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If you would like to understand how much Botox in Montreal costs, you may be wondering how the calculation of Botox treatments in Montreal is carried out. The quick answer is it depends on how many units you have had injected. The number of units will depend on what areas you are having treated (forehead, glabella, crow’s feet, upper lip, DAO) and what the best recommendations are as far as dosage, tailored to you, for each of these areas. 

But first, let’s understand what form Botox is in. BOTOX® Cosmetic, for example, is a brand name of botulinum toxin type A. When shipped to a medical facility, it is the form of lyophilized powder which means it is in a freeze-dried form. It is not ready to be used in this form for administration to patients.

Reconstitution is the process by which your doctor will convert the powder back into a liquid form that can be injected into a patient. This is achieved by adding a sterile saline to the vial of Botox to achieve the desired potency and volume of Botox for the specific treatment indications. In this case we are discussing Botox for cosmetic applications.

How are Botox units calculated?

Botox is measured in “units”. Once the vial has been reconstituted, Botox units are the measurement used to quantify the biological activity or effect. Each vial contains a specific number of units.

 Let’s follow the steps:

  1. a vacuum-dried vial of Botox is reconstituted with sterile saline
  2. the dilution technique must be appropriate for cosmetic purposes
  3. the amount of saline added will determine the concentration of Botox 
  4. now the vial can be used to “aspirate” (draw out) the units required for the injection
  5. the Botox is aspirated using smaller syringes allowing precise measurement of units as each unit or “dash” on the syringe correlates to the correct amount of Botox

It is important to be aware of the fact that not only is the actual injection technique critical to successful outcomes, but also the reconstitution technique, sterility and storage. 

A photo in a treatment room at clinic Peau of Botox being aspirated from the vial after it has been reconstituted.

What is the average cost of Botox per unit?

The Botox cost per unit is between $12-$18. Yes, that is a wide range. A seasoned injector who specializes in cosmetic injections will charge a higher injection fee. A specialist dermatologist or plastic surgeon will typically charge more than a nurse injector due to the credentials and knowledge of underlying anatomical structures.  

A Botox injection may seem simple and straightforward when done by skillful hands but there are several considerations that all impact success (happy patients). 

  1. globally assessing the patient’s face to recommend what areas are best treated in unison to personalize the treatment to a patient’s facial features
  2. proper dosing of each area to be injected 
  3. precise injection technique to assure natural-looking results and minimize risk of side-effects

The value is reflected in the investment. That is why it is recommended that Botox prices  not be the priority when you select who you will trust with your face. Choose expertise, a proven track record and reputation.

How far does 20 units of Botox go?

20 units of Botox is not a lot of units for full facial rejuvenation considering most patients will have 2-3 areas treated.  Any injector that advises you that 20 units can cover multiple areas like the forehead, glabella and crow’s feet is under injecting and offering false hope. Both under and over injecting units is not in line with best practices. 

Per Area Unit Ranges for 3 Most Common Areas

Though each individual is unique regarding the number of units that is ideal for their treatment, there is general consensus regarding ranges. The best practices for average ranges come from two sources: scientific literature and years of injecting  experience.

Upper Face

  • Glabellar/frown lines:  20-30
  • Horizontal forehead lines: 5-10
  • Lateral canthal lines/crow’s feet: 8-12 per side

Lower Face

  • Depressor Anguli Oris (corners of the mouth) : 2-4 per side
  • Mentalis (chin): 5-6
  • Peri-oral (around the mouth): 4-5
  • Masseter: 10-20 per side
  • Platysmal bands (neck bands): 10-15 per side

Is 50 units of Botox a lot?

Considering the ranges provided above 40-50 units of Botox is a reasonable range for someone looking for full facial rejuvenation. Let’s say, for example you would like to treat your upper face expression lines. If we calculate the lower number in each range above it would come out to 41. The upper range comes to 64. 

Add to that the other possible areas and you see how it is a very realistic scenario to be treated with more than 50 units. 

Having said that, the most common areas still reside in the upper face and so you can expect your investment to hover around the 40-50 units. 

Beyond Botox’s Price Tag

It may become clearer now why a Botox price list doesn’t provide you with meaningful information.  Knowing the cost per unit still lacks the whole picture. Focus first on the person behind the needle. The artist creates the masterpiece, not the paint.

Choose a specialist and call 514-989-7328 to schedule your consultation with cosmetic dermatologist Dr. Manish Khanna. With  over 20 years of experience, who better to entrust with your aesthetic need to.

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