26y Female- Are 32 units of Botox too much for crows feet? How many are usually recommended for that area? (Photo)

Hello lees190,

Thank you for the picture and your question! I typically use 16 units of BOTOX (8 each side) for crow’s feet on average. But the quantity needed would vary according to the patient’s individual needs. Also, it’s very unlikely but possible to build resistance to BOTOX. In the worst-case scenario, you can switch to substitutes such as Dysport or Xeomin. Hope this helps! Dr. De La Cruz.

When I evaluate crow's feet, I look to see how extensive the wrinkles are when the patient smiles and shuts the eye tight at the same time.  Some people may only have 30 degrees and others more than 180 degrees.  I inject anywhere from 3 units to 18 units per side.  The FDA indication for crow's feet is 24 units (12 per side).  On average, I inject 9-12 units per side.

Lees190  Thank you for your question and photograph.  An in person consultation is necessary to determine your best course of action.  It is important  to:See dynamic action of your lidsUnderstand if you are trying to eliminate movement or have natural excursionSee the complete face in actionhave knowledge of past injectionsFor this area, I utilize anywhere from 6 to 20 units depending upon these factors as well as othersall the Best  Dr B