5 Important Things to Know About Botox

1. What is Botox?

  • Botox Cosmetic is an injectable cosmetic treatment used to reduce fine lines and wrinkles on the face

2. How is Botox used on the face?

  • Botox Cosmetic is FDA-approved for use on horizontal forehead lines, “11” lines between the eyes, and crow’s feet around the eyes

3. How many units of Botox are allowed on the forehead?

  • For horizontal forehead lines, practitioners can inject up to 20 units of Botox
  • For “11” lines between the eyes (or glabellar lines), up to 20 units are indicated
  • This means you can receive up to 40 units of Botox Cosmetic in your forehead

4. What other sites are safe for Botox injections?

  • Currently, lateral canthal lines (crow’s feet) are the only other FDA-approved site for Botox Cosmetic injections

5. How much does Botox treatment cost?

  • Per area of treatment, Botox Cosmetic can cost roughly $250 to $500
  • Costs are determined per unit and may vary

Botox Cosmetic is an injectable cosmetic treatment used to relax and smooth the appearance of wrinkles on the face. It paralyzes the muscles in your face temporarily through its active ingredient, botulinum toxin type A. Botox can be injected into the forehead between your eyes.

Botox injections for the forehead are treatments to smooth horizontal lines and vertical wrinkles between the eyes. The injections work to relax the muscles that cause these wrinkles to form.

Some people may choose to receive Botox injections in their foreheads to minimize the appearance of vertical frown lines and horizontal forehead wrinkles.

Even though the use of Botox in the forehead has been recently approved by the FDA, highly qualified practitioners are still cautious. That’s because while Botox can be effective at smoothing wrinkles, it can cause too much muscle relaxation, resulting in drooping or even uneven eyebrows.

The injection dosage must be carefully monitored.

Botox comes in dosages between 50 and 200 units per syringe. Some practitioners say they inject an average of 8 to 20 units into the forehead. Allergan, the manufacturer of Botox Cosmetic, suggests a dosage of 4 units each in five sites on the forehead, totaling 20 units.

Your practitioner may start out with a low-unit dosage in each injection at first. They will give you a few weeks, usually two to four, to see how that dose works for you. You may then receive a few additional units. From there, your practitioner will have an idea of how many units you need at later visits.

Generally, Botox injections are spaced approximately four months apart. When you first begin receiving injections, treatment results may not last as long. You may find that you need to return to your practitioner two to three months after the first treatment.

Botox is priced per unit. On average, each unit costs about $10 to $15. If you receive up to 20 units in your forehead, you could be looking at a total of about $200 to $300 for treatment of horizontal forehead lines. Forehead injections are often paired with injections for glabellar lines (lines between the eyebrows, which can also be treated with up to 20 units). Your units could total as much as $400 to $600 for these two areas.

The FDA has only approved certain sites on the forehead for Botox injections. These include horizontal lines across your forehead, as well as the glabella (the “11s” between your eyes). Even though they’re approved, treatments still require caution. Using too much Botox in the forehead can cause long-lasting cosmetic damage.

Botox Cosmetic injections are FDA-approved only for forehead lines, glabellar lines, and lateral canthal lines around the eyes (“crow’s feet”). Injections for lateral canthal lines may total up to 24 units.

In general, Botox injections are meant to last about four months. However, the effects of your first treatment could wear off sooner. If that’s the case, you’ll need a follow-up treatment sooner after your first appointment. After that, you should be able to expect your treatments to begin lasting longer.

You may not see results immediately after your treatment. Some practitioners suggest you should allow up to 14 days to see the effects of your injections before scheduling a follow-up appointment.

If you receive too many units of Botox, it can cause heaviness or drooping in the affected areas. Because the toxin used in Botox causes muscle paralysis, you won’t be able to move those muscles for a few months — until the drug wears off. Receiving too much Botox, in the right or wrong places, can also make your face look “frozen” and expressionless.

If your practitioner misses the appropriate muscles with the injections, that can cause you to have to repeat treatments because the Botox won’t have the desired result.

When it comes to finding the right practitioner to administer your Botox injections, you’ll want to make sure you choose a board-certified physician. Dermatologists, plastic surgeons, and otolaryngologists are your safest bet. Registered nurses, physician’s assistants, and other professionals may also be trained and certified to administer Botox.

Thoroughly research each person’s qualifications before you choose. If your practitioner isn’t a physician, you would still be safest to choose someone who operates out of a doctor’s office.

Botox Cosmetic injections for the forehead have been FDA-approved as a safe, effective treatment for smoothing lines and wrinkles. Choose a practitioner who is highly qualified and skilled at administering Botox injections, and carefully research them before you schedule an appointment. Results should last around four months between treatments.