BOTOX is a very complicated medication to grasp the concept of. I usually explain concept multiple times per day. My goal in this article is to give you a little insight into BOTOX and the dosing.
First off:
BOTOX is a trademarked name by Allergan. Kind of like, er..um.. Kleenex.
Good with your analogies?
BOTOX is to botulinum toxin as Kleenex is to tissue paper. Got it?
Ok lets move on....
There are two other alternatives that are FDA approved at the current time of writing (2014): Dysport and Xeomin. They can be used interchangeably with BOTOX and usually have very similar results. Dysport is a completely different dosage and pricing will vary accordingly in most offices.
Females | Typical Areas of Injection
11 lines (Glabellar complex): 20 units on average to start
Horizontal lines of the forehead (furrows): 10 units on average to start
Crows Feet (lateral canthal lines): 10 units per eye on average
Males | Typical Areas of Injection
11 lines (Glabellar complex): 20 - 40 units on average depending on muscle bulk
Horizontal lines of forehead (furrows): 10 - 20 units on average depending on muscle bulk
Crows Feet (lateral canthal lines): 10 units per eye on average
Rarely patients develop antibodies to botulinum toxin and need additional dosing. About 30% of injections need "touch-ups" or follow up in order to achieve the desired results. Do not forget, BOTOX injection are not without complications (thankfully all short term). Talk with you injector in detail to get an idea of what to expect and possible complications.
I hope this sheds some light on how many units you are getting or are planning to get. Remember to seek out a qualified injector and be wary of "too good to be true" deals. You get what you pay for!
More to come on my favorite injectable med.
Next: Common complications
Dr. Alexander Blinski
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