By Dr. Keswani, MD — Forever Medspa & Wellness Center
“How many units will I need?” It’s one of the first questions I hear from anyone considering Botox, and I understand exactly why. When you pay per unit, every unit feels like a taxi meter running. That anxiety, in my experience, is the single biggest reason people walk away disappointed with their results — and it has nothing to do with the medication.
The problem with per-unit anxiety
Here’s what happens at a lot of clinics. A new client hears a per-unit price and starts doing math in their head: “Maybe I’ll just do twenty units instead of thirty.” The injector often goes along with it, because the client is watching the total. The result is an underdosed treatment that softens the lines a little, wears off quickly, and leaves the client convinced that “Botox doesn’t really work on me.”
It does work. It just wasn’t dosed to work.
As a physician, this is the part that frustrates me most: the right dose isn’t a luxury upgrade. It is the treatment. When the price structure quietly pushes people toward fewer units than their muscles actually need, everyone loses — the client pays real money for a mediocre result, and the treatment gets blamed for a pricing problem.
Why the right dose can’t be known on day one
There’s a second issue that per-unit pricing handles badly. Tox takes about seven to ten days to reach full effect, and a new client’s exact needs — muscle strength, skin thickness, how much movement they want to keep — can’t be fully known at the moment of injection. My rule is to dose slightly less, never more: more can always be added, but too much can’t be removed.
That means the first visit is deliberately a calibration visit, and a small adjustment afterward is normal, not a failure. I often explain it this way: a car drives the same road home every day, but the tires never follow the identical path. Tox never lands in exactly the same spots either. Needing a touch-up isn’t a sign something went wrong — it’s how careful dosing is supposed to work.
Under per-unit pricing, that sensible touch-up becomes an awkward conversation: “Is this going to cost extra?” So people skip it, and live with 80 percent of the result they paid for.
How the allowance model fixes it
The All-Inclusive Tox Program replaces the meter with one fixed price per brand. Each plan includes a generous unit allowance — set high enough that it covers the full treatment for about 99 of every 100 clients. You and I decide the dose based on what your muscles need and what you want to see in the mirror, not on a running total.
For the rare client who genuinely needs more than the allowance, extra units are available at a listed rate — you’d know it before we proceed, never as a surprise on the way out.
The three-week follow-up
Every program treatment includes a complimentary follow-up visit within three weeks, covered within your included units. That window exists for a reason: seven to ten days to see the full effect, plus realistic time to get back on the schedule. Follow-ups are prioritized in our booking.
This is the part I care about most, because it removes the friction entirely. If something needs a small adjustment, you come in and we adjust it. There is no “is this extra?” conversation — it’s already part of your plan.
What counts as an area
The program comes in one-, two-, and three-area plans, and the per-area value improves as you add areas. The three standard areas are the classics:
- Forehead — the horizontal lines
- Frown lines — the “11s” between the brows
- Crow’s feet — the lines beside the eyes
A “fourth area” covers the small, targeted treatments: lip lines, bunny lines on the nose, a downturned mouth corner (DAO), or chin dimpling. The masseter — the jaw muscle treated for clenching, grinding, and jawline slimming — and the platysma bands of the neck are substantial treatments in their own right, so each has its own plan rather than counting as one of the three areas.
Units: the comparison everyone gets wrong
One more reason I moved away from per-unit thinking: units aren’t comparable between brands. A unit is simply each brand’s own measure of its own medication, defined by that brand’s clinical studies — it is not milligrams, and more units does not mean more injections or more pinches. In our clinic’s experience, roughly three units of Dysport correspond to one unit of Botox, and Daxxify runs about two to one. So “brand X is cheaper per unit” tells you almost nothing without the conversion math. The program sidesteps all of that: one price for the covered result, whichever brand you choose.
Which brand? Your choice — there’s no wrong one
We carry five of the available botulinum toxin A brands — Botox, Dysport, Xeomin, Letybo, and Daxxify — and all five work the same way at the nerve–muscle junction. Once effective, duration is comparable; the real differences are onset speed, dosing, and value. Daxxify, for example, is notably fast to take effect. Within the program, brand choice is yours at no penalty — there is no wrong choice among the five, and I’ll recommend one based on your goals if you’d like my opinion. Manufacturer rewards — Allë for Botox, ASPIRE for Dysport, Merz Xperience+ for Xeomin — can apply toward your program as well.
Where to see the pricing
I’ve kept dollar figures off this page on purpose — the full program pricing table, for every brand and plan, lives on our Promotions page, and it’s always current there. Or simply text us at (201) 340-4809 and we’ll send you the numbers for the brand and areas you’re considering.
If you’ve been underwhelmed by tox before, I’d genuinely like the chance to show you what a properly dosed, properly followed-up treatment feels like. Book your tox appointment here, or text us at (201) 340-4809 with any questions.
