dosing and injection guide

Question 1

What are the 3 FDA approved Botox injection sites?

Answer 1

Moderate to severe 
Forehead lines
Moderate to severe 
Lateral canthal lines
Moderate to severe 
Glabellar lines

Question 2

How many units are recommended for Moderate to severe forehead lines?

Answer 2

20 Units

Question 3

How many units are recommended for Moderate to severe glabellar lines?

Answer 3

20 Units

Question 4

How many units are recommended for Moderate to severe lateral canthal lines?

Answer 4

12 Units on each side

24 Units total

Question 5

True or False?

It is recommended to treat forehead lines in conjunction with glabellar lines to minimize the potential for brow ptosis

Answer 5

True

Question 6

Muscle that raises the eyebrows?

Answer 6

Frontalis

Question 7

Muscle that pulls the eyebrows in furrowing the brow?

Answer 7

Corrugator

Question 8

Purse string type muscle that makes eyes squint?

Answer 8

Orbicularis oculi

Question 9

True or False?

Lateral corrugator injections should be placed at least 1 cm above the bony supraorbital ridge

Answer 9

True

Question 10

Frontalis treatment pearls:

Answer 10

• Lateral injection sites can be 0.5 cm to 1.5 cm medial to the temporal fusion line, and the distance
between the brow and lower treatment row should be no less than 2 cm3
• When targeting the corrugator, inadvertently injecting the frontalis too shallowly may lead to
brow ptosis

Question 11

LATERAL CANTHAL LINES Pearls:

Answer 11

• If lateral canthal lines are above and below the lateral canthus, use injection pattern 1
• If lateral canthal lines are primarily below the lateral canthus, use injection pattern 2
• Injections should be given with the needle bevel tip up and oriented away from the eye

Question 12

Glabellar injection pearls:

Answer 12

Avoid injection near the levator palpebrae superioris, particularly in patients with larger brow
depressor complexes
• Lateral corrugator injections should be placed at least 1 cm above the bony supraorbital ridge
• Ensure the injected volume/dose is accurate and, where feasible, kept to a minimum
• Do not inject toxin closer than 1 cm above the central eyebrow

Question 13

How many injections and units are recommended for the glabellar region?

Answer 13

5 injections with 4 units a piece

totaling 20 units