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Receiving Botox for the first time for prevention and not sure how much is normal

Dr. Dean Kane Q & A Q. I am going in next week to receive my first ever injections of Botox. I am a 25 year old female with average size forehead, no set wrinkles yet but I can see my 11s when I frown and trying to catch them before they leave wrinkles. I am looking to get my glabellar and forehead done. Wondering how much I should expect to be getting for my 11’s as I’ve heard them referred to. I’ve read 12-15 is common for prevention? Also how much on forehead. Thanks! A. Thanks for this question as it is very intuitive to try and prevent wrinkles from occuring as they are much more difficult to “erase” once the skin damage is done. The amount and injection sites of Botox required is very different for each person. It will be determined by a proper examination and recommendations on the desired endpoint. Those individuals with a desire to keep from making lines will use less Botox than those with deep, active wrinkling and more muscle weakening required. ​ ​​Botox is a muscle relaxer and therefore will:
  • diminish the ability to create a wrinkle, and
  • ​rebalance the expression to achieve a more relaxed and youthful appearance
​Botox does not reduce or erase a wrinkle line as the line or crease is the effect of dermal thinning following chronic wrinkling of the skin. For this, consider:
  • ​1. Retinoids, eg., Obagi ZO Skin Health Therapeutic skin care
  • ​2. Pixel or Fraxel,
  • ​3. Hyaluronic Acid Fillers
  • ​4. endoscopic Brow Lift
When considering Botox, I will commonly use: – 15 to ​20 units to the glabella’s 3 muscles and orbicularis recruitment muscles ​- 12 to 20 units to the upper lateral brow orbital orbicularis muscles ​- 5 to 20 units for mild to deep active central forehead muscles ​- 5 to 10 units in the procerus and nasalis (bunny line) muscles ​ ​If you weaken only the muscle or muscles between the eyebrow, you may not like the expression-effect as other muscles will take over to achieve a mentally remembered appearance until proper rebalancing is obtained.   In this case, return to your talented and skillful, Board Certified Plastic Surgeon or Dermatologist to achieve your desires. ​ ​I hope this is helpful! All the best!   This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
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