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

Botox for the “11”s or Glabellar Furrows

Botox for the “11” lines or glabellar furrows is an excellent treatment. This was actually the first area where the cosmetic use of Botox was discovered.

Most patients require 24-28 units in this area, but some may require more and some may require less.

If you didn’t get significant improvement after 2 weeks, I would call the doctor and have him evaluate the response.

Perhaps you need a small touch up. And generally, over time and additional treatments the improvement should get better since the muscles treated will get smaller (atrophied) and resultant creases should become even less. (Andrew Kaufman, MD, Los Angeles Dermatologic Surgeon)

The recommended dose is 20 units but you should wait 10 days to judge the effectiveness of your botox.

If you do not have a great amount of “weakening” of you 11’s you may want to go back and see about getting more !

Be carefull too much botox and be disfiguring a sure sign of having “too much done.” (Paul E. Goco, MD, Nashville Facial Plastic Surgeon)

Botox units injected for “11”

Every person, male and female, may require a slightly different amount of Botox to their glabella (“11 sign”).

In general, however, I use 20-24 units, and we get consistently excellent results.

My fees are higher than what you paid so I think if you received 20 units for that price, you were treated appropriately and you were not overcharged. (Steven Hacker, MD, West Palm Beach Dermatologic Surgeon)

Generally 20 units is a standard amount that works well for most people.

For the 11 lines (glabellar area), 20 units is a pretty standard dose. For those with stronger muscles, it can go up to 25 units, and the reverse would apply for those with weaker movement or with history of multiple botox procedures.

I have seen individual cases where one specific treatment of Botox “doesn’t take” and there is minimal to no effect. Whether this is due to injection technique or inactive botox from the bottle, it is unknown.

Some people are actually somewhat resistant to the effects. But again, these are all rarer reasons for a treatment that doesn’t work. Try your treatment one more time – again, 20 units is pretty standard and should work. It may be the case that you need slightly more, but rarely more than 25 units. (Don Mehrabi, MD, Beverly Hills Dermatologist)

Botox injection should be performed by an experienced practioner in an ethical and professional manner. A frank discussion regarding risks, benefits, and intended number of units should be discussed between patient and physician. In general, twenty to thirty units should be injected into the glabella, upper nose, and mid forehead. (Raffy Karamanoukian, MD, FACS, Los Angeles Plastic Surgeon)

20 units is a very good starting point for your frown lines. Botox can only weaken muscles.

It can not “fill in” lines that are already present. If you continue to keep up with the Botox (unfortunately, this is true… ) the creases will not be allowed to reform, and will gradually soften and smooth over time (months…).

If you want a faster fix, the synergistic combination of Botox PLUS filler at the same time can elevate the lines right away while the Botox holds the muscles inactive and prevents recreating the lines.

Next time you go to your doctor, you can ask about this, but realize that the filler is quite expensive (though its effect lasts longer). (Jessica J. Krant, MD, MPH, New York Dermatologic Surgeon)

Botox will begin to have a noticeable affect after 3 to 5 days, on average. You did recieve an average starting dose, so wait and see. The dose can be adjusted easily, and I always have patients return for a recheck soon after the first treatment. (Harrison C. Putman III, MD, Peoria Facial Plastic Surgeon)

Botox was studied and it was recommended that twenty units be used in the glabella. Some physicians use more and some patients need more, while other doctors use less. (Ronald Shelton, MD, Manhattan Dermatologic Surgeon)

Amount of Botox for frown lines

The frown lines are caused by 3 different sets of muscles. I will typically use 25-35 units for women, and 35-45 units for men. Some may do well with less, others may require more. If your treatment was not enough, it is easy to add additional Botox.

I would wait 3 weeks to see if you need more, however. (Randy J. Buckspan, MD, Austin Plastic Surgeon)

Botox using anywhere from 8-2o units should create relaxation of a typical Glabella (11’s) however, the full effect of the Botox is not immediate and takes 5-7 days for the effects of the Botox to peak. (Francis R. Palmer, III, MD, Beverly Hills Facial Plastic Surgeon)

About 20 units to the glabella for treatment of “the number eleven lines” is sufficient. However some people, particularly men, often require more. (Darrick E. Antell, MD, Manhattan Plastic Surgeon)

The typical starting dose for the glabellar region or the “11”s, is 20-25 units. For those with more muscle in this region, they may need more. Usually, I might inject at a lower dose so that the patient does not need to purchase additional Botox.

If the patient needs more Botox, they come back in two weeks for further injection. This way, they only purchase enough Botox to take care of the problem. (P. Daniel Ward, MD, Salt Lake City Facial Plastic Surgeon)

Botox Units Needed for Frown Lines

The inital FDA approval for Botox Cosmetic for the frown area is 20 units to last 3-4 months. However, every person’s anatomy is different and the strength and bulk of their muscles is different. Generally for men, 20 units may not be enough since their muscle mass is bigger.

What I usually counsel patients is to wait the 10-14 days after placement to see the final result and to come back to the office for evaluation if it is not enough. (Grace Liu, MD, Newport Beach Dermatologic Surgeon)

The amount of Botox to treat any particular area is very patient dependent. I have some patients that require as little as 10 units and some that require much more. If the dose you received is not enough in you, you should return to your physician and ask him to evaluate you for more Botox.

You will then have it in your permanent record. (Sam Goldberger, MD, Beverly Hills Oculoplastic Surgeon)

The recommended dosing for Botox in the glabellar region (frown line, “11’s”) is 20 units. We often treat patients with 24-28 units as this region often requires it. There are however many variables that come into play, one being the position of your eyebrow’s as well as whether or not you have excessive eyelid tissue.

In any case, I would recommend that if you still have movement that you are unhappy with, to go back to see him and I am sure he would happily inject additional units. (Jon E. Mendelsohn, MD, Cincinnati Facial Plastic Surgeon)

The full effects of Botox can take as long as 2 weeks time. In general, it takes about 5-7 days before you see the effect of the paralysis. Even then, the lines dont go away that fast.

Depending on how deep the lines are, it may take months and several treatments before the lines show improvements. I usually inject 20 unit in the glabella (the “11” lines). Botox is not just a one time shot.

It requires maintenance to achieve the results desired. (Farbod Esmailian, MD, Orange County Plastic Surgeon)

Forehead treatment: Horizontal “worry” lines Usually requires 8-16 units of Botox Blended w/ glabella lines below
Glabella treatment: Vertical “11” or frown lines Usually requires 16-24 units of Botox Blended w/ forehead above & bunny lines below. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)