How many units are neede for a forehand? Is botox for crows feet and under the eyes beneficial? (Photos)

Doctor Answers 14

How many units are neede for a forehand? Is botox for crows feet and under the eyes beneficial?

Botox Cosmetic® can only be injected under the eyes if the patient has very tight skin, i.e. is very young (20's), or it can cause "a bag" or accentuated droopiness in the under eye. Botox Cosmetic®/Dysport®/Xeomin® are all great for minimizing crows feet and forehead wrinkles. It is difficult to determine amounts from a photograph, so please consult a board certified  aesthetic dermatologist for a consultation.

Miami Dermatologist
5.0 out of 5 stars 9 reviews

Botox for the Forehead and Crows Feet

Botox works by blocking the signals from the nerves to the muscles. The injected muscle can then no longer contract, which causes the wrinkles to relax and soften. Botox is most often used on forehead lines, crow’s feet and frown lines. The amount of Botox needed varies from person to person. Please see an expert injector for an in person consultation to determine your treatment plan.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Units of Botox

Hi ~ The average amount of botox needed for the horizontal wrinkles on the forehead is 20-25 units. It is often important to treat the glabella at the same time to get the best results which takes 20 units. The crows feet is another area that gets great results with botox and takes 8 units per side or 16 units total on average.

Michael Hromadka, MD
Kalispell Physician
5.0 out of 5 stars 6 reviews

Botox and forehead

I usually use from 20-30 units of Botox but it is important to place it correctly as a lot of doctors due not inject lateral enough.  Botox is very beneficial in the crow's feet area and under the eye but it takes skill so make sure you are seeing a board certified dermatologist or plastic surgeon and one who is very experienced

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 4 reviews

Botox/Xeomin for forehead and crow's feet

Achieving the correct balance of botulinum in the forehead is key and varies from patient to patient depending on anatomy and the strength of the muscles.  Generally speaking I use 18-22 units in the forehead (where placement not only dose is important), 22-25 units for the glabellar region and about 20-22 units for the crow's feet. 1-2 units can be placed in the lower lid near the cheek junction.  For the lower lid I find some patients see a modest improvement in wrinkling and others don't. The video above has additional information that you'll find of interest.

Best wishes and enjoy your results.

Jon A Perlman MD FACS 

Certified, American Board of Plastic Surgery 

Extreme Makeover Surgeon ABC TV

Best of Los Angeles Award 2015, 2016 

Beverly Hills, Ca 

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 30 reviews

Botox for forehead and crows feet

Botox is extremely beneficial for these areas. The dosing is a range for the forehead 8-15 units. I will almost always inject the glabella too, and that is about 20-25 units. Crows feet is about 10 per side. Under eye injections are possible in some patients with a good snap test and is a small dose of about 1.5 units per side.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Is Botox For Crow's Feet And Under The Eyes Beneficial?

Thank you for your excellent question and for sharing your photographs.  Botox works well to soften creases on the forehead, crow's feet and under the eyes.  In general, the lowest recommended dosage of Botox to treat horizontal forehead creases is 15-20 units.  For the crow's feet, I find that most patients respond well to 15 units.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 30 reviews

The Botox Benefit

The amount needed will vary. Botox is great for crow's feet and for under the eyes, I recommend fillers, lasers, microneedling/PRP in order to improve this area. See an expert for a formal consultation. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews


Botox can be used successfully around the eyes and in the forehead to smooth out fine lines. Usually I use 6-8 U of botox on the eyes and 12-16 in the forehead.  At times fillers are used under the eyes if there is some shadowing or hollowing in this area. 

Deborah DiStefano, MD
Chattanooga Ophthalmologist

Upper Face Botox

Dear ssommers:

I use on average 10-15 units of botox for foreheads in female patients.  Botox for the crows feet and under the eyes are beneficial is softening the lines in these respective areas.  All the best.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 7 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.