Cosmetic Surgery Tips

How many units of botox for forehead first time

There are lots of things that can cause wrinkles on your forehead. You may have a habit of squinting or frowning, or you may have been in the sun a lot. These are common causes of wrinkles on the forehead.

One popular way to treat forehead wrinkles is with Botox, which is an injectable treatment that relaxes the muscles and helps to smooth out your skin. Botox is a quick and easy treatment to get, and most people are able to do it during their lunch break.

Botox is one of the most popular cosmetic treatments in the world today, and it’s become a go-to for women (and men) who want to look younger without surgery. It’s safe, effective, and has few side effects.

Botox works by relaxing the muscles in your face, which allows them to smooth out any wrinkles on your skin. It can help reduce fine lines and crow’s feet around your eyes, as well as frown lines between your eyebrows and forehead creases that run across your brow or up toward the hairline.You may be wondering how many units of botox you need for your forehead if it’s your first time getting injected with this product. This article will explain what you

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information onHow many units of botox for forehead first time, 40 units of botox before and after. Read on to learn more. We at collegelearners have all the information that you need about how many units of botox for forehead and eyes. Read on to learn more.

How many units of botox for forehead first time

botox video image, mr garberich, master injector, how many units of botox do i need

I’m about to answer a question I get frequently, which is how many units of Botox do I need?  Usually we are talking about the common areas, which are the forehead, the crow’s feet or wrinkles around the eyes and the frown area.  Botox is measured in units, and Allergan, the makers of Botox, has different recommendations for each area.  By the way, I use Botox because it is the only FDA approved product for all three of these areas.

The Guide to Botox

According to Allergan’s guide, it is twelve units for the crow’s feet or wrinkles around the eyes to get the desired result.  That means 24 total units because we have two eyes.  On the forehead, there are two different areas.  Right above the eyebrows and in between the eyes is called the frown lines.  According to the recommendations, this requires 20 units.  And finally, for the lines further up the forehead, which we just refer to as forehead lines, it takes 20 units of Botox.  That’s a total of 64 units to treat all three areas.  However, remember I said this was just a guide.

Everyone is Different

I have some clients, especially men, who need a little bit more than that.  Men tend to have stronger face muscles, which means they need more Botox to inhibit those muscles.  I have one guy who needs fifteen units on each side of his eyes to eliminate the crow’s feet, thirty units for his frown lines, and 20 units for his forehead wrinkles. That is a total of  seventy-two units.  However, I have female client who needs seventy units in her forehead alone, and another female client who only needs fifteen units.

Less Is More

I personally think that 64 units is a bit too much.  Unless I know you and we’ve worked up to optimal amount of units, then we are going to start with less.  Especially if it’s your first time.   I like to start conservatively and add more at your two-week follow up appointment if it’s necessary.  Botox is at its peak at two weeks, so it’s a great time to look at the results.  Remember we can always add more Botox, but we can’t take it out.  Botox interrupts the signal from the brain to the muscles, which essentially weakens the muscles.  That means we don’t use them as much and wrinkles don’t appear from using the muscle.  If the Botox is already in the muscle, it takes three to four months to wear off.  This is a great duration if we like the results. However, if you don’t, there is nothing you can do to undo it.

A Visual Guide

Below is a guide that we have put together to give you a visual representation of what I talked about above as well as other areas that I can treat with Botox injections.   Botox treatment can be useful for areas you would never think of, which makes my job lots of fun. I can give you a brow lift or eliminate the bunny lines on your nose when you scrunch your face up.  If you smile and have a large part of your gums showing, I can put a few units of Botox on the sides of your nose to eliminate the appearance of a gummy smile.  I can also elevate the corners of your mouth or  do what is called a lip flip, which is turning the top lip up to make it appear fuller.  I can slim the appearance of your jawline, as well as get rid of dimples in your chin.  Finally, I can soften the appearance of the neck bands, which becomes more prominent as we age.   The guide below will help you in understanding what to expect, though obviously it is not exact as I discussed above.

how many units of botox do i need, Guide to Botox, How much botox do i need, about face anti-aging institute, mr garberich, master injector

The best thing for you to do if you are interested in getting Botox treatment is to come in for a free consultation.  I can evaluate your wrinkles and make a recommendation, and we can move forward together.  Give us a call or text us at (254) 781-8169 to set up a free consultation or click the link above.  See you soon!

40 units of botox before and after

“Are you serious?” gasped my patient. “You’ll put only 14 units in my frown? But the other clinic said I must have 20 units, or it won’t work!” 

I’ve heard this many times. You’re told 20 units is the only correct dose to treat a frown.

But is it true?

In my experience, no, it’s not.

This is just one of the common Botox myths that costs money and could stop you from getting the most natural result.

It’s not the only one.

Here are 5 Botox myths I’ve encountered over the years that I’d love to share with you.


Where does this come from?

Actually, there’s good research behind the number twenty. Studies show that 20 units in the frown last a lot better than 10 units and almost as well as 30 units.So 20 is a sensible, efficient number, and I do treat many people with 20 units. Just not every person.

Just as our bodies are different shapes and sizes, the muscles in our faces vary in size and strength too. Some people have big strong frown muscles and others have small weak ones.

There are other variables too, like how long you’ve been having Botox or your age. Facial muscles tend to weaken when they’re not used, just like the muscles in our body.

This means that the right dose for your frown could be less than 20 units, especially if you’ve been having Botox for a couple of years.

My Botox dose for a frown ranges from as low as 4 u to as high as 30 u.

botox myths debunked by research

4 units are very low. When would I use that little?

Imagine a person with small frown muscles who wants to keep some ability to frown to express emotion. They would need only a slight weakening of a portion of their frown muscles. In this patient, 4 units is enough to weaken her frown for 10 weeks. This surprised me! I thought she would require much more. If I hadn’t dropped the dose, I would never have know such a tiny amount could have this effect. 

It goes to show how variable the human body can be.

When would I use 14 units? A great example would be a 45-year-old woman who’s had regular Botox for the last five years. After repeated treatments, her muscles have “forgotten” how to frown. Now she only needs 14 units every four months.

So, when do I use the classic 20 units? Take a 40-year-old frowner having her first-ever treatment. With strong muscles and a goal of maximum effect, I’ll give her 20 units.

Even if you need 20 units for the first few treatments, I’m often able to reduce the dose to 14 to 16 units once you’ve lost the habit of frowning.

Will it last as long?

That’s an important question because how long your treatment lasts depends on the dose.

20 units are expected to last for 4 months. A smaller dose may wear off more quickly, and you might need treatment earlier than 4 months. Even so, when I chose the right person, I often find a lower dose holds for a full 4 months.

I’m not alone. Plastic surgeon Steven Liew agrees that 20 units are too much for many frowns, especially after a few years of regular treatments. He only gets 12 units in his own frown, and men usually need higher doses. After years of treatment, I get just 5 units in mine.

Dr Sarah Hart and Dr Steven Liew

So why do other clinics have a 20 unit rule?

A one-dose policy is just simpler.

If you have a chain of clinics with high staff turnover and a limited budget for training, taking a “Macdonald’s” one-size-fits-all approach is sensible. I guess if you’re profit-focused, it might also sell more Botox.

That’s not how I operate.

I want my patients to look the best they can, and I think using more Botox than necessary does not look as good.

You won’t automatically get 20 units in your frown from me.

Years of delivering Botox has taught me how to predict who needs more and who needs less. I’ll suggest a dose tailored to your muscle strength, the effect you want, and how long you want it to last.

Other clinics can keep their MacDonald’s approach – it’s not for me. Human faces aren’t like hamburgers.


Last week a 22-year-old asked me if she should start having Botox “to prevent lines. All my friends are doing it before they have lines. I don’t know why. They just feel they have to.”

Did she have any lines? None at all.

Does she need Botox? No, she doesn’t!

I don’t agree young women need to start using it before they even see a line.  Sure, it’s a great way to expand your customer base, if that’s the way you think. But it’s not necessary and I’m sure most 22-year-old women have better things to spend their money on.

Ok, if you have obvious resting lines between your brows at 21 and deep frown lines run in your family, then early Botox is justified, if you wish to avoid the family scowl. But if you don’t see a line at rest, then you don’t need Botox.

Let me repeat… If you don’t see a line at rest, you don’t need Botox

There’s no need to start before you can see a line at rest because Botox is very effective at improving lines. It’s completely capable of erasing a faint “static” line.

Wait until you see a line that that sits there when you’re not moving your face. It doesn’t have to be a deep line, but it should be just visible.

botox for forehead lines

Personally, I also think starting full-dose Botox too early could shrink your facial muscles too much, which could make you look older later down the track.

So, what should a line-free 22-year-old be doing to prevent wrinkles? 

In NZ, I believe sunscreen is the most important preventative, along with hats, sunglasses, and beach umbrellas.

Sun is still the number one culprit for ageing our skin.


Do you attend a clinic where the injectors change as fast as Auckland weather?

Do they tell you it doesn’t matter who does your treatment, you can see anyone, and they can follow the same pattern? Yeah, Nah… I don’t agree.

Botox is an art and a few millimetres difference in injection location can make a big difference to your result.

Years ago, I learned a really good lesson.

My boss had gone on holiday and I was treating his patients. He’d drawn diagrams of his previous injection patterns in the notes. The diagram for one patient seemed pretty likely to drop her brows to me, but since it had worked for him, I followed it. Disaster! Sure enough, two weeks later her brows were flat.

I kicked myself. I should have followed my instincts. His diagram made sense to him and worked well, but obviously, my interpretation was a few millimetres different.

Yes, even a few millimetres difference in injection points is enough to drop your brows instead of lifting them or alter your smile when blending the “bunny scrunch” part of your frown.

Detail is everything for getting a great result and injectors develop their own style. Mine is “super-natural, look-like-yourself, can-still-lift-your-eyebrows”. 

Find an injector that has a style that suits you and stick with them.

Good Botox is art, just like a good haircut or brow tattoo.


Botox means frozen, yes?

Your face should be mirror-smooth with zero ability to frown or lift your brows, otherwise, it’s not enough and it needs a top-up. No, nope, wrong!

Years ago, frozen faces were quite common. Many took the “American” approach of bigger is better and smashed those muscles hard.

This eradicated all movement in the target muscles leading to a blank smile and no eyebrow raises.

Then the French got hold of Botox and applied their stylish taste, sprinkling it around gently. This helps the treated area blend seamlessly with a gentle gradient of movement rather than patches of paralysis.

I much prefer this approach. I think a face that moves is genuinely more beautiful, especially with happy emotions. Faces look better when you keep a little crinkle at the corner of the eyes when smiling.

botox to improve lines

Less is more, and it’s also more cost-effective. You’ll see fewer lines, but still, be able to lift your brows to say a Kiwi hello. 

Subtle sprinkles of Botox can work wonders. Let’s kick the frozen look to the side-line.


This one is true. But it’s not the whole truth.

Botox is absolutely my first go-to for frown lines, forehead lines and crow’s feet. There’s nothing like it for fading these wrinkles.

But when a sprinkle of Botox doesn’t improve your lower crow’s feet, do I reach for more Botox? Nope.

More Botox here leads to a hollow at the eye corner and weird bunching of skin when you smile, called “shelving”. Instead, it’s time for filler.

before and after photos of crows feet

When I see the lower crows stretching down the cheek towards the smile lines, that tells me your face has lost fat. We call this “volume loss”.

Our face loses fat as we age, and it shows up earlier if you’re really lean.

Filler is a great replacement for fat. Adding a little filler also helps subtly relax the same muscles we target with Botox, without completely stopping movement.

Gently influencing muscle action in this way is called “myomodulation” and it means filler can be used to enhance your Botox result for an even more natural-looking improvement.

before and after botox

Here’s my patient smiling. She doesn’t like her lower crow’s feet, but she already has some fat loss around her eye with slight hollowing, so I didn’t want to risk making this worse with Botox. Instead, I placed filler in her cheek to lift and support the muscle around the eye. You can see that her skin is hydrated, and her crow’s feet are improved without any “shelving”.

Filler can be a wonderful addition to improve lines that keep your face in balance and avoids the temptation to use too much Botox.

I hope you’ve found learning about these five myths useful.

I’m passionate about using injectables in the most artistic and tasteful ways possible.

Botox is a mixture of art and science, and most of the time, less is more. I think that knowing this will help you get a more natural-looking result and could even save you money.

Botox® is a Prescription Medicine containing 100 units of botulinum toxin type A for injection. It is used for the treatment of frown lines, forehead lines and crow’s feet. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Cautions: People with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning/stinging, bruising, swelling or redness at the injection site, local muscle weakness including drooping eyelids/eyebrows, swollen eyelids, skin tightness, tingling sensations, itchiness, nausea and flu like symptoms. If you have any side effects or concerns speak to your doctor. You will need to pay for this medicine. Normal Doctors visit fees apply.

Note: BOTOX® treatment lasts about four months and after this time further courses of treatment may be necessary. Speak to your specialist about your own situation

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