Botox Uses and Indications

Beyond wrinkles, what else can Botox treat?

Doctor Answers 8

Botox Use

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Beyond treating wrinkles and the excessive sweating and spasms that you mention, one common use is to provide relief from migraine headaches.

West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Botox non-cosmetic uses.

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Botox was originally used to fight spasms of the eye muscles that led to problems with vision, and it was found accidentally to help the nearby wrinkles! Botox has also been helpful in other types of medical muscle spasm, spasticity due to stroke or cerebral palsy, and a type of neck spasm that causes twisting, called torticollis. Recently, Botox has been shown to give some relief in patients with severe, unremitting (more than half of each month) migraine headaches that do not respond to other treatments.

I am confident medicine will continue to find uses for this amazing peptide!

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

TMJ pain can be effectively treated with Botox

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Along with some other on and off label uses of Botox such as for migraines, hyperhidrosis, facial tics and other muscle spasm conditions, TMJ disorders can be treated with Botox. I have had several patients who had failed almost every other treatment options but have found tremendous pain relief with Botox treatments.

Steven E. Rasmussen, MD, FAAD
Austin Dermatologist

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Botox indications

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Botox was originally used for muscle spasm. What was noticed after treatment, was that facial lines of animation were also treated and the patient looked better.  It can also be used for excessive sweating.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Uses of Botox besides wrinkles

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Here are some common uses of Botox when not used for wrinkles. There are other medical uses of Botox and new applications for the product are being discovered all the time.

  • Sweaty palms, feet or armpits.
  • Migraine headaches.
  • TMJ (jaw aches).

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Other conditions that can be treated with Botox

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Allergen, the producer of Botox, is busy looking for many applications of Botox BESIDE smoothing of active wrinkles and greatly reduce excessive arm pit sweating.

I and fellow Plastic surgeons have used Botox to non surgically lift the brows and the corners of the mouth, to gently drop an over lifted upper lip in a Gummy smile and to smooth the vertical neck pillars.

It has ALSO been used in involuntary blinking, overactive bladder, migraine, cluster and tension headaches, lower back pain and neck pain, in spastic disorders, as may be seen after stroke or cerebral palsy and to control spasms of the esophagus (Achalasia, the inability of the lower esophageal sphincter to relax), or vocal cord muscles. It has been also reported to be useful in pelvic muscle spasms, drooling, hair loss, anal fissures and pain from missing limbs (Phantom limb pain).

Peter A. Aldea, MD
Memphis Plastic Surgeon

Botox indications

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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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Common medical uses for BOTOX are: Migraine Treatments...

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Common medical uses for BOTOX are:

  • Migraine Treatments – By relaxing the muscles in the face and neck that press on nerves, BOTOX® injections can successfully treat a majority of patients suffering from migraine headaches. In fact, in clinical studies nearly 18% of patients that received the placebo (injection without medicine) complained of headaches, compared to only 13% of patients receiving BOTOX® treatments.
  • Blepharospasm Treatments (Eyelid Spasm) – Blepharospasm is caused by an uncontrolled nerve signal in the brain that stimulates the eyelid muscle. BOTOX® injections of the eyelid muscles can easily treat the muscle spasm that causes contraction or twitching of the eyelids.
  • Facial Spasm Treatments – Facial muscle spasm (also referred to as hemi-facial spasm, as it occurs on one half of the face) results in contraction or twitching of the face. It can be triggered by abnormal nerve regrowth after Bell’s Palsy or by irritation of an artery as it exits the brain. Facial spasm is easily treated with BOTOX® injections to relax the muscles.
  • Hyperhidrosis Treatments – Excessive sweating (hyperhidrosis) of the face, palms, underarms, or feet can be inconvenient and embarrassing, and may portray anxiety, worry, or lack of confidence. BOTOX® treatments are effective in limiting the over-secretion of the sweat glands.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.