Cosmetic Surgery Tips

How Many Units Of Botox For Downturned Mouth

Botox is the brand name for Onobotulinumtoxin A, a neurotoxin derived from the bacterium, Clostridium botulinum. But Botox isn’t the only botulinum toxin brand. Currently, there are multiple FDA-approved botulinum toxin type A (BoNT-A) brands for cosmetic facial wrinkles including Xeomin, Dysport, Jeuveau, and most recently Daxxify (2022).

A skilled injector can use Botox to treat wrinkles caused by repeated muscle movement. The toxin temporarily freezes the muscle at the injection site — allowing it to relax and smooth out the wrinkles.

How Many Units Of Botox For Downturned Mouth

As a general rule, it doesn’t take much botulinum toxin to do this, and if your practitioner charges by the unit as we do in the forehead area, it’s a pretty inexpensive injection. We only use four to five units per side. So, it’s 8-10 units to elevate the corners of the mouth. Some injectors will say that because they’re doing a region, they’re going to charge more. They’re not going to charge by the unit, because they don’t make a whole lot of money on a little tiny injection like this of only eight to 10 units.

As a general rule, if you charged by the unit, this injection can be done for $130 to $170, in that range.

How Many Units Of Botox Is Typical

Botox comes in dosages between 50 and 100 units per vial. Some practitioners say they inject an average of 10 to 30 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.

The number of botox units will vary from person to person and will depend on multiple factors including:

  • specific area being treated
  • individual aesthetic goals
  • gender — men generally need more Botox than women
  • muscle strength
  • metabolism

Botox treatments are minimally-invasive cures for fine lines and wrinkles, without the side effects or risks of plastic surgery. The most popular areas for treatment on the face are the glabella (frown lines), forehead, crow’s feet (around the eyes), and neck.

All units are estimates and the right amount will be determined during a consultation with Dr. Saber, where individual needs and aesthetic goals will be discussed.

How many units of Botox

HOW MANY BOTOX UNITS FOR 11 LINES (FROWN LINES)?

Frown lines are also referred to as “elevens” and glabellar lines. These vertical lines are found between the eyebrows and are caused by habitual facial expressions where the forehead muscles squeeze inward, i.e. furrowing the brow. Treatment of frown lines is the most common cosmetic use of Botox.

The amount of Botox used in this area can range from 10-25 units.

HOW MUCH BOTOX FOR CROW’S FEET?

Crow’s feet (also called periorbital lines or lateral canthal lines) are wrinkles that branch out from the outer corners of the eyes while smiling or squinting.

Crow’s feet are the second most frequent cosmetic use of Botox. The results here are excellent. The amount of Botox used in this area can range from 4-20 units.

HOW MANY BOTOX UNITS DO I NEED FOR FOREHEAD LINES?

The large facial muscle that overlies the forehead is called the frontalis muscle. When the frontalis muscle contracts, the brow raises and horizontal lines form. During the aging process when collagen and elasticity in the skin diminish, the horizontal lines remain. Botox injections smooth these forehead wrinkles.

The number of Botox units in multiple injection sites can range from 10-30.

HOW MANY UNITS OF BOTOX DO I NEED FOR NECK LINES?

Horizontal neck wrinkles and fine lines are caused by the platysma (neck muscle). It rises from the chest up to the sides of the neck, to the lower face covering the jawline.

When the skin around the platysma loses laxity and volume, the muscle becomes prominent in the form of neck (platysmal) bands. When younger, the bands only appear when the muscle contracts. As we age, the bands become noticeable even when the muscle is relaxed.

The platysma also pulls down the skin of the face and creates the appearance of sagging skin, also known as jowls. This is due to years of active muscle movement in this area. 

Botox targets the platysma, resulting in a smoother and tighter-looking neck. Botox in this region also improves the skin along the jawline for a tighter, more contoured look.

The amount of Botox used in this area can range from 25-50 units.

HOW MANY UNITS OF BOTOX DO I NEED FOR BUNNY LINES?

Bunny lines are tiny creases right below the ridge of the nose, often referred to as nose wrinkles. They appear more pronounced when smiling or laughing but are not normally visible when the facial muscles are at rest.

These creases or wrinkles deepen due to aging. Botox injections on each side of the nose smooth the wrinkles. The amount of Botox in this area can range from 5-10 units.

HOW MANY UNITS OF BOTOX DO I NEED FOR PEBBLE CHIN?

Pebble chin is also known as orange peel chin due to the bumpy and uneven texture of the skin in the area. The dimpling and wrinkling are caused by an overactive mentalis (chin) muscle.

This condition is easily treated with Botox injections which relax the chin muscle. This is considered an off-label use (not approved by the FDA). The amount of Botox in this area can range from 4-10 units.

HOW MANY UNITS FOR A BROW LIFT?

A Botox brow lift treats frown lines between the brows AND elevates the height of the eyebrows. Botox injections work by relaxing the underlying muscle between the brows to smooth the skin. This allows forehead muscles to pull up the now-relaxed muscles between the brows, elevating the brows and opening the eyes.

A typical treatment would be 15-30 Botox units.

HOW MANY UNITS OF BOTOX DO I NEED FOR THE CORNERS OF THE MOUTH?

When the corners of the mouth turn down due to aging, a person can appear older. Botox relaxes the depressor anguli oris muscle, responsible for the downturn allowing for a more relaxed expression.

Botox smooths the facial folds and lifts the corners of the mouth. The number of units in this area can range from four to five units per side.

How Many Units Of Botox For Smile Lines

Laugh lines or smile lines appear as folds in the skin on both sides of the nose to the corners of the mouth. When younger, the folds appear only when smiling or laughing, then disappear as the face relaxes. Over time, the lines become deep, permanent wrinkles and are present whether smiling or not.

The amount of Botox used in this area ranges from 5-10 units per side.

The doctor-recommended cosmetic treatment for loss of volume and fullness in the face is dermal fillers.

20 Units of Botox Before and After

Many individuals turn to Botox injections to reduce the appearance of wrinkles and fine lines on their face. Botox is a neurotoxin that temporarily paralyzes the muscles in the treated area, resulting in smoother skin. One common dosage for Botox injections is 20 units, which can provide noticeable results before and after treatment.

Before receiving 20 units of Botox, patients should consult with a qualified healthcare provider to determine if they are a suitable candidate for the treatment. During the consultation, the provider will assess the patient’s facial muscles and skin condition to determine the appropriate dosage and injection sites.After receiving 20 units of Botox, patients may experience some mild side effects such as redness, swelling, or bruising at the injection site. These side effects typically subside within a few days. It is important for patients to follow post-treatment care instructions provided by their healthcare provider to ensure optimal results.

Benefits of 20 Units of Botox
  • Reduction of wrinkles and fine lines

  • Improved overall appearance of the skin

  • Temporary paralysis of facial muscles


  • Before and After Results

    Before receiving 20 units of Botox, patients may have visible wrinkles and fine lines on their face, particularly around the eyes, forehead, and mouth. After treatment, the muscles in these areas will be temporarily paralyzed, resulting in smoother skin and reduced appearance of wrinkles.Overall, 20 units of Botox can provide significant improvements in the appearance of wrinkles and fine lines on the face. Patients should discuss their treatment goals and expectations with their healthcare provider to ensure they achieve the desired results.

    How much does a unit of Botox cost?

    Pricing for Botox treatment depends on:

    • geographic area
    • professional expertise – board-certified plastic surgeon or dermatologist versus a licensed injector at a med spa
    • how many Botox units are needed
    • the area being injected

    In general, the Botox average cost per unit is $19 to $25 in large cities, and as low as $10 a unit in smaller cities.

    If this is the first-time considering Botox injections, a treatment plan will be implemented based on individual needs and the most effective course of action. A personal consultation with an experienced plastic surgeon can help clarify your skin care needs, treatment areas, and treatment options.

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