Can I have Botox while taking Letrozole and ibrance? Stage IV metastatic breast cancer.

The Master muscles are used for chewing. When these muscles are immobilized with botulinum toxin, the Temporalis muscles are recruited to aid in chewing to compensate for the last of master function. This would actually cause a slight hypertrophy and filling in of the temples rather than hollowing.

It can take up to 2 weeks for final results with Botox. Icing, arnica and cold compresses may give improvement. I would wait a full 2 weeks before assessing whether you need a touch-up. Hope this helps.

It's difficult to tell from your pictures, but this may be bone. If it is due to muscles, a series of treatments with Botox is needed. I suggest following up with a cosmetic dermatologist. Hope this helps.

There hasn't been research or currently on-going research on the subject of breast feeding and/or pregnancy and administration of Botox.  The risks are therefore unknown, but not worth the risk to the baby.  If you wish to continue using Botox, I would not use the breast milk...

Common side effects of Botox include: Pain, swelling or bruising at the injection site. However, since it has been 3 weeks now I would recommend following up with your injector to be evaluated or getting a formal evaluation with an expert. Best, Dr. Emer

No, bruising is not permanent, but can take a few weeks to resolve. Icing, cold compresses and arnica may help. Hope this helps.