What Sites On the Face Are Impacted By BOTOX?

By: Dr. Nana Mizuguchi


Do you think about trying BOTOX®? You are not the only one. It is one of the most popular anti-aging solutions available today. When done right, BOTOX offers both women and men fantastic results with no downtime and no side effects. BOTOX is a noninvasive procedure that gives patients results and one of the main reasons why both women and men keep coming back for more.

Dr. Nana Mizuguchi is a dual board-certified plastic surgeon and aesthetic surgeon in Louisville, KY. He is the founder of Mizuguchi Plastic Surgery, offering patients in the greater Louisville area the latest techniques in facial rejuvenation, including BOTOX. Where is BOTOX most effective? Are there certain areas where BOTOX is not injected? Here is a comprehensive guide of how BOTOX works, injection sites, and more.

What does BOTOX do?

As we age, our skin changes as collagen production decreases, and dynamic lines and wrinkles remain visible even when a person’s face is at rest. BOTOX is botulinum toxin (type A) and a purified strain of a neurotoxin that blocks the nerve endings of injected muscles, so they no longer contract. It allows the facial skin to have a more relaxed, smoother, even youthful appearance. BOTOX can dramatically improve the appearance of fine lines and wrinkles. It is also a preventive anti-aging solution to keep the formation of future lines and wrinkles at bay.

How are BOTOX injection sites determined?

BOTOX can tackle a myriad of issues for both women and men. BOTOX injections should always be performed by a qualified, experienced injector like Dr. Mizuguchi at Mizuguchi Plastic Surgery. Before having a BOTOX injection, an essential part of the process is for the injector to determine the right BOTOX injection sites. During your initial consultation, you will be asked to make certain facial expressions like squinting, laughing, or frowning. Facial expressions allow the injector to decide if a patient needs help with Crow's feet or forehead lines. BOTOX is a wrinkle treatment that can smooth out certain areas, so individuals look and feel years younger.

What areas can BOTOX be used?

A qualified injector, like Dr. Mizuguchi, will determine the right units of BOTOX per injection site. The units per injection site will vary by individual and what aesthetic goals need to be accomplished. This wrinkle treatment generally lasts about 3-4 months and is a powerful cosmetic tool at delivering subtle results. BOTOX injection sites and the units typically required are:

  • The area between the eyebrows (also known as “11” lines) – 10-25 units

  • Upper eyebrow area for an eyebrow lift – 2-5 units

  • Forehead lines – 10-30 units

  • Outer eye area (Crow’s feet) – 5-15 units per side

  • Corners of the mouth – 3-6 units per side

  • Nasalis (“bunny lines” around the nose) – 5-10 units per side

  • Dimpled chin – 2-6 units

*Units used will vary by patient and must be determined by a qualified injector.

Preventive BOTOX appointment and aftercare

Typical BOTOX sessions last about 20-30 minutes. It is often referred to as the “lunchtime procedure.” Patients should avoid exercising for 24-48 hours after their wrinkle treatment and keep their head elevated while sleeping for a few days. Patients should not touch their injection sites to allow the BOTOX solution to settle in and not migrate to another area of the face. You may experience slight redness and swelling at the injection sites, which will dissipate in 2-3 days. In about a week, patients will begin to experience their full BOTOX results as injections take hold and the targeted muscles relax.

When combined with other cosmetic treatments, like dermal fillers, this dynamic duo can give both women and men an overall renewed, radiant appearance. Dermal fillers and BOTOX are becoming the anti-aging solution that many people are turning to and helping patients look and feel years younger in the Louisville area.

At Mizuguchi Plastic Surgery, Dr. Mizuguchi and his experienced team offer patients in the greater Louisville area the latest aesthetic answers and techniques to improve their skin’s vitality and health. Dr. Mizuguchi provides an array of surgical and nonsurgical services, including BOTOX, for a smoother, more youthful appearance. You can reduce fine lines and wrinkles while improving the appearance of your skin with this anti-aging solution. Even preventive BOTOX for individuals in their 20s or 30s can give men and women a jump start on their skin’s appearance before entering into a new decade.

If you are considering adding BOTOX into your skincare regime, then we invite you to schedule a consultation with Mizuguchi Plastic Surgery. Your BOTOX consultation and appointment will include patient concerns and incorporate all nonsurgical options to give each person the aesthetic results they deserve. Keep your skin looking younger with cosmetic help from Dr. Nana Mizuguchi with Mizuguchi Plastic Surgery in Louisville, KY. When done correctly, BOTOX offers excellent results with no downtime necessary.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.