Can Botox and fillers be watered down?

Thank you for sharing your excellent question.  Botox comes as a dehydrated powder that requires reconstitution, so based on the amount of fluid placed it will affect its dilution.  That is why it is important to understand the number of units administered as this is the only way to compare effects across injectors.  Fillers come pre-filled, and though they can be diluted, if you watch the individual blister pack opened you can avoid that possibility.  Hope this helps.

Depending on how the Botox is stored and how long ago it was reconstituted (it comes as a freeze dried powder and must be mixed with saline before use) the activity of Botox can in fact decrease.  Dilutions do vary amongst providers, but the number of units is the determining factor in efficacy.

Botox needs to be reconstituted with saline in order to be used.  If you go to a reputable place "watered down" product should not be an issue.

Botox and fillers can be "diulted" or "mixed" in with saline or lidocaine. I suggest you see an expert who does what is in your best interest.  Dr. Emer.

This is a good question which often gets asked. Botox is always watered down. It comes in a powder form and saline in placed into the vial containing the Botox. Some doctors use a concentrated solution, while others like to use a dilute mixture. The only thing that matters is the number of units of Botox injected. The concentration usually has no relevance. The most important determinant of the results is the skill of the injector. I hope this helps.    Good luck,

Botox comes as a powder and saline is added to it so it can be injected. A number of different amounts can be put into the vial but 2.5 cc is the amount in the package insert. some doctors try to dilute it more to make more money but it does not work as well. it is more difficult to dilute filler but it can be done with xylocaine

there are different ways of adjusting the concentration of botox, so that may affect the results.  It is important to find an experienced injector who will discuss the reasons for doing so.  

Thank you for your question.  Yes, both can be diluted and I would be wary of that possibility if you believe it is a concern with your physician.  Botox comes as a powder that needs to be reconstituted with saline so it is possible it can be watered down.  Fillers typically come as preformed gels and can be diluted with local anesthetics or saline, there may be reasons to do this in some cases.  Needless to say, I would recommend following up with a Board Certified Dermatologist who has an excellent reputation as a cosmetic injector.  Regards, Dr. Matt Elias

If your "provider" is not a licensed doctor then I would doubt you are getting what you were promised especially on ridiculously cheap specials. If for instance, every reputable doctor in your area is charging $15 / unit of Botox and the salon is charging $10 or has "per area" pricing, its not that the injectable is being "watered down", it is more likely that you are not getting the Botox Units or filler's volume that you expected. Thats how they are able to make money. I would not expect the provider to be truthful about that. You can ask to have the Botox prepared in front of you and ask for the lot number of the vial and how much saline they diluted with. The same goes with the filler. There is a great deal of illegal Botox on the market and it won't have the proper identifiers.

Botox comes as a powder and saline needs to be added to reconstitute it into a liquid form for injection.Local anesthesia can be added to Juvederm or Restylane to make the injections less painful and smoother.The full amount (one syringe) would still be injected, so there is no loss of volume or product.Check with your doctor as to how they prepare the syringes for injection.