Facial Injections: Info, Prices, Photos, Reviews, Q&A

Botox for crow’s feet and lateral brow

The dose depends on the objectives and areas treated. For simple crow’s feet 8 to 10 units may be sufficient.

To achieve a brow lift effect or to treat fine lower lid wrinkles as well the range could go up to 12 to 14 units per side. (Harrison C. Putman III, MD, Peoria Facial Plastic Surgeon)

The Botox dosing for crows feet is variable depending on the person. I tend to use 15 on either side but have gone as low as 10 and as high as 20 per side.

Sometimes to be honest what can happen is that patients can get confused as to the units and how much botox is being used.

For example…today in fact.. I had a patient come in and tell me that she had botox before in her forehead and glabellar (the elevens) and she paid about 350-400 dollars.

She then told me that the doctor charged about 15 dollars/unit. Well that works out to about 26 units total which makes no sense. I think that is waay to low a quantity of botox to treat the glabellar and entire forehead so we adjusted it and I gave her 40 units.

Sometimes patients get confused with the units and I would rather use the amount initially that I am used to treating in that area and taper down the next session.

Otherwise, if you take the patient’s word and give a super low dose of botox and they feel it is ineffective the patient tends to think “That doctor’s botox didn’t work or it didn’t work for me” and go somewhere else.

This is the honest answer. So in summary, if the patient tells me an amount that is ballpark close to what I would expect to go with I use that. Otherwise if it is way too low an amount of botox I go with what works and taper down the next treatment.

Also, if they have their old doctor’s records I just go by that. (Chris Thiagarajah, MD, Denver Oculoplastic Surgeon)

Different Doses – Different Effects!

Botox can create many different subtle effects based on dosing. To soften a harsh squint I use as little as 5 units per side. If I want to totally subdue movement and get a little lateral brow lift I will use 10 units per side.

In men, with a larger muscle bulk, I have on rare occasions used up to 15 units per side. Bottom line: most women will do very well with a total of 10-20 units (5-10/side). (Kirk A. Churukian, MD, Los Gatos Plastic Surgeon)

Botox for periorbital wrinkles is effective

This amount varies with each individual, but 10-15 Units per side is a good average. Some may require much less. What worked well in the past is a good starting point. (Robert Mounsey, MD, Toronto Facial Plastic Surgeon)

On average, I give patients 10-15 units per side for Crow’s feet (20-30 units total). The orbicularis oculi (which causes the problem) is a very large muscle and requires multiple injection sites for efficacy. (Stephen Prendiville, MD, Fort Myers Facial Plastic Surgeon)

Every person is different, and the amount of BOTOX required for Crows feet or any other area depends on the extent and strength of the muscles and wrinkles in the area (a function of age, gender etc).

I generally inject 12-18 units per side of Crow’s feet, with 15 units per side being my most common treatment. (Benjamin Barankin, MD, FRCPC, Toronto Dermatologic Surgeon)

Botox units for crow’s feet

Generally, we inject between 5-10 units of Botox on each side for crow’s feet. If you had great results with 22-24 units, then you should stick with it. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)

Botox in Crow’s Feet Number of Units Needed

Each individual needs different amounts of units depending on their anatomy. that being said if my patient said that 20-30 units was all that they have needed in the past and had great results that is what i would stay with.

Always check credentials / training etc and be sure you are being treated by a DOCTOR who has formal specialiazed training in Botox injections (board certified dermatologist/ plastic surgeon/ facial plastic surgeon/ oculoplastic surgeon). (Shawn Allen, MD, Boulder Dermatologist)

Botox for Crow’s feet

The amount of Botox used on the face is dependant on the strength of the muscles. Patients with thicker, stronger lateral obicularis oculi muscles (often seen in men) will require more Botox to treat that patients with thinner, less strong muscles (older patients with thin skin and muscles).

In general, I have found that 8U (thin, less strong muscles) to 14U per side usually improves crow’s feet significantly. (David L. J. Wardle, MD, Ottawa Plastic Surgeon)

The depth of the crow’s feet determines the dose.

In our Northern California practice, most patients who want their crow’s feet treated need around 10 units per side for complete correction. That would mean about 20 units total. Every patient is different, but I have not used more than 20 units to correct the crow’s feet. (Francisco Canales, MD, Santa Rosa Plastic Surgeon)

The number of units varies between people because of different muscle structure.

Additionally, the number of units may also differ between injectors based on the “freshness” of their Botox. The longer Botox sits around, the more it becomes denatured and is less effective.

I, for instance, always mix up fresh Botox for each patient. Typically, I inject 2.5 to 5 units per side for the crow’s feet, 15 to 25 units for the glabella, and 15 to 30 units for the frontalis – all using the micro-injection technique.

These amounts allow for a significant correction of your wrinkles while allowing you to maintain natural animation. (David Shafer, MD, FACS, New York Plastic Surgeon)

Actually 22-24 units is the range I use for the overwhelming majority of my patients…maybe a different doctor is the best option… (Ken Landow, MD, Las Vegas Dermatologist)

Botox units for crow’s feet may vary

There are many different units that work for the crow’s feet area. Each patient is different but typically you need about 12 or so units per side as you had been getting and you were happy with it.

Remeber, the more units used the higher the fee. So make sure you are using a board certified physician who is reputable and has good references. There is nothing wrong with sticking with what has worked for you. (Bahram Ghaderi, MD, Chicago Plastic Surgeon)

10 units per side for crow’s feet

In my practice I can handle most all crow’s feet issues with 10 units per side. (Richard P. Rand, MD, FACS, Seattle Plastic Surgeon)

Each patient is an individual

Every patient I treat with BOTOX is customized according to the number of units we use. Men generally require higher doses then women.

Any patient who tend to have more muscle contraction (squinter,frowner), etc. will require higher doses to get these muscles to stop contracting.

I often see patients who have been unhappy with their BOTOX elsewhere because too little has been used. There is a balance between using the right amount to obtain a good result that lasts a long period of time.

Generally speaking, I use 15 units per side of BOTOX for the crow’s feet. (Samson Lee, MD, Seattle Facial Plastic Surgeon)

Customize the dose if you’re building Botox intolerance

I agree with many of the other physician’s comments. 6-10 units per side is commonly used. If you require more than that you may be building a tolerance and your therapeutic dose will need to be adjusted on a personal basis. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

Botox and Crows Feet

In my practice I use 10 units per side. This is usually a good dose to insure good muscle relaxtion. Only exception is a male with very deep lines, I might use 15 units per side in this case.

I also believe that the injection technique makes a big difference. (Hisham Seify, MD, PhD, FACS, Orange County Plastic Surgeon)

Crow’s feet Botox

I usually use about 7.5 -10 units /side for Crow’s feet that is administered in 3-4 small injections. (Steven Wallach, MD, New York Plastic Surgeon)

The number of units necessary varies from patient to patient, the areas to be treated and also on the look that patients want. If you enjoy the look with fewer units, an injector should following this lead.

An injector can always inject more later. For crow’s feet and the muscle in the forehead, we typically use 30-35 units for women. Some more units for men may be needed. However, the number of units used should be based on getting a natural look with a conservative start. (Kris M. Reddy, MD, FACS, West Palm Beach Plastic Surgeon)