How many units of Botox are used for injections in the forehead and eyebrow area?

Getting to know the drug

Botox can be used in any area of ​​the face and body.
Once in the body, the compound breaks down into a pure neurotoxin, which blocks neuromuscular transmission of impulses. In addition to cosmetology, Botox is used for medicinal purposes - to relieve painful spasms, for strabismus, nervous tics and cerebral palsy.

Most wrinkles on the face are formed due to facial movements. We may not even notice some of them, because... muscles make micromovements or are in constant tension.

Neurotoxin allows you to relieve muscle tension, due to which the depth of wrinkles is significantly reduced and has a preventive effect on the appearance of new skin defects.

Botox lasts approximately 6-8 months. The drug temporarily accumulates at the injection site and then enters the systemic circulation. The drug is excreted through the urinary tract.

The medicine has no general effect on the body and does not penetrate the brain.

What it is

Botox is the name of a drug that is used to correct expression lines on the face and other parts of the body. Its active ingredient is botulinum toxin. It blocks neuromuscular transmission, causing wrinkles to smooth out.

This drug is not used for lip augmentation. Botox is a drug produced by Allergan. Its analogues are the drugs Dysport from the company Ipsen, BTXA from Lantox and Xeomin from the manufacturer Merz Pharma.

Each drug contains botulinum toxin. The properties of this substance are used not only in aesthetic medicine, but also for therapeutic purposes for the treatment of hyperhidrosis.

Indications, contraindications and side effects

Indications for the use of Botox are:

1. Wrinkles in the forehead area: horizontal and vertical;
2. "Crow's feet" near the eyes;
3. Pronounced nasolabial folds and folds in the corners of the lips;
4. Wrinkles on the neck and décolleté, along the jaw line.

Contraindications to the use of injection are:

1. Age less than 18 years, periods of pregnancy and breastfeeding;
2. Acute chronic and infectious diseases, skin rashes, scratches, cuts, burns and inflammation at injection sites;
3. Individual intolerance to the drug, allergies, recent facial plastic surgery;
4. Alcoholism and drug use;
5. Myasthenic syndrome, myopia, hemophilia, diseases of the endocrine system;
6. Tendency to scar formation, exacerbation of chronic pathological diseases, severe hernia at injection sites;
7. Taking antibiotics and some other medications.

Before using Botox, you must undergo a medical consultation. It is also worth taking a responsible approach to choosing a cosmetologist and a clinic, without trying to save money on a specialist.

But even with full compliance with the rules and precautions, side effects may occur, which most often disappear after a few days. These include:

1. Hematomas, edema and swelling may appear at the puncture sites;
2. A “mask” effect may occur: muscle numbness will lead to impaired facial mobility;
3. There may be asymmetry and the effect of drooping eyebrows, which can be corrected with correction;
4. Headaches may bother you.

The results of the injections appear within 1-2 weeks. Most often, Botox is injected into the forehead area.

Contraindications

Since the active ingredient in Botox is a neurotoxin, the drug has many contraindications.

1. Pregnancy at any stage and lactation. No studies have been conducted to determine whether botulinum toxin penetrates the placental barrier or into breast milk. Therefore, the risk to the child’s health in this case is not justified.
2. Allergic manifestations, especially to protein substances.
3. Myasthenic syndrome. A condition in which the contractile function of muscles is already impaired or weakened.
4. Autoimmune diseases affecting the skin - scleroderma, systemic lupus erythematosus.
5. Acute infectious diseases or exacerbations of chronic ones (viral infections, tuberculosis).
6. Taking antibacterial drugs, anticoagulants, benzodiazepines.
7. Infectious manifestations on the skin in the injection area, acne, furunculosis, psoriasis.
8. Allergic diseases in the acute phase - seasonal asthma, urticaria, dermatitis, conjunctivitis.
9. Poor vision, high degree of myopia.
10. The recovery period after surgery is less than 2 weeks.
11. Significant sagging of tissues, especially in the eyelids and jawline.

General rules of application

The dosage is individual for each patient. It is determined not only by the type of task being solved during the procedure, but also by the characteristics of his body: skin type, age and even gender.

Only a specialist with a higher medical education can select the dosage - in the context of cosmetic procedures, he can be a dermatologist, cosmetologist or plastic surgeon.

The dosage is not selected “by eye”. This requires a special procedure that takes place in several stages. During them the following actions are performed:

1. Primary administration in a small dosage.
2. Repeated injection after 1-2 weeks. When visiting again, the doctor must evaluate the effect, the absence of side effects and the patient’s well-being. If the drug is accepted by the body well, then the patient is given additional doses that correct the initial result.
3. Maintenance injections are performed every 6-12 months. Each time, the doctor evaluates the duration of the result, its effectiveness, and also makes sure that the patient’s body reacts normally.

If the dosage is chosen incorrectly, two scenarios may occur.

1. If the dosage is too low, the patient simply will not see the expected effect.
2. Too high a dosage is much more dangerous - the facial muscles can be constrained by a “mask”, the face will completely lose elasticity and the ability to contract muscles until the drug is completely removed from the body.

Do not forget about the possible development of an allergy to the drug. It should be tested in low dosage to avoid causing anaphylactic shock in the patient.

When visiting a specialist, the patient should be warned about whether he is doing the procedure for the first time or has previously received Botox injections. This is important information because... during initial administration, the dosage is always higher than for repeated use.

Come here if you are interested in what facial electroporation is.

Instructions for use and general characteristics of the drug

As already mentioned, Dysport is a muscle relaxant that contains botulinum toxin type A. As a rule, one ampoule contains 500 units of the active substance. This drug acts on tissue and blocks neuromuscular synapses, interfering with the release of acetylcholine. Thus, the muscle in the area where the solution is introduced completely relaxes, increasing in size and filling the voids under the skin, making it more elastic, smoothing out wrinkles.

The maximum result will be visible approximately 1 – 2 weeks after the muscle injection. Of course, the effect gradually disappears - the previous state returns after 3 - 4 months, depending on the characteristics of the body and the dose administered.

With the help of Dysport injections, you can correct almost any area of ​​the face - get rid of facial wrinkles and deep folds, tighten eyebrows and corners of lips, make cheeks more elastic, eliminate a sagging double chin.

How many units should be administered to achieve maximum effect?

The success of the procedure directly depends on whether the dose of the drug was set correctly.

That is why treatment should be trusted only to an experienced specialist, because an insufficient amount will not lead to the desired result, and too much is fraught with dangerous and unpleasant side effects, for example, drooping eyelids.

How many units of medicine are needed?

• In order to correct the area between the eyebrows, doctors use from 30 to 100 units of the drug, divided into 4 to 6 injections;
• To eliminate deep folds in the forehead area you will need approximately 20 - 90 units.
• To lift the corners of the eyes, doctors typically use no more than 120 units (total dose on both sides);

Of course, the dose and number of injections are determined individually; only the recommended quantities are indicated above.

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Healing period

A special feature of the procedure is a fairly short rehabilitation period. On the first day, swelling and redness of the injection area may appear. But the marks quickly disappear, so it is easy to hide cosmetic procedures from others.

On average, facial wrinkles are smoothed out within 5–7 days; the maximum effect can be assessed after 2 weeks. The result lasts from 3 to 6 months, but if you carry out several procedures, gradually increasing the dosage, the period increases to a year.

Rules of care:

in the first 4–6 hours, you should not bend over, touch your face, expose your skin to heat, or lie down; it is important to maintain an upright position; on the first day you cannot fly, take a bath, take a hot shower, perform cosmetic procedures, touch the injection area, bend over, eat salty, spicy, hot foods; for 2 weeks after injections, you should not take medications, including antibiotics, drink alcohol, coffee, tea, smoke, go to the beach, swimming pool, sauna, solarium, play sports or exhausting physical labor; For a month you cannot do peeling, facial massage, hardware or physiotherapy procedures.

Alternatives

As already mentioned, Botox is not the only drug based on botulinum toxin. There are other medications that work similarly, but there are some differences.

The main characteristics of alternative drugs are listed in the table below.

A specialist can determine exactly how many units of Botox for rejuvenation are needed on the forehead and between the eyebrows after assessing the condition of your skin. The number of units of neurotoxin and the cost of the procedure depend on the patient’s age, depth of wrinkles, and amount of work. Calculation of the dosage is very important; a small dose of the substance will not be able to eliminate deep folds, and a large dose will lead to the development of temporary complications.

Recently, opponents of this type of rejuvenation have appeared. There is no need to be afraid of paresis, numbness on one side of the face, or asymmetry. The specialist accurately calculates the dosage and determines the injection points. Even a slight loss of sensitivity goes away within a few days after rejuvenation.

What happens if you make the wrong choice?

To avoid unpleasant consequences, dose selection must be careful. In laboratory studies, it has been proven that administration of more than 3000 units leads to the death of the patient. However, such a number of injections is not required for facial rejuvenation.

Insufficient units will not result in any change. In this case, the woman will waste her money. As the dosage increases, paresis will occur; this is not fatal, but it greatly worsens the patient’s appearance. This condition will go away on its own in 6-8 months.

Important! If you have changed cosmetologist and want to rejuvenate your forehead and eyebrows with Botox, tell the specialist what drug you used last time, how much time has passed, how many units were injected.

Incorrect dosage selection and inexperienced actions of a specialist lead to the development of the following complications:

• edema;
• redness;
• pain at the injection site;
• "mask" effect;
• facial paresis;
• hematomas;
• drooping eyelids;
• eyebrow asymmetry;
• drooping corners of the lips;
• headaches, dizziness;
• dry eye mucosa, blurred vision.

Before the procedure, it is necessary to conduct an allergy test. To do this, 1 unit of Botox is injected subcutaneously in the area of ​​the elbow or hand. Intolerance to one of the components can lead to itching, rash, and Quincke's edema. In this case, the patient is offered Dysport or Xeomin, which have other excipients in their composition.

Recommendations after the procedure

In order to achieve the most positive result, it is extremely important not only to rely on the experience of doctors, but also to follow some rules yourself. Neglecting them can be extremely costly for the patient in the future, so you need to be clear about what not to do:

1. For 5 hours after the procedure, you cannot lie down (do not sleep), no matter how many Botox injections are administered into the forehead.
2. Try not to touch the place where Botox was injected with your hands at all (minimum 2 days).
3. Do not drink alcoholic beverages of any strength (at least two weeks).
4. Do not take medications that have any effect on the blood. These are antibiotics and drugs containing analgin (1-2 days).
5. Do not expose your body to active physical activity or sports (2-3 days).
6. Try not to do work that requires you to be bent face down for a long time (2-3 days).
7. Do not overheat and do not take hot baths. Avoid visiting the solarium, beach, baths and saunas completely. It is advisable not to visit a public swimming pool. Ideally, you should limit yourself to only a short-term warm shower (1-2 weeks).

Possible consequences and complications

Botox injections are generally considered harmless in medicine, however, some people may experience the following side effects:

1. Prolonged pain in the head area.
2. Feeling nauseous for no apparent reason.
3. An unexpected allergic reaction or other skin rash.
4. Prolonged and quite noticeable pain in the place where the Botox injection was made.
5. Such consequences of injections as swelling, hematomas, redness.
6. Displacement of the line of eyebrows and eyelids.
7. Unnaturalness of the face after injections, the face begins to resemble a mask rather than a living person.
8. Pronounced asymmetry on the face.

Injections in the forehead. Execution Sequence

1. Applying Botox injection points. The patient is asked to raise and close his eyebrows, noting the areas of greatest muscle tension. Usually a maximum of 10 points are determined - this is the number of injections performed in one course.

2. As a rule, Botox is injected into the forehead painlessly, but to ensure that the skin is numbed with the help of applications. The injection session lasts 15–30 minutes, after which ice is applied to the forehead to relieve discomfort.

3. The doctor decides how much Botox to administer. At the same time, he takes into account the anatomical features of the face, the location of blood vessels, and the tendency to allergies. Typically, no more than 20 units of Botox are injected into the forehead. If the dose is exceeded or the injection is performed at a distance of less than 2 cm from the upper eyelids, drooping may occur.

How long should I wait before the procedure begins? The effect of the drug on the muscles begins from 3 days to 2 weeks after the injections. The area between the eyebrows is leveled on average 10 days after the procedure. To improve the result, it is possible to “prick” Botox at the desired points no earlier than after 21 days.

What is not prohibited after Botox injections?

Many patients, on the contrary, turn out to be too cautious and impressionable, and therefore are afraid of even things that are not contraindicated after Botox and are completely acceptable.

For example, the results of the procedures will not be affected in any way by:

1. Smoking. Although here we can repeat the hackneyed truth - smoking is harmful to health in general. This harmful habit will not add either beauty or health;
2. Take vitamins and vitamin-mineral complexes, including specialized preparations of B vitamins. They have little effect on blood circulation and the pharmacokinetics of botulinum toxin;
3. Just normal moderate physical activity - walking in the fresh air, for example. There is no clear opinion about swimming in cold water: on the one hand, cold water stimulates a reduction in the lumen of blood vessels and a weakening of metabolic processes in the skin, on the other hand, swimming is a direct violation of the ban on a horizontal position of the body. Therefore, for complete safety, you should refrain from swimming for at least 2-3 days;
4. Air travel, water travel. Although here you need to take into account the duration of such a voyage - if you need to fly by plane to the other side of the planet for 8-10 hours, then such a flight itself will definitely not give vigor to the body and freshness to the face, and after botulinum therapy it can provoke the appearance of edema;
5. Drink tea and coffee, not hot and in moderation. These drinks themselves do not affect the result of botulinum therapy, but simply a large amount of them (especially before bedtime) can provoke the appearance of edema, which, in turn, can cause side effects from botulinum therapy. But hot tea and coffee can promote active sweating, warming up the skin and facial muscles, which can ultimately negatively affect the absorption of botulinum toxin by nerve cells.

We must not forget a simple rule: it is better to ask any questions about what can and cannot be done after Botox directly to the doctor who injected Botox. This doctor is responsible for the result of the procedure, and therefore will allow or prohibit certain liberties as responsibly as possible. Moreover, this specialist will take into account the individual characteristics of a particular patient, the dose of botulinum toxin administered, and the general history of procedures.

Myths and reality of botulinum therapy

• What to do after Botox: recommendations for the next few days after the procedure
• About the compatibility of Botox and alcoholic beverages
• Is it possible to inject Botox during menstruation?

The effect and result that the procedure should bring

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How much does a course of forehead injections cost?

The price of a unit of Botox is on average 400 rubles, and the cost of the procedure depends on the number of points marked by the cosmetologist.

• Removal of horizontal frontal wrinkles with Botox costs 1,400 - 1,600 rubles.
• Removal of eyebrow wrinkles costs 1200 – 1300 rubles.

To determine how much a course of injections costs, the cost of the painkiller and the price of a preliminary consultation with a cosmetologist are added to the costs. So, a course of Botox for the entire forehead costs in different salons from 6,000 to 15,000 rubles.

Contraindications for Botox injections

The reasons for refusing botulinum therapy are the following permanent or temporary conditions of the body:

• skin inflammation in areas where Botox injection is planned;
• allergy to albumin, aminoglycosides;
• blood clotting pathologies;
• 4 – 6 week period after taking tetracycline antibiotics and drugs that increase potassium concentration (amidopyrine, ibuprofen);
• recovery period after plastic surgery;
• myasthenia gravis is an autoimmune disease characterized by rapid muscle fatigue;
• pregnancy and breastfeeding;
• high blood pressure;
• oncological diseases;
• menstruation;
• age under 16 and over 65 years.

Botox injections are avoided altogether or the dosage is significantly reduced if the patient has the following medical problems:

• brain injuries or neuromuscular diseases suffered in the last 3–5 years;
• poor cerebral circulation, post-stroke conditions;
• upper eyelid hernia;
• predisposition to swelling of the eyelids, drooping eyelids.

In general, approximately a fifth of beauty salon clients are refused Botox injections.

Consequences and effectiveness of forehead injections

1. How long Botox lasts depends on the rate of breakdown of the active substance. This is an individual indicator, but it does not exceed 3 – 6 months. To consolidate the result, 3-4 courses of injections are carried out, without waiting for the complete loss of effect after the previous procedure.

2. How long the effect will last is determined by the body’s immune abilities and the number of courses already completed: immunity is developed even to botulinum toxins.

3. Botox injections into the forehead sometimes lead to new wrinkles under the eyes. When injected into the bridge of the nose, the eyebrows may “spread” comically. This is explained by the complex mechanism of interaction between the frontal, interglabellar and periorbital muscles.

4. Side effects - the most common: headache, respiratory tract infection, swelling of the eyelids, pain in the injection area, temporary weight loss, nausea. With an overestimated dose of Botox or a low-quality drug, facial asymmetry and itching in the injection area are observed.

To protect yourself from negative effects, you should purchase products from official suppliers of botulinum toxin. Two companies send it to Russia legally:

• Allergan (USA, factory located in Ireland) - Botox drug, 100 units;
• Ipsen (France) – Dysport, 500 units.

5. If deformation does occur, most often there is no need to carry out additional correction. Patients ask the question: in how many days will the normal state of the face return? The recovery process lasts from 3 days to 12 weeks. Sometimes a specialist still recommends special rehabilitation measures.

6. Too short an interval between Botox courses and uncontrolled injections worsen the protective functions of the skin and weaken microcirculation in it.

Before undergoing a course of Botox injections, you should weigh the pros and cons; even in the absence of contraindications, it is recommended to alternate Botox injections with other anti-aging procedures.

Rules of care during and after a course of Botox

To prevent facial deformation after injections in the forehead or other facial area, you should not:

• touch, let alone massage the injection sites;
• strain your facial muscles for an hour after the injections;
• take a horizontal position for several hours after the procedure;
• do physical exercise the day you take Botox;
• take painkillers and antibiotics, get any vaccinations;
• visit the sauna and solarium, drink alcohol on the day of the procedure and for 10 days after it;
• do peeling for 3 weeks;
• take salty and spicy foods (3-4 days) so as not to increase the volume of fluid consumed and not provoke swelling.

If all recommendations are followed, Botox injections into the forehead not only eliminate facial wrinkles, they also relieve migraines and facial spasms.

Varieties

Botulinum therapy is not limited to Botox alone. Botulinum toxin is contained in varying concentrations in the Chinese Lantox, Russian Relatox, French Dysport, German Xeomin, and Korean Botulax. The most suitable drug is selected individually by a specialist in accordance with the severity of wrinkles, the strength of facial muscles, and their symmetry. The cost of drugs varies, the most expensive is Botox. A cheaper drug may require more to achieve the desired effect, so the procedure may be even more expensive. The cost of drugs is in the range of 150-350 rubles per unit.

Botox is the most researched and predictable drug. But sometimes botulinum toxin entering the body can cause the production of antibodies, which leads to allergy symptoms. Typically, injections are first performed using Botox, and analogue products can be used for subsequent procedures. This injection scheme requires the cosmetologist to have extensive experience. To maintain the achieved effect, you will need to calculate the correct amount of the alternative drug.

The average way to calculate the permissible amount of the drug for the entire person is to calculate by age. The total number of years of the patient provides a guideline for total dosage. For example, a 40-year-old woman will need about 40 injections. Each area of ​​the face has several points for administering the drug. Typically, Botox is distributed evenly on both sides of the face. The largest portion falls on the eye and forehead area. Approximate dosage of Botox for all areas of the face and neck:

1. How many units of Botox do you need on your forehead? Deep wrinkles in the forehead area will require multiple Botox injections. To accurately identify wrinkles, you will need to frown your forehead. On average, the administered portion ranges from 10 to 30 units.
2. How many units of Botox do you need between the eyebrows? This is one of the most noticeable wrinkles, the so-called “proud muscle”. Eliminating them will require from 10 to 25 units. Over time, eyebrows begin to hang over the eyes, giving a stern look to the face. You can lift them by giving Botox injections in a dose of 2 to 5 units.
3. How many units of Botox do you need on your eyes? For each side of the face, to eliminate crow's feet, you will need from 5 to 15 units. You can inject several units of the drug under the eyes to relieve signs of fatigue.
4. The amount of the drug to lift the corners of the lips is from 5 to 6 units. The substance helps to correct their shape, but does not add volume. You can increase the size of your lips using an additional procedure for introducing fillers with hyaluronic acid. Botox also smoothes purse-string wrinkles that form around the lips, characteristic of smokers.
5. To get rid of “rabbit” wrinkles on the nose and bridge of the nose, you will need from 5 to 10 units of the drug.
6. Nasolabial folds are folds caused by gravity. They become especially noticeable after the age of 40. To relax the muscles you will need about 6 units of Botox. Filling the folds will require the use of hyaluronic acid filler.
7. You can smooth out wrinkles in the chin area by injecting from 2 to 6 units. The jaw contour is smoothed out after a dose of 40-60 units of the drug.
8. To rejuvenate the front and sides of the neck, you will need from 25 to 50 units.

With the help of Botox, you can correct the oval of the face, deformed as a result of bruxism. Hypertonicity of the jaw muscles leads to an increase in the volume of the jaw, it acquires a square outline. In addition, the drug is used to combat hyperhidrosis. Relief from sweating occurs after administering up to 50 units of the substance to each armpit.

The maximum dose of the drug per procedure is no more than 250 units. The dosage calculated in relation to Botox may not correspond to its analogues. The concentration of botulinum toxin in generics differs from the original, so each drug has its own measurement of units. An incorrectly calculated dose leads to unpleasant consequences. A smaller amount of the drug does not produce results. An excess of the substance leads to too much muscle relaxation, up to temporary paralysis, turning the face into a mask.

Drug manufacturers

The most famous drugs of the botulinum toxin group:

Botox

The brand has become the personification of the procedure, produced by an American company. Over the years of use, the drug has proven its effectiveness and safety. The hypoallergenic stabilizer eliminates the occurrence of unexpected reactions.

Botulax

The South Korean drug was recently registered in Russia. Short practice showed not only positive results. Many patients note a number of side effects, as well as short-term effects. The only thing that captivates is the affordable price.

Dysport

A popular drug for anti-aging injections. A special feature is the reduced concentration of toxin compared to the original. Therefore, more units will need to be administered to obtain the desired effect. Results appear within a few days, but the toxin tends to migrate and may not spread to the target muscles.

Relatox

A domestically produced product, it is characterized by painful injections. But the correction effect will please you for quite a long time - up to 9 months. You will also be pleased with the cost - several times cheaper than foreign analogues.

Xeomin

Produced by a German company, it is recommended for the first botulinum therapy procedures. The toxin has a high degree of purification, which reduces the risk of allergic reactions and side effects.

Lantox

Produced in China, patients note that the procedure is painful. Allergic reactions often occur. The main advantage is the prolonged action of 10 to 12 months.

Advantages and disadvantages

Botox injections allow you to correct facial imperfections and cope well with deep age wrinkles. They are practically safe and rarely cause side effects.

However, before visiting a cosmetologist, you should carefully read the disadvantages of this procedure:

• After injections, asymmetry of the right half of the face is possible.
• The wrong choice of dosage causes ptosis of the eyelids (up to complete loss of mobility).
• Has a solid list of restrictions.
• Botox is addictive. Therefore, each subsequent session will give a less pronounced effect.

The cost of injections is quite high compared to drug analogs produced in Europe and Russia. This is also a significant drawback.

How is the procedure done?

First, the doctor determines the areas where Dysport will be injected. If you need to remove wrinkles, the doctor will ask you to tense the desired muscle (squint your eyes, wrinkle your forehead). If the drug is needed to treat excessive sweating, then the procedure itself is preceded by a test with iodine and starch. This determines the area of ​​greatest activity of the sweat glands.

The selected zones are marked with dots - injections will be made there. The injections are made with the thinnest needles, so they are usually easily tolerated by patients. But if necessary and at the request of patients, injection sites can be treated with anesthetic cream.

What is the difference between Dysport and Botox

Despite the fact that Dysport and Botox have the same active ingredient (botulism toxin), the drugs still differ from each other. At the same time, it is fundamentally wrong to say that one of them is more effective and the other less.

Both drugs contain human albumin, but Botox additionally contains sodium chloride, and Dysport contains lactose. Sodium chloride is a so-called saline solution, which is used for intoxication, to prevent blood clotting, and maintain water-salt balance in the body. In a word, the right tool. Lactose is a natural organic compound that belongs to the group of carbohydrate saccharides. It is also called milk sugar. In principle, it is a source of energy. But some people may become lactose intolerant. You need to remember this and tell your cosmetologist.

In terms of effectiveness, Botox and Dysport are equivalent. The duration of action of the drug in tissues does not depend on how more or less concentrated it is. Clinical studies have proven that the effect of both Botox and Dysport is almost the same in duration. And when these drugs begin to degrade from the skin depends solely on the strength of metabolic processes in the human body. The stronger the metabolism, the less the effect of the injection lasts. The weaker the longer.

How is the procedure performed in the clinic?

Don't rush to find yourself in the doctor's chair when you come to the clinic or salon. Botox injections should be preceded by skin preparation and communication with a doctor.

What to do a few days before the procedure

If you have decided to undergo injections, it is important to properly prepare your facial skin for them. The injections will affect muscle tissue, so the recommendations are not limited to just superficial cosmetic recommendations, the whole body needs preparation

Botulinum toxin injections are incompatible with alcohol, drugs, and nicotine. At least a week before your visit to the salon, you should stop consuming:

• alcoholic drinks;
• aspirin;
• anti-inflammatory drugs.

If you are taking any medications or nutritional supplements, you will need to stop taking them 7-10 days before your beauty injections.

Consultation before Botox

It is important for the physician to know some personal information about the client. Be prepared to answer the following questions from the doctor:

• Have you had Botox done before: when, where and how many times?
• Tell us about any allergies you have to medications.
• Are you taking any of the following medications: sleeping pills, blood thinners, muscle relaxers?
• Do you smoke?
• When was the last time you drank alcohol?

Answer these questions honestly so your doctor can develop the ideal treatment plan for you.

Botox injections: step-by-step description

The procedure is safe and almost painless. The cosmetologist will perform the injections in a few minutes. If you are only interested in the forehead, it will take no more than 15–20 minutes. The step-by-step process looks like this:

1. The skin is cleansed, injection sites are disinfected.
   The skin is cleansed of impurities and sebum
2. The doctor marks the sites of future injections.
   Marking is done with a skin-safe marker that does not leave marks for a long time. Dots are placed with a cosmetic pencil
3. An anesthetic gel is applied to the forehead.
   This is a local anesthetic containing 5% lidocaine. Sometimes it is replaced with cold. Ice is applied to the injection site. Future injection sites are treated with anesthetic gel
4. The doctor withdraws the required amount of the drug into the syringe.
   The drug is taken into the syringe in front of the client, this ensures the safety of the procedure
5. The drug is injected under the skin.
   A needle with a tiny needle gauge is used, this reduces pain and the risk of infection to a minimum. The same needles are used for acupuncture; they leave no marks and do not cause pain. Swelling forms at the injection site, which disappears in a few minutes

The muscles that form deep wrinkles are blocked with several injections. Sometimes up to 3 injections are required for one fold if it is pronounced.

Recommendations after the procedure

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How many units of Botox do you need - general rules

Botox injections to the forehead must be performed in a medical institution that is licensed to perform botulinum therapy. An experienced doctor usually does not make any marks on the patient's face. Before the “beauty injection,” the cosmetologist asks the person to frown well: this makes it easier to feel the muscle that contributes to the formation of wrinkles. The doctor then injects the drug into the appropriate area.

So how many units of Botox do you need on your forehead? To smooth out wrinkles in this area, an average of 10-30 units of Botox is needed. It should be remembered that the effect of botulinum therapy is not immediately noticeable. This is the significant difference between this cosmetic product and filler.

Does skin type matter when determining botulinum toxin dosage?

Before deciding how much Botox to inject into the forehead, you should pay attention to the patient's skin

• People with oily skin usually have fewer wrinkles, but they are deeper, so the amount of the drug administered must be increased.
• If the patient has thin skin, the dosage of botulinum toxin will be small. This category of visitors to beauty salons has much fewer wrinkles, they are superficial.

Does the patient's gender matter?

Currently, Botox is also popular among men. They also want to look attractive and young. Men's facial expressions are more active than those of the fair sex. Their skin is denser and wrinkles are deeper. Therefore, the dosage of botulinum toxin will have to be increased.

Botox didn't help with forehead wrinkles - is it due to the wrong dosage?

It is extremely rare that the drug is powerless against age-related skin changes. This happens in 0.1% of cases. If a person has had botulism or another infectious disease in the past, the causative agent of which is botulinum toxin, he develops a kind of “immunity” to this substance. There are no tests that will determine the body's resistance to this drug. Increasing the dosage in this situation will not help; the person needs to choose another rejuvenating technique.

Another reason for the ineffectiveness of botulinum therapy may be the use of antibiotics from the aminoglycoside group. In this case, you need to stop taking the medications and repeat the cosmetic procedure after two weeks.

In all other situations, the lack of a pronounced result is most often explained by the administration of an insufficient dose of the drug. You can try injecting more Botox.

How long does the Botox effect last?

The effect of the procedure will appear gradually. But a cosmetologist will be able to assess the future result immediately after administering Botox. On the second day, you will begin to notice the smoothing of wrinkles on your own, and the maximum effect will appear after 14-21 days.

Botox dissolves over time, so failure to block the muscles will cause wrinkles to appear again. Often women are interested in how long 20-30 units of the drug lasts for the forehead and between the eyebrows. After 6-8 months, you need to visit a cosmetologist for repeated rejuvenation. In subsequent times, the volume of the administered drug is reduced, since the neurotoxin accumulates in small doses. Therefore, each new procedure will have the same effect, but for less money. The cosmetologist will decide exactly how many injections will be needed after the examination.

The duration of the Botox effect depends on metabolism, so in women over 40 years of age, muscle immobility remains longer. If lip correction is performed, their volume is reduced depending on the original size. In thin lips, the drug naturally dissolves faster.

How to determine your individual dosage

The dosage of the drug should be determined by a cosmetologist, dermatologist or plastic surgeon who will conduct butoloxin therapy. The decision is based on studying the characteristics of the skin, age and gender of the patient. Women are given more units than men; those with dry skin require fewer units for the entire face (average 20-30).

Most often, the specialist first makes the required number of injections in the area between the eyebrows and forehead, and after a few weeks looks at the skin’s reaction. The furrows are refilled with neurotoxin after two weeks if the wrinkles are still visible. The maximum number of units is calculated based on the patient's age. At 35 years old, no more than 35 injections will be required, at 50 years old - no more than 50.

The result of a cosmetic procedure depends on the following factors:

• correct dilution of the drug;
• compliance with the shelf life of butolotoxin;
• use of freshly diluted product (4-6 hours after dilution);
• inserting an insulin needle into the correct place through which the drug will spread and react;
• taking into account previous wrinkle corrections using Botox;
• correction zone.

During the rejuvenation procedure, one unit of Botox is carefully injected into the crease. Then the cosmetologist assesses the condition of the skin and distributes the product with his hands using a massage. If the specialist is satisfied with the appearance of the treated area, he moves on to a new point. If the furrows are not filled sufficiently, another injection is given.

Standard volume for different parts of the body

After the cosmetologist has explained what 1 unit of Botox is, the individual volume of the drug is calculated. To preserve the naturalness of the face, it is not recommended to administer more than 50 units; the main dosage falls on the upper part.

How much butolotoxin do you need for your face? Average dosage of the drug depending on the area of ​​administration:

• wrinkles on the forehead – 10-30 units;
• vertical creases between the eyebrows – 10-20 units;
• correction of eyebrow ptosis – 5 units;
• bridge of the nose – 5-10 units;
• chin – 6-10 units;
• nasolabial folds to lift the corners of the lips – 3-6 units;
• jaw line – 45-50 units;
• one point, injection – 1 unit;

Note! If a cosmetologist uses Dysport (an analogue of Botox), 2-3 times more of the drug is taken, since it contains less neurotoxin.

Many women are interested in how many units of Botox should be used on their eyes. If you want to refresh your look and remove crow's feet around the eyes, you will need up to 35 units. To raise eyebrows, 3-5 injections are enough. Botox is also used to enlarge lips and eliminate wrinkles on them (6-15 units).

If, in addition to injections in the forehead, you want to correct the body, the following dosage is used: neck - 50 units, armpits - 55 units on each side, feet or back of the hands - 60 units on each limb. These zones are popular among women over 60 years old, when the arms, legs and décolleté area begin to show the woman’s age.