Botox dilution - How can I find a physician who dilutes Botox 1 cc per 100 unit vial of Botox in Southern California?
Doctor Answers 8
Thank you for your question Allisoncarmen. Botox is a purified protein used to address wrinkles associated with facial expression. It can be placed in the masseter muscle in the lower face to slim down the face and provide a heart shaped appearance. Reconstitution of Botox can be with various volumes of saline. The manufacturer recommends 2.5 cc for a 100 unit vial, giving 40 units/cc. Many doctors use this concentration for the masseter. However reconstitution in smaller volumes is thought to lead to decreased spread. In our office we reconstitute Botox per the manufacturer's guidelines but there is no reason why we cannot reconstitute it using 1 cc. Please consult with a doctor for specific recommendations. Good luck!
Doctor who injects Botox in high concentration
I understand the rationale behind your question, and personally always inject Botox in this dilution, even though it costs me more in wasted Botox left in the inaccessible portions of the syringe.
Injecting in multiple locations in high concentration, low on the jawline, and avoiding the deeper risorius muscle will prevent the side effect you describe.
Dr. Ava Shamban in Santa Monica and Beverly Hills will do this for you.
All the best,
Botox and Masseter
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I hope this helps!
Dr. Quenby Erickson
Botox for masseters
Dilution of Botox not related to spread
The most important factor with avoiding smile changes is to avoid the risorius muscle. This can be done by keeping the masseter injections low (near the jawline) and back (near the ear).
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.