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Is Botox effective in reducing submandibular gland size?

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I am a thin 35 year old man with large protruding submandibular glands ruining my jawline. They occasionally ache but I have had imaging done and there was no issue. I have two questions regarding shrinking my submandibular glands with botox. Is this effective and will it require additional injections a few times a year indefinitely? Also is it safe to administer botox to the gland without ultrasound guidance? A local plastic surgeon told me the ultrasound was unnecessary. Does that sound ok?

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Dr. Anna Avaliani, MD
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Dr. Anna Chacon, MD, FAAD
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