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You might ask your primary care doctor to ask some ENT doctors who they would recommend. Some specialize in TMJ syndrome. As a cosmetic dermatologic surgeon, I do not treat this condition as I don't have the experience and I don't want to create an unbalance from one side to the other as that could cause a malalignment which could exacerbate the symptoms.
One of the first areas I started treating with Botox in 1994 was the Temporalis area. This was done for TMJ disease to weaken the "chewing" muscles to improve the associated headaches and muscle strain. You should look for a physician who treats TMJ with Botox. Keep in mind that the joint pain from TMJ arthritis or disc disease in no much improved with Botox, but the tension headaches and aches of the "muscles of masication" is improved.
IMHO, find an experienced plastic and cosmetic surgeon who has been using Botox for many years. I've used Botox for 25 years to reduce facial lines and wrinkles as well as modify the size and shape of facial muscles. A knowledge of the anatomy is paramount for accurate placement of the Botox in the Temporalis muscle, IMHO.
I am not aware of any chronic cases of muscle relaxation post Botox that lasted more than six months. When patients feel that their Botox still is working 8 or 12 months later, and I ask them to contract the muscles, the muscles are seen to move. What the patient has noticed is that the...
Every injector has their own personal instructions for Botox after care. My patients are instructed to avoid rubbing the face, lying face down, getting a facial massage, exercising, or inverting their head for about 4 hours after injections. I do not instruct my patients to move their facial...
While there is a risk of migration, I haven't heard of Botox migrating from the upper face to the lungs. It is highly unlikely.
Some patients do not obtain further benefit from Botox after the first week, possibly even after five days, whereas others do need up to two weeks to see maximum improvement. If one is unhappy with the results of cosmetic Botox it doesn't mean that your doctor couldn't do it differently...
SGGT, a serum transaminase chemcial, may be elveated when there is a problem with the metabolism of the liver. I do not recall reading or hearing of cases of elevated GGT from the repetitive use of Botox or Dysport.
Botox is intended for temporary relaxation to muscles, therefore it is not a good treatment for a cleft chin. I recommend fillers. Restylane, Juvederm fillers can be injected with good result to improve a cleft chin. If you're wanting a longer lasting result there is...
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