The Truth About Botox

Botox Cosmetic is America’s number one non-invasive cosmetic treatment. It garners great reviews, great results, and affordable access. With its ever-increasing popularity, sometimes we forget a few truths about this mainstream treatment. 

Truth #1: A full treatment is 84 units

According to the studies submitted to the FDA by Allergan, the recommended full treatment is 84 units. 20 units will be used for the glabella (area between and slightly above the forehead) lines, 24 units will be used for crow’s feet and 40 units will be used for the forehead lines. 

FDA study here - link here  -

Truth #2: A full treatment is better than partial treatment.

Can you get fewer units? Yes, patients ultimately choose how much Botox they want. If you are on a budget, we recommend focussing your budget on getting a full treatment in your desired areas. For example, if you only want to spend on 40 units, then you can choose forehead lines OR crow’s feet and glabella. Do not try to spread the units to all areas or you will not get any results. 

Truth #3: 10-15% of patients will not see improvement in facial lines

Like with any medical treatment, results can vary based on biology and results are not always 100% predictable. The study linked above treated subjects with the full dose of Botox and assessors graded line improvement. What they observed was that 10 - 15% of subjects had no noticeable improvement. 

Truth #4: 57% of patients will be satisfied with their treatment

Even with optimal dosing, Botox Cosmetic will achieve desired outcomes 57% of the time. The study doesn’t go into why patients aren't more satisfied with their treatments; However, our collective experience can perhaps shine some light. We recently spoke to a patient who was curious about Botox Cosmetic because she had a few lines on her forehead. Her question was “Will Botox Cosmetic help with this line?”. After asking her to do a few expressions we observed that her forehead lines were creased. This means that even without expression, the line is still visible. In this case, Botox Cosmetic will not help erase those lines. It will help prevent new lines from forming but creased lines will not see any improvement. We believe there is a disconnect in what and what cannot be accomplished with Botox Cosmetic.  

If I do have creased lines, what can I do about it? 

Improving your creased lines is accomplished using one principle: force your skin to produce more collagen to repair itself. Luckily, there are various ways to stimulate collagen production:

The last piece of advice for patients looking to improve creased lines is the following: 

Combination treatments work best!

The best results and the most satisfied patients approach creased lines with a combination of topical products, laser resurfacing, and exfoliation treatments. Improving creased lines takes commitment, consistency, and science. 

Oscar Bueno

You Might Also Enjoy...

Factors That Improve Your Tattoo-Removal Chances

Whether they were trying to make a unique statement, or pledging affection to someone, millions of people get tattoos and later regret them. Find out what improves the success of removing an unwanted tattoo.

Why Do I Have Hyperpigmentation?

Your skin will go through many changes over time, and some can create dark patches. This is called hyperpigmentation, and you can have it for a number of different reasons. Read on to find out more.

Who Can Benefit from Lip Fillers?

Whether you’re trying to correct asymmetry or just trying to give your lips a fuller appearance, lip fillers are a way to help you get the look you want. Read on to find out more about who benefits from this treatment.