Botox indications

Otto Joseph Placik, MD answers: Besides fine lines, what other conditions can be treated with Botox?

i've read about excessive sweating and spasms.  what else?


Otto Joseph Placik, MD
4 months ago

Botox has two forms: medical and cosmetic.

Within this regard there are certain indications which are approved by the FDA and others that are considered "off-label" use.

Medical uses are discovered everyday. Although medical indications were primarily to treat facial spasms and specifically eyelid spasms called blepharospasm, investigators have claimed medical indications for:

  1. blephaharospasm
  2. spastic dysphonia,
  3. torticollis
  4. anal fissures
  5. Bell's palsy
  6. migrainesa
  7. excessive sweating (hyperhidrosis)
  8. facial flushing
  9. acne
  10. scarring

In general the cosmetic uses are primarily targeted to wrinkles that are caused by excessive movement of specified muscles. Nearly any muscle can be injected however only the glabellar frown lines are approved. Other cosmetic uses include:

  1. the ability to decrease the size of the (jaw) masseter muscle
  2. to balance or eliminated excessive pull so that facial symmetry can be altered such as the:
    1.  "non-surgical brow lift" or the 
    2. "non-surgical" nose lift, or 
    3. correction of the gummy smile. 
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