Botox is one of the most common treatments requested and performed in our office. One of the most common questions is what areas should be treated with Botox and what dose of Botox should be used. These questions will be addressed here.
Botox is a purified protein used to address wrinkles associated with facial expression. The most common areas of treatment with Botox include the horizontal lines seen on the forehead when we raise our eyebrows, the vertical lines seen between the eyebrows seen when we frown, and the crow’s feet seen around the eyes when we smile or squint. When injected into the skin, Botox will relax the muscles and smoothen out the wrinkles. With any injection, there are risks including pain, bleeding, bruising, redness, swelling, tenderness, and infection. At A E Skin, we take special precautions to minimize these risks. For example, Dr. Alex has developed a painless Botox injection technique using cold air and our new tool the Beauty Bar, which serves as a vibrating distractor. Full results are seen two weeks after a Botox treatment, so patience is important. Most people enjoy the results of their Botox treatment for three to four months. After that a maintenance Botox treatment is recommended. After a Botox treatment, Dr. Alex recommends avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours and avoiding lying flat for four hours.
While the middle face, lower face, and neck are routinely treated with Botox, the upper face is the most common area treated with Botox. In order to maintain a harmonious balance of the upper face and eyebrow position, it is important to treat multiple muscle groups with Botox. To understand how this is performed requires a basic understanding of the muscles that move the eyebrows.
Muscle Groups in the Upper Face
The muscle that raises the eyebrow is called the frontalis and is located in the upper forehead immediately above the eyebrows. The muscles that lower the eyebrows include the glabella complex between the eyebrows centrally and the upper outer portion of the orbicularis oculi muscle at the corners of the brows. When the frontalis muscle is relaxed with Botox, it makes it more difficult to raise the eyebrows and the position of the eyebrows may move downward. On the other hand, if the glabella complex and the outer orbicularis oculi are relaxed with Botox, it makes it more difficult to lower the eyebrows. In order to maintain a harmonious balance in the position of the brows, it is important to treat all of these muscle groups with Botox. This generally requires a dose of 50 to 60 units. While many people find that this is a high dose, it is actually an appropriate dose of Botox for this region.