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How to avoid unwanted results from Botox for Migraine (temporalis wasting and asymmetry)?

VirtualKatieMar 30, 2022
Insurance is covering Botox for migraine done by my neurologist. I mentioned above concerns before getting 2nd round and he said he'd avoid the temporalis and that he'd go higher (B/c short forehead) but the same issues reoccurred. This time he gave me injections for my 11's, forehead line, and crows feet. Which one is the culprit for the temporalis? Also what to do about the eyebrow droop? (I suspect natural lower tone on that side b/c of the pre injection asymmetry of forehead line) TY!

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Dr. Jason Emer, MD
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Camille Cash, MD

Botox is a neuromodulator that will soften the ability of the injected muscle to contract. The muscles not injected will still be able to animate. I encourage you to discuss your results with your injector.

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Sarah Yovino, MD

Botox should definitely work to reduce the size of the trapezius muscles, but it will take many months of disuse and retreatment for that to happen. It is frequently injected in hyperactive muscles or trigger points to calm them down. You can also try Dysport, which works better and lasts longer.

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Jason Emer, MD

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...

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