Botox cropped

I hear this frequently from patients and thought it might be helpful to clarify.

Botox, Dysport and Xeomin all arrive to your providers office in  vials that are dry. (the botulin product is dry within the vial)  We all have to reconstitute the product with saline.  So, really, we all dilute the product.    Different providers have a variety of dilutions they prefer to work with.  Ultimately what the provider and patient should be concerned with is how many units are administered to an area.  A vial can be reconstituted with anywhere from 1ml to 4 ml or more.  The provider then determines what volume to pull from the vial to have the number of units they want to administer.

For instance, most patients receive 20-30 units to the glabella or frown.  If I am using my 1 cc dilution (which I use the most, just personal preference) and I want to administer 20 units I pull up 0.2 ml.  If I was using a 2.5 cc dilution (another commonly used dilution) I would pull up 0.5 ml for the same 20 unit dose. I can obtain the same degree of relaxation with either dilution.

So, if you find there is a variety of outcomes it is not the dilution that  creates different outcomes but the number of units placed in the muscle.

Hope this helps clarify what it means to dilute Botox. (or Dysport or Xeomin)

If you have a treatment that you love note how many units you received in the treated areas.  That is the key 🙂


hand with product

If you are utilizing  products for anti-aging and general skin health it is important to do it in the right order to maximize absorption of active ingredients.  Combination therapy to target specific skin issues along with general good skin care involves multiple products or steps.

A good standard to keep in mind is thinnest to thickest.

Here is a quick guide 🙂

  • Cleanse
  • Tone
  • Medication (for instance, spot treatment for acne)
  • Growth Factors (such as SkinMedica TNS or Neocutis Bioserum)
  • Serums
  • Eye Cream
  • Moisturizer
  • Skin Oil (if you utilize an oil in place of moisturizer or on top of moisturizer)
  • Sunscreen

An exception is retinols/retinoids at night.  I have heard they should be applied first after skin has dried as well as applying if after moisture.  I think if your retinol/retinoid is not creating a lot of irritation it can go on first but applying it after moisture can minimize the irritation.

Ideally antioxidant serums are worn during the day along with a moisturizer as needed and sunscreen.  Vitamin C, in particular, provides additional UVA/UVB protection under ones sunscreen.   For women (and I suppose some men as well) makeup would be applied last after the sunscreen has set.

I hope this helps you utilize your products and get the most out of them!!!!