Permanent alternative to neurotoxins, is there surgery to prevent muscle movement?

Question

I have tried all brands of neurotoxins and none provide an effect at all anymore. Two weeks later it’s like nothing was ever injected. What can I do instead? Is there a surgery that can prevent muscle movement?

Camille Cash, MD · Answer

Severing facial muscles is not a viable substitute for neurotoxins.  You may want to consider other treatments to rejuvenate and refresh the skin and eyes.  Are you a candidate for a blepharoplasty? Perhaps a forehead lift? Fillers can help rejuvenate the eyes.  Treatments like Morpheus8 improve overall skin tone and texture.  We also recommend using medical grade skin care products and wearing sunscreen every day.  I encourage you to meet with a provider near you to explore options.

Lexie Wang, MD · Answer

This depends very much on which areas you are bothered by. Surgeries CAN weaken muscle movement but this is usually a VERY VERY last option, as this is completely irreversible. Have you gone to other injectors and/or tried higher dosages and/or truly all of the toxins (for example, xeomin claims that they are great for those with antibodies)? Sometimes different injectors have different techniques so it might be user error. Alternatively like I said, it may mean that you simply need a much higher dosage. It is also possible you may need a break from them for a while in general.

Anna Chacon, MD, FAAD · Answer

When it comes to surgical interventions to prevent muscle movement, there are indeed a few options, but these are typically considered as a last resort due to their invasiveness and associated risks.One such procedure is called a neurectomy, where the nerve supplying the muscle is cut. Another procedure is a myectomy, which involves the partial or complete removal of a muscle. These procedures can result in permanent reduction of muscle activity. However, they also carry risks, including potential muscle weakness and changes in sensation.It's also important to remember that the body can sometimes develop resistance to neurotoxins, which might explain why they're no longer working for you. This resistance can sometimes be overcome by modifying the neurotoxin dosage or administration technique, or by taking a break from the treatment.

Permanent alternative to neurotoxins, is there surgery to prevent muscle movement?

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Permanent alternative to neurotoxins, is there surgery to prevent muscle movement?

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