Is Botox a good long term solution for reducing my temporalis by a good margin? (photos)

Question

I have a low interpupilary distance and quite wide temporalis. After evaluating my CT scan i've concluded that the biggest reason for this is soft tissue and not bone width. Could botox be a long term solution to improve my eye spacing and "bloated" upper face look?

Eric M. Joseph, MD · Answer

If the area that you would like narrowed gets fuller when you clench her teeth, then it may indeed be your temporalis muscles. This should be relatively easy to determine with an examination. I hope this helps! Sincerely, Dr. Joseph

Zoran Potparic, MD · Answer

Reducing the bulk of temporalis muscles will not change your interpupilary distance. Botox will decrease the volume of the injected muscle temporarily (4-6 m) and affect the width of your head what, to some degree,  may change perception of narrow distance between your eyes? It may be worth of a try? Be sure to consult a board certified plastic surgeon rather than an injector. Good luck.

Anna Chacon, MD, FAAD · Answer

Botox is commonly used to relax muscles and can be effective in reducing the size of certain facial muscles, including the temporalis. However, it is essential to understand that Botox provides temporary results, typically lasting around 3 to 6 months. For a condition like yours, where the goal is to achieve a significant reduction in the appearance of the temporalis muscle for aesthetic reasons, Botox might be a viable option, but it would require regular treatments to maintain the desired effect.

It's also important to consider that while Botox can help reduce muscle bulk, it won't change bone structure or significantly alter the interpupillary distance. If your concern is primarily related to soft tissue, Botox could potentially help in achieving a slimmer appearance of the upper face by reducing muscle size.

For a long-term solution, you might want to discuss other options with a qualified healthcare professional, such as a dermatologist or a plastic surgeon, who can evaluate your specific case and recommend the most appropriate treatment plan. They may consider alternatives or complementary procedures that could provide more lasting results.

Before proceeding with any treatment, a thorough consultation with a specialist is essential to discuss your goals, assess the potential risks and benefits, and explore all possible treatment options.

Camille Cash, MD · Answer

If you have hypertrophy of the temporalis muscles then Botox can help to slim the appearance.  The treatment can take up to two weeks for full effect and the results will last about three to four months.  Visit with an expert injector for an evaluation and to learn more.

Miller Vieira Paula, DDS · Answer

Botox can be a helpful tool in reducing the appearance of an enlarged temporalis muscle, but it may not be the most ideal long-term solution, especially if you are seeking a significant and lasting reduction in muscle size and a substantial improvement in facial contour.
Here are the key considerations based on your situation:
Effectiveness of Botox on the Temporalis Muscle
1.- Mechanism: Botox works by temporarily paralyzing the muscle, reducing its activity, which can lead to a decrease in muscle bulk over time. This effect is commonly used in cases of masseter hypertrophy to slim the lower face.2.- Temporalis Muscle: Like the masseter, the temporalis muscle can respond to Botox, but the change might be less noticeable because it is not as prominent or superficial as the masseter. Results may vary depending on the degree of hypertrophy and other contributing factors.
Limitations of Botox for Long-Term Solutions
1.- Temporary Results: Botox effects typically last 3–6 months. For sustained results, regular treatments are required, which can become costly and time-consuming.2.- Diminishing Returns: While Botox may reduce muscle bulk with repeated treatments, the degree of improvement can plateau over time. For significant soft tissue changes, Botox might not be sufficient.3.- No Direct Effect on Eye Spacing: Botox won’t physically alter your interpupillary distance or bone structure. The perceived improvement would come from soft tissue slimming, which may create the illusion of improved proportions.
Dr. Miller Vieira Paula

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