BOTOX® for Men: The Guys’ Guide

For years, BOTOX® has been one of the world’s most popular nonsurgical cosmetic treatments—but it’s long been associated with women. That’s changing. Today, more men than ever are turning to BOTOX to look and feel their best. In fact, the number of men receiving BOTOX (sometimes called “Brotox”) has increased significantly over the last decade, and the trend shows no signs of slowing down.

According to the American Society of Plastic Surgeons, BOTOX is the top cosmetic procedure for men, with more than 500,000 male neuromodulator treatments performed in 2023. At Dermatology Associates of Rochester, we’ve seen firsthand how male patients embrace injectables, including Dysport® and DAXXIFY®, to enhance their appearance. In this post, we’ll explore this trend, discuss the most common treatment areas for men, and explain why male patients often require different dosing than women.

Common BOTOX Treatment Areas for Men

Even though our injectors use BOTOX in many areas, men typically want to target slightly different zones than women—or require adjustments to suit their facial anatomy and goals. These areas include:

Forehead Lines

One of the most requested treatment areas, forehead lines form from repetitive brow raising and tend to deepen with age. BOTOX relaxes the targeted muscle to smooth these horizontal lines, creating a more alert and youthful look.

Glabellar Lines (Frown Lines)

Also known as the “11s,” these vertical lines between the eyebrows can make you appear stern or stressed. Treating the glabellar muscles helps create a friendlier, more approachable appearance.

Crow’s Feet

These fine lines at the outer corners of the eyes are typically caused by squinting and smiling. BOTOX softens these lines while still preserving your natural expression.

Masseter Muscle

Men with strong, square jawlines may request BOTOX in the masseter muscles (the muscles used for chewing) to create a more angular profile. BOTOX injections in these muscles can also relieve jaw tension and teeth grinding. Although jawline contouring is often more common in women, many men want to reduce the “boxy” appearance created by overdeveloped masseter muscles.

Neck Bands or Chin Dimples

Men sometimes seek BOTOX in the platysma bands (vertical neck cords) or the mentalis muscle (to smooth chin dimpling). These are less common but can help complete a more youthful look.

BOTOX for Men Before and After Photos

Why Are Men Getting BOTOX?

There are several reasons behind the increase in the number of men getting BOTOX injections. One of the biggest reasons more men are trying BOTOX is that the stigma of aesthetic treatments is fading. Men of all ages, from their late 20s to their 60s and beyond, are discovering the benefits of injectables.

In addition to the factors described below, BOTOX is also popular with men because it’s a minimally invasive treatment that doesn’t require downtime and produces subtle changes. Other reasons include:

Confidence at Work

In a competitive job market, many men want to project energy, vitality, and approachability. Deep forehead lines or a permanent frown can unintentionally convey anger, stress, or fatigue—even when you feel great. BOTOX smooths these lines, softening the appearance and helping men look more relaxed and refreshed without looking “done.”

Dating & Social Interactions

If you’re navigating the dating world, it’s natural to want to project a vibrant, engaging appearance that looks natural. BOTOX can improve your confidence, whether you’re posting on dating apps or attending social events.

Preventative Measures

Many men are choosing BOTOX not just to correct wrinkles but also to prevent them from forming in the first place. Regular treatments can prevent expression lines from becoming deep, etched-in folds over time.

Do Men Require More BOTOX Than Women?

Yes—generally, men do require more units of BOTOX than women, as several studies have shown. This is due to the following physiological differences:

• Stronger Facial Muscles: Men tend to have larger, more powerful facial muscles that require higher doses to relax them.
• Denser Muscles: Greater muscle mass in the forehead and glabella areas means more product is needed to achieve the same smoothing effect.
• Natural-Looking Results: The goal isn’t to freeze expression but to subtly reduce movement. Underdosing can lead to ineffective results, so a skilled injector will tailor the dosage based on your unique anatomy and goals.

For example, while a woman might need 20 units to treat frown lines, a man might require 30 to 40 units; see our comparison chart below for more examples. Keep in mind that each patient is different, and our injectors always create custom treatment plans. You can read more about how much BOTOX you may need in our earlier blog post.

What Results Can Men Expect from BOTOX?

The beauty of BOTOX is its subtlety. Most men don’t want a dramatic transformation—they want to look well-rested, energized, and confident. Results typically appear within 3 to 7 days after treatment, with full effects visible by about 2 weeks.

Results last approximately 3 to 4 months, and consistent maintenance helps prevent lines from deepening over time. The key is working with experienced injectors who understand male facial anatomy.

Tailored Results for Men

If you’ve been curious about BOTOX but weren’t sure it was for you, request a consultation with a member of our team using the online form or by calling us at (585) 272-0700. At Dermatology Associates of Rochester, we take a personalized, no-pressure approach to every consultation. Whether you want to soften a few lines or target jaw tension, our experienced injectors will help you achieve natural-looking results.