Anxiety that face never gets the same after TMJ Botox?

Question

Hello! In january I had TMJ botox done for the second time. The effect then was still subtle, but now I really don't like the super small shape and saggering skin of my face. Reviews and experiences on the internet scare me, because people say their face never became wat it was anymore. Also I read stuff about the loss of jaw bones. Will my face ever come back again? Is there a way to use the masseter muscle despite the paralyzing effect of botox? Thank you so much! I'm very worried.

Anna Chacon, MD, FAAD · Answer

Hello,

I understand your concerns about the changes in your facial appearance following TMJ Botox treatment. It's important to remember that Botox effects are temporary and typically last between 3 to 6 months. Once the Botox wears off, your muscles will regain their normal function, and your face should gradually return to its previous appearance.

The sagging skin you’re experiencing might be due to the temporary reduction in muscle activity, which can sometimes cause a slight change in the contour of the face. This is usually not permanent. Concerns about jaw bone loss are generally unfounded with Botox, as it primarily affects muscle activity rather than bone structure.

To address your concern about using the masseter muscle despite the paralyzing effect of Botox, it’s important to note that while the muscle is temporarily weakened, it’s not completely paralyzed. You can still engage in activities that involve the masseter muscle, although the strength of your bite might be reduced.

If you’re feeling very anxious or unhappy with the results, I recommend discussing this with your dermatologist or the healthcare professional who administered the Botox. They can provide personalized advice and may suggest other treatments or interventions to help you achieve the desired balance in muscle activity and facial aesthetics.

Anxiety that face never gets the same after TMJ Botox?

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Anxiety that face never gets the same after TMJ Botox?

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