the forehead.
Results on the forehead require a understanding of the forehead muscle (frontalis) and each person dependance on this muscle for eyelid and brow position and shape. I use very little botox in this area to keep natural movement, expression, and to minimize drooping of the brow and eyelid.
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- 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
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.
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.
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.
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.
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.