For licensed aesthetic professionals only. Guidance here supports — and never replaces — your clinical judgement. Do not upload identifiable patient data.
For the licensed upper-face areas, what starting doses are people using? I've been taught to start conservative and review, just want a sense-check of typical numbers in the UK.
Using onabotulinumtoxinA (Botox) unit numbers as the reference, the licensed/commonly-taught starting points are: • Glabella (frown): ~20 units total, classic 5-point pattern (procerus + medial and lateral corrugators). • Lateral canthal lines (crow's feet): ~12 units per side, 3 points, kept lateral to the orbital rim. • Frontalis (forehead): more variable — start conservative, often 10–20 units spread across the forehead, and always assess brow position first. Two rules that matter more than the exact numbers: (1) start low and review at two weeks — you can always add, you can't remove; (2) when you treat frontalis, treat the glabellar complex too, otherwise the depressors are unopposed and you can drop the brow. Always individualise and follow the product SPC.
The 'treat glabella whenever you treat frontalis' point is the one I wish I'd internalised sooner. My early brow-heaviness cases were nearly all forehead-only treatments.
And keep frontalis injections high enough — staying well above the brow (roughly ≥2cm above the orbital rim) is what keeps you out of ptosis trouble.
Sign in to reply and react.