I had botox for leaking parotid gland after facelift, and there's no improvement. Has it drained out?

Question

had a drain in behind my ear while botox injected , could the botox have been drained out?

Cameron Chesnut, MD, FAAD, FACMS · Answer

Botox can be used to decrease salivary production after a parotid gland injury so that the capsule can heal, sealing the leak. 
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Edwin Ishoo, MD · Answer

Botox is used in treatment of Frey syndrome after parotidectomy. salivary leak after facelift may be due to duct injury and would not respond to Botox.

Steven Wallach, MD · Answer

Botox can be injected into the parotid to limit salivary production. Anticholinergics can also be used. Best of luck.

Steven F. Weiner, MD · Answer

I would go back to your doc. It should work. You probably need more Botox. Botox works by preventing the nerves from stimulating the gland to produce saliva.

Hratch Karamanoukian, MD, FACS · Answer

If he injected into parotid tissue, it would not have drained out. This would have been for salivary leak which occurs rarely after face lift. If it is gustatory sweating, it would have been injected in the skin.You and your doctor should discuss oral use of anticholinergic medications to reduce salivary stimulation. Dr H Karamanoukian#RealSelf100 Member

Keith Denkler, MD · Answer

Your doctor likely injected the Botox deep into the salivary gland and not where it could leak out.You can ask your doctor.

I had botox for leaking parotid gland after facelift, and there's no improvement. Has it drained out?

Answers (6)

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