Botox can be injected in multiple facial regions, including the forehead, crow’s feet, frown lines, jawline, chin dimpling, and neck bands, to smooth wrinkles and enhance facial contours. Additionally, it is used to treat hyperhidrosis.
Forehead Lines
More than 7 million Botox injections have been performed worldwide yearly, and more than 40% of them are applied to the forehead area. On the Chinese market alone, operations related to removing forehead lines reached 1.3 million injections in 2021, up 25% compared with the previous year.
The average dose needed for one forehead line is 10-20 units, while that for glabellar lines, 15-30 units. Male users need to use more than 20 units every shot while young women in their 20s using Botox for the first time find 10 units enough.
The average price for Botox injections to remove forehead lines is between 3,000 and 6,000 RMB. In large hospitals in first-tier cities, it can reach as high as 8,000 RMB. Some informal institutions offer low-priced services even lower than 1,500 RMB. Cases of complications resulting from choosing informal institutions account for 30% of the total complaints, with up to 65% of these cases requiring weight loss secondary corrective treatments.
The average effects of Botox in the forehead area last from 3 to 6 months. In young people, the effect starts to wear out after about 3 months, while in middle-aged users, the effective period is extended to 4-6 months. Indeed, almost 78% of users noticed a weakening effect at around the 4-month mark following the injection.
The global ratio of side effects caused by improper Botox injection is about 2.3%, and over 90% of cases are due to non-professional operators.
Precision injection and multi-point injection techniques have become industry trends.
Young people aged between 25-35 years old are the main group for Botox injection, accounting for 68% of total users. About 45% of users were first exposed to Botox after watching short videos or recommendations from beauty bloggers.
83% believe that the general improvement in looks after injection brings them more confidence, while over 50% of the users said they were performing more naturally in work situations and social situations; 12% of the users felt anxious since the injection.
The time between injections should not be less than 3 months. A small percentage of users do injections frequently, more than 6 times a year, and are followed by muscle resistance. This situation makes up 5% of all users.
Crow’s Feet
There are over 8 million Botox injections against aging in the face every year, and over 35% of these injections are crow’s feet. Calculated according to the proportion, the average consumer spends between 2,000 to 5,000 RMB each time for Botox treatment in the crow’s feet area, while large medical beauty institutions in first-tier cities charge even more than 7,000 RMB. Some small beauty studios can go as low as 1,000 RMB, but such institutions have a complication rate as high as 4%. For more information, visit our deep filler services.
The average dose is 5 to 10 units for a single-sided crow’s feet area and 10 to 20 units in total for both sides. To maintain the effect, 3 to 4 injections per year are necessary for middle-aged groups aged 35 to 50 years, while young groups need 2 injections per year to reach the same effect. Patients who receive injections that are more frequent than once every 5 times a year will reduce the effectiveness of Botox.
The average maintenance time of Botox in the crow’s feet area is from 3 to 6 months. About 65% of users who have used it begin to feel the effect weaken 3 months later, and about 20% of users can maintain the effect for 4 or 5 months.
It is estimated that there are 230 cases of complications for every 100,000 crow’s feet injections globally. Complications below 0.5% are possible when licensed medical practitioners with certifications in accredited institutions are selected.
In 2022, 42% of the crowd seeking Botox injections for crow’s feet consisted of the 25- to 34-year-old age group, up nearly 60% compared to 2017.
Over 87% of the users felt that social anxiety was relieved after the injection, and as high as 78% of female users did; on the other hand, 12% of users were concerned with the big contrast after fading.
In 2021, newly added medical beauty outpatient clinics increased by 18% compared with last year. The average discount for purchasing a package of 3 injections reached 15% to 20%. In March 2022, due to the improper use of unregistered Botox products, more than 40 consumers caused local redness and allergic reactions in a well-known chain beauty institution in Beijing.
Frown Lines
Over 6.5 million Botox injections are performed every year for the treatment of glabellar lines, accounting for about 32% of the total facial injections. More than 2.3 million Botox injections are performed every year in the United States for glabellar lines. In the Chinese market, such injections increased by 18% year-on-year in 2021.
For a single injection in an average first-tier city, it will cost 3,000-6,000 RMB; high-end hospitals may quote over 8,000 RMB. Meanwhile, some second and third-tier cities, some small clinics or beauty studios even quote 1,500-3,000 RMB. Informal institutions are then probably leading to up to 6% treatment failures or side-effect occurrence due to that, whereas in the regular ones, the percentage would not be more than 0.8%.
A single injection for glabellar lines usually requires 15 to 25 units of Botox. Below dose of 10 units has failure rate of 21%, while overinjection of more than 30 units may result in excessive eyebrow relaxation.
The effect of Botox treatment on glabellar lines can usually be seen within 4 to 7 days after injection and peaks in about 2 weeks; the average duration of effect is 3 to 5 months. In the 4th month, the weakening of the effect can be felt by 70% of users, and for users with a faster metabolic rate, another shot should be administrated in 3 months.
In global cosmetic injection accidents, about 28% are related to glabellar line injections, mainly presenting as local redness, eyelid drooping, mild headaches, and other adverse reactions. Most symptoms resolve themselves within 48 to 72 hours.
The proportion of users aged 25 to 34 has reached 45% of the total population, up from only 23% ten years ago.
Jawline Slimming
Over 3 million Botox injections are given annually for aesthetic jaw contouring, with as high as 48% performed in the Asian market. The number of injections performed for the indication of jawline slimming exceeded 1 million in 2022, an increase of 27% compared to 2021.
Generally, the cost of Botox injections for jawline slimming is between 3,000 and 8,000 RMB. The injection cost in big medical beauty institutions in first-tier cities averages between 5,000 and 10,000 RMB, but some private clinics or small beauty studios charge as low as 2,500 RMB. There are about 12% of the total complaints caused by medical accidents every year, and cases of failure in jawline injection have reached as high as 30%. Learn more about achieving lip perfection with Russian fillers.
A single injection of Botox for jawline slimming usually requires 40 to 60 units, while a total dose of 80 to 100 units for both masseter muscles. Where the user has stronger muscle strength or in cases where the use of the masseter muscles is long-standing, the dose can be increased to 120 units. In patients with strong masseter muscles, the administration of 50 units of Botox reduced the volume of the masseter muscle by 15% after 3 months, while an 80-unit dose resulted in an average reduction of muscle volume by 25% in subjects.
It will last anywhere from 3 to 6 months. During the 4th month after injection, 65% of users’ effects begin to weaken, while about 20% still show an apparent jaw-slimming effect even after 6 months. Among them, for fast-metabolism users, it can only last for about 3 or 4 months, while for slow-metabolism users, it can remain at 5 to 6 months.
The incidence of adverse reactions due to failure in masseter injections is 1.6%.
More than 83% of users reported satisfaction with the improvement in facial contours after injection, while 71% of users believed that their confidence in photo and social situations had significantly increased. On the other hand, about 8% of users reported anxiety due to gradual fading of the effect. Frequent injections can result in muscle resistance or muscle atrophy, so maintaining injections every 3 to 6 months is recommended.
The average satisfaction rate for combined treatments is as high as 94%, while the satisfaction rate for Botox injections is 82%. The price of combined treatments averages from 12,000 to 20,000 RMB.
Chin Dimpling
Over 2 million injections of Botox are administered each year to improve chin texture issues, and 40% of the total number belongs to the Asian market. About 650,000 consumers in China got injections for chin dimpling in 2022, up 22% compared with the previous year.
In first-tier cities, the price for each injection in regular beauty institutions is generally between 2,500 to 5,000 RMB, and over 6,000 RMB in high-end medical beauty hospitals. Some middle and small clinics are averagely priced between 1,800 to 3,000 RMB. Among the consumers who received Botox injections in low-priced clinics, 7% experienced redness or asymmetry in the area where the injection was administered.
For chin dimpling injections, the average dose injected per session is 8 to 15 units. Those subjects with profound dynamic movements of the chin have to increase this dose to more than 20 units. In the group injected with 10 units, over 78% showed noticeable smoothening of chin texture after 2 weeks, while in the groups receiving injections of 15 to 20 units, the effects were seen within one week.
This effect generally lasts for 3 to 4 months. About 67% of users reported the weakening of the effect in the 3rd month after injection, while 18% of them maintained a smooth chin state after 5 months. Younger groups with faster metabolism can usually maintain this effect for about 3 months, while middle-aged groups could extend it to 4 to 5 months.
The incidence rate of adverse reactions caused by chin injection is around 0.8%. Experts in the beauty trade recommended a medically appropriate depth: from 2 to 4 mm beneath the epidermis.
More than 82% of the respondents reported a satisfying improvement of the contours in the chin following injection, while over 70% of females claimed this alteration enhanced the general smoothness of facial lines with three-dimensionality. It is also worth noting that in 10% of users, anxiety occurs after an injection, with some even experiencing repeated injections in as little as 3 months.
User satisfaction in injections with smart devices reaches 94%, while in traditional manual injections, it is 86%. The average operation time per injection is reduced to 5 minutes, nearly a 30% decrease compared to traditional methods.
The ratio of users who take combined treatments is up to 36%, with an overall satisfaction 12% higher than users who take only Botox injections. Combined treatments usually cost between 6,000 to 12,000 RMB. Overall, this can extend the period to 6 to 9 months.
Neck Bands
Botox for neck bands accounted for over 1.8 million procedures performed in 2022, or 19% of all facial and neck injections worldwide. The Chinese market expanded by 31% from 2021 to 2022.
The prices of high-end medical beauty institutions in first-tier cities are mostly between 4,000 and 8,000 RMB per injection. Some medium and small clinics may be priced between 3,000 to 5,000 RMB. In second and third-tier cities, beauty studios average 2,000 to 3,000 RMB. Medical complaints caused by excessively low prices are as high as 8% annually, and over 40% of those cases involve side effects due to low-quality products or non-standard operations.
The usual dosage for Botox injections in the neck bands lies in the range of 30 to 50 units. In cases of users with firmer neck muscles and well-defined bands, an increased single dose of up to 60 units manages to raise the band relaxation rate by 22%.
The average maintenance time for neck Botox injections is 3 to 5 months. 70% of users begin to feel the return of muscle activity in the 4th month following the injection, while 20% of users maintain a smooth neck state after 5 months. Generally speaking, a second injection is considered by younger groups with faster metabolism around 3 months, while for users with slower metabolism, the effect can be sustained for 5 months or even longer. 110 cases of mild adverse reactions occur with about 100,000 injections of neck Botox.
68% of users believe that a smooth neck gives freshness and refinement to the whole face. Also, 12% of users get anxious if the effect weakens. Some users receive injections once in every 3 months for continued effects.
Dynamic muscle monitoring systems raise injection precision by 30%. In cases using smart devices for injections, user satisfaction reaches 93%, compared to 85% satisfaction with traditional manual injections.
This can easily be extended to 6 to 8 months with radiofrequency skin tightening or microneedling therapy and improves the maintenance period by 50% compared to the injection of Botox alone. The cost of a combination treatment generally ranges from 8,000 to 15,000 RMB.
Hyperhidrosis
3% of the population in the world has this, while in Asian countries, this increases to 4%. As of 2022, the dose number of Botox used to treat Hyperhidrosis has surpassed over 2.5 million, and as high as 35% comes from the Asian market. In 2022, the annual number of patients treated for hyperhidrosis in China has more than 300,000, with an 18% growth rate YoY.
However, ordinary medical institutions are priced around 5,000 to 8,000 RMB in the first-tier cities, while treatments for palmar hyperhidrosis were from 8,000 to 12,000 RMB. Some beauty clinics, in a bid to entice customers, have offered their services for an average between 3,000 to 5,000 RMB; some cases yield poor effects or even side effects from such low pricing. Treatment failures account for 12% of the patients who take up low-priced projects.
The standard dose for axillary hyperhidrosis is generally 50 to 100 units, with 25 to 50 units per each armpit. For the palm and foot areas, a total dose per injection may achieve 150 to 200 units. In severe patients, dose increase to 150 units improves symptom alleviation by 28%.
The mean duration of action following injections of Botox into the axillae in the treatment of hyperhidrosis is from 6 to 9 months. At 6 months post-injection, approximately 72% of the patients exhibit a marked dry effect, whereas in about 15% of the patients, the effect gradually weakens after 9 months. In the palm and foot areas, the effect usually lasts for an average of 5 to 6 months.
In every 100,000 injections of Botox, the case rate of adverse reactions is only 0.5%.
More than 85% of patients with hyperhidrosis reported a significant improvement in quality of life after treatment; 68% of the patients are more confident in social situations.
For cases applied with auxiliary devices, the average extension of duration of effect is 10%, and the incidence of adverse reactions among patients goes down to 0.3%.
There is an increasing demand for injections for hyperhidrosis, especially in summer and peak high-temperature periods. Generally speaking, it increases by 30% to 40% compared to winter.
A combination of injections, iontophoresis, and laser minimally invasive surgery could increase the cycle of treatment up to 12 months or even more. For this combined treatment, charges are generally between 15,000 to 25,000 RMB.