Options for inhibiting orbicularis oculi muscle? Can no longer use neurotoxins

Question

Unfortunately neurotox is no longer an option for me as it made me very sick two different times. The years of injections I was able to tolerate trained me to not emote much with my eyebrows. But, I can’t do the same with smiling, so I’ve been looking into procedures that remove or inhibit the obicularis oculi muscle. So far I’ve found promising research regarding resection and causing fibrosis with RF, but I can’t seem to find anyone who offers these in their practice. Would love any info!

Zoran Potparic, MD · Answer

This is very generalized question to answer. Only on the basis of in person consultation and evaluation of orbicularis oculi muscle activity, one could offer some options. Consultation with an experienced board certified plastic or oculoplastic surgeon is recommended. Good luck.

Robert Oliver Jr., MD · Answer

You can usually try one of the other botulinum toxin products if you had an adverse event to Botox (severe headache/nausea). All 5 (and soon to be 6-7) available options are slightly different and the reaction is usually to some of the proteins in the product. I would suggest trying a small dose of one of the other common alternatives (dysport, juveau, xeomin) to see if you find one that agrees with you

The RF ablations of muscle groups to paralyze/weaken them does not work very well and cause some significant problems (burns, chronic pain, recurrent movement)

The RF ablations of muscle groups to paralyze/weaken them does not work very well and cause some significant problems (burns, chronic pain, recurrent movement)

Options for inhibiting orbicularis oculi muscle? Can no longer use neurotoxins

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