Does 54 units of Botox sound like an adequate dosage for forehead and crow’s feet?

Thank you for your question. Most patients in our office purchase between 20 and 40 units. However, every patient is different and may require more product. In my opinion, 54 units does not seem unreasonable. If you're concerned, consult with another provider for a second opinion. 

FDA trials have used a certain amount for forehead and crows feet treatment however dosage varies per patient. Fifty-four units is an appropriate amount to treat both forehead and crows feet.

This is a question we hear very often but Botox treatment is
different for each patient. Some patients have stronger facial muscles, or may be
more animated with their facial expressions than others. It is difficult to
determine what is the “right” amount without an in person assessment.  
A qualified nurse injector is the best resource for an
accurate assessment and treatment plan for your individual needs. Your injector should continue to reassess with each treatment to ensure changes are addressed with
each visit. All the best,

This is difficult to answer without an in-person evaluating, because the amount of Botox needed to adequately treat these areas will vary. If you're concerned about dosage, I recommend following up with your injector. Botox results resolve in 3-4 months. Hope this helps.

While there are recommended dosages, the amount of Botox needed will vary. Results take 1-2 weeks. Deeper lines will need a combination approach with Botox as well as laser, microneedling/prp, and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer