05/12/2026
Let’s talk tox dosing💉
Glabella: start at 20 units, and don’t be afraid to go up to 50 units in those strong male “caveman” muscles. The goal is simple, nobody should look angry.
Frontalis: the pearl here is to stay conservative. It’s on-label for 20 units, but always dose based on height and strength of the muscle. Respect brow position, eyelid position, and the line of convergence. Inject deep above the line, and more superficial below.
Crows feet: soften, don’t erase. We still want expression and those smiley eyes. Always taper your dose as you move inferiorly. Average dosing here between 9-15units per side.
Bunny lines: start around 4 units, but don’t underestimate this area, patients with long-standing recruitment will often need significantly more.
Lip flip / perioral lines: 4–6 units max. Assess carefully here, as filler is often the better option depending on tone and support.
DAO: start at 2 units per side. This is a very light treatment, know your anatomy well. Set expectations with patients that this is softening, not full relaxation like the glabella. Over-treating here can feel weird.
Mentalis: 5–12 units depending on whether you’re targeting dimpling, chin positioning, or both.
A full facial sprinkle is what we like to call it, stopping those lines from etching in btu creating some facial expression with dewy beautiful skin.
