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Botox Injection Patterns and Dosing Guide

Botox Injection Patterns

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marina0701
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0% found this document useful (0 votes)
114 views8 pages

Botox Injection Patterns and Dosing Guide

Botox Injection Patterns

Uploaded by

marina0701
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

THE

BEAUTY
St o re BRAND

BOTOX ESSENTIALS
INJECTION PATTERNS

[Link]
BOTOX 02

THE

GLABELLA LINES
BEAUTY
St o re
Frown Lines
BRAND

LICENCED DOSES

4 4
4 4
4

OFF LABEL

1 1 1
4 4 1
4 4
4 4 6 6
4 4

WIDE STRONG
Wide insertion point of the corrugator muscle may leave It is common to increase the dose in men or women with
lateral activity without a small, superficial dose lateral obviously stronger muscles than average. Up to 80 units
to the mid pupil. have been found to have a similar side effect profile.

1 1
2 2 3 3
4 4 4 4
8 4

DOWN PULL CAUTIOUS


Dominant procerus & depressor supercilli may require Lower dose above the midpupillary line may decrease
stronger doses medially. eyelid ptosis risk.

THE BEAUTY BRAND STORE

[Link]
BOTOX 02

THE

LATERAL CANTHAL LINES


BEAUTY
St o re
Crows Feet
BRAND

LICENCED DOSES

4 VARIANT
30

4 1.5 - 2CM 1.5 - 2CM


4
4
30
4
4

OFF LABEL

2 2 4 4
4 3
2
4 2
2
2 4 1

More gentle results may be attained, preserving some Higher Doses are Over-treatment is a risk. In
activity but also reducing longevity. Even less may be sometimes required in some cases, a sag or a
appropriate in some cases. 1,1,1 or 2,2 is in the realm of people with stronger than ledge around the eye can
‘baby botox’ for mild results and normal expression. average orbicularis oculi occur, and a more
muscles graduated dose may
reduce the risk of this.

1
4 4 4 2
4 4 4
4 1.5

2 4 1 4

Lower dose inferiorly may reduce the “pinched” look Under eye lines are sometimes Superiorly there can be activity
caused by the relative dominance of central muscles treated as above. This can be outside of the licenced areas,
disappointing if the energy is and small doses superficially
after a treatment. Lip elevators, and medial orbicularis
coming from the zygomatic administered can soften lines
oculi. muscles. This area is important
and aid lift in this area.
for expression.

THE BEAUTY BRAND STORE

[Link]
BOTOX 02

THE

FOREHEAD LINES
BEAUTY
St o re BRAND

Licensed for forehead lines - not brow lift


LICENCED DOSES

4 4

4 4 4

LICENCED DOSES

2-4 2-4 2-4 2-4 2-4

Licenced patterns are designed to give acceptable results to the greatest proportion of people treated. They
therefore are less good at treating anyone with atypical. You can see that there are areas of untreated muscle in
these diagrams which may result in follow up or undesired results in some cases. What follows are some variations of
the patterns that enable tailoring of the treatment design to different shaped foreheads and to create different
results, such as change the brow shape instead of just softening the lines, which these lines.

THE BEAUTY BRAND STORE

[Link]
BOTOX 02

THE

FOREHEAD LINES VARIATION


BEAUTY
St o re BRAND

Treatment Designs
Foreheads are highly variable, as are the desired goals from botulinum toxin treatments. Eyebrow lifts, frozen or soft
treatments are often requested in the context of a wide variety in the physical size and dynamic characteristics of
foreheads. The skilled clinician must learn to design treatments around all these variables, as the licenced dosages
reveal their limits in many of these contexts.

It’s vital to understand that both licenses are for treatment of horizontal lines, and do not claim to prevent brow
ptosis as a side effect. Variations below are ways of attaining lift and reducing the incidence of ptosis varieties of
dose and position.

SKIN CREASES 4 4 4 4
LIFT LIFT

DROPZONE
2CM

LATERAL MEDIAL

To understand the forehead, you must understand the 4 zones- lateral forehead is important for eyebrow lift, and
should be left untreated if an eyebrow arch is desired. Medial zone is the site of most lines in the average forehead.
The drop zone is higher risk for ptosis and eyebrow asymmetry.

1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1 LIFT
LIFT
SMALL SMALL 1 1 1 1
LIFT 1 1 LIFT

Most females look better with an angle in their eyebrow For bigger lifts, less toxin should be injected in the lateral
of about 15 degrees from the medial low point. To frontalis. There is an increase in resting tone of
achieve this you must leave some lateral muscle active untreated muscle when the medial frontalis is treated.
above the eyebrow. 3-4 cm of muscle untreated from
the orbital rim in a direction which would pull the arch. If NB: ALL SUGGESTED TREATMENTS IN THE FOREHEAD
too much is left you can get ladder lines. To soften them, ASSUME GLABELLA TREATMENT IS ALSO BEING
add a little more in the top of the triangle illustrated. PLANNED.

THE BEAUTY BRAND STORE

[Link]
BOTOX 02

THE

FOREHEAD LINES VARIATION


BEAUTY
St o re BRAND

Treatment Designs
2 2 2 2
2 2 2 2 2 2
2 2 2 2 2 2

AVERAGE FOREHEAD SHORT FOREHEAD


2 2 2 2 2 2 2 2

2 2 2 2 2 2 4 4 4 4 4 4

2 2 2 2 2 2 2 2 2 2 2

TALL FOREHEAD RARE HIGH LEVEL DOSE -EG LARGE


MUSCULAR MAN

LEARNING FROM POOR RESULTS The forehead is the hardest area of the face because it is literally a
balancing act.

It is essential to leave some parts untreated to support the eyebrows


and the medial forehead, but if you leave too much muscle it can lift.
Thus the boundary placement between treated and untreated muscle
is the deciding factor for results.

The licenced doses in my opinion risks a higher


than needed rate of forehead ptosis, and limits
TOO MUCH
the chance of a lift to the eyebrows- which are a
very
common request from females. On average they
also use more product in females than may be
TOO LITTLE required to get a good result, increasing costs
with limited benefit for many clients.

You can learn the most from seeing poor results and deciding what
may have caused the disharmony you can see. Greater
understanding through case studies will decrease the risk of poor
results with your patients.

Finally, remember that with foreheads more than any area, it’s
important to see the first treatment as stage 1 on a journey, and leave
room for a top up once you have gained some experience of the
patient's face. Brow drops are harder to fix than overly lifted brow lifts.

THE BEAUTY BRAND STORE

[Link]
BOTOX 02

THE

GLABELLAR LINES
BEAUTY
St o re BRAND

Frown Lines
LICENCED DOSES

10 10
10 10
10

LICENCED DOSES

10 10
1.5 - 2CM
10 10

10 10

Licenced patterns are designed to give acceptable results to the greatest proportion of people treated. They
therefore are less good at treating anyone with atypical. You can see that there are areas of untreated muscle in
these diagrams which may result in follow up or undesired results in some cases.

THE BEAUTY BRAND STORE

[Link]
BOTULINUM TOXINS

RECONSTITUTION GUIDE
THE

100u VIAL
BEAUTY
St o re BRAND

BOTOX XEOMIN LETYBO NUCEVIA

DOSAGE
AREA
PER UNIT

GLABELLAR 20-30 u
5u 2.5u 2u 1.25u
0.3ML SYRINGE

10u 5u 4u 2.5u

15u 7.5u 6u 3.75u

20u 10u 8u 5u

25u 12.5u 10u 6.25u

30u 15u 12u 7.5u


FRONTALIS 10 - 20 u

LATERAL
CANTHAL 8 - 12 u
Dilution 1 ml Dilution 2 ml Dilution 2.5 ml Dilution 4 ml LINES

DEPRESSOR 3-6u
ANGULI ORIS
5u 2.5u 2u 1.25u
0.5ML SYRINGE

10u 5u 4u 2.5u
15u 7.5u 6u 3.75u
20u 10u 8u 5u
25u 12.5u 10u 6.25u
30u 15u 12u 7.5u
35u 17.5u 14u 8.75u LLSAN 2-4u
40u 20u 16u 10u GUMMY SMILE
45u 22.5u 18u 11.25u
50u 25u 20u 12.50

LLSAN 4-8u
BUNNY LINESS

Dilution 1 ml Dilution 2 ml Dilution 2.5 ml Dilution 4 ml

MENTALIS 2-4u

10u 5u 4u 2.5u
20u 10u 8u 5u
30u 15u 12u 7.5
1ML SYRINGE

40u 20u 16u 10u MASSETER 20 - 40 u


50u 25u 20u 12.5u
60u 30u 24u 15u
70u 35u 28u 17.5
80u 40u 32u 20u
90u 45u 36u 22.5u
100u 50u 40u 25u
LIP FLIP 4-6u

Dilution 1 ml Dilution 2 ml Dilution 2.5 ml Dilution 4 ml PLATYSMA 20 - 50 u

THE BEAUTY BRAND STORE

[Link]

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