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 21

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
4.6 out of 5 stars 47 reviews

Botox or “Baby Botox” Should Allow Normal Expression

Injecting Botox is an art that takes a great deal of knowledge and practice. The goal is always to soften wrinkles without compromising normal facial expressions. How much Botox is needed for this effect will vary by patient. So while the term “Baby Botox” is clever, it is essentially meaningless.   Find the right dermatologist for your Botox, and you will always have a beautiful, natural-looking face that's been smoothed of wrinkles but is still expressive. You can see a great example of a patient smiling before and after Botox on the link below. Please consult a board-certified dermatologist to get the right amount of Botox to soften your forehead wrinkles.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Low dose Botox

Thank you for your question 7668anon. Botox is a purified protein used to address wrinkles associated with facial expression. There are various terms used for Botox treatment with low dose. These are requested for those who still want expression without having a frozen face. In my experience, if Botox is placed in the correct anatomical positions movement is preserved, just without the wrinkles. When lower dosing is used, results are not full and they do not last as long. The vast majority of my patients who request low dosing are unhappy with their results and require additional units. Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 3 reviews

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.

Jeffrey M. Joseph, MD
Newport Beach Oculoplastic Surgeon
5.0 out of 5 stars 14 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.

Ruth L. Hillelson, MD, FACS
Richmond Plastic Surgeon
4.4 out of 5 stars 12 reviews

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
4.8 out of 5 stars 147 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
4.8 out of 5 stars 118 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
4.9 out of 5 stars 37 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 35 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.