08/15/2026
64 units is the FDA-approved labeled dose of BOTOX® Cosmetic when treating these three upper-face areas together:
💉 Glabellar lines: 20 units
💉 Forehead lines: 20 units
💉 Crow’s feet: 24 units—12 units per side
Total: 64 units
The forehead should be evaluated and treated in conjunction with the glabellar area to help maintain balance and reduce the risk of brow heaviness or ptosis.
Remember: the right dose is based on the patient’s anatomy, muscle strength, facial movement, and treatment goals. BOTOX® Cosmetic units are product-specific and are not interchangeable with units of other neurotoxins.
At Dr. Ernai Academy, we teach providers to treat based on anatomy—not simply by counting areas.
⚕️ For professional education only. Treatment requires an individualized assessment by a qualified medical provider.
MedicalAesthetics