Frontalis muscle, temples, and eyebrow/lid muscles look increasingly clenched and prominent - would Botox help?

Question

I have severe TMJ that progressed into degenerative arthritis, and am going to get jaw joint replacement surgery in the next year and a half. Because of my jaw bone resorption, I've lost height of my face, and the muscles of my neck, head, face and shoulders have had to compensate. Because of this I have noticed my frontalis muscle of my forehead, mytemples, and eyebrow/lid muscles increasingly clenchedand prominent. Would botox help, and if so, where?

Jonathan Kulbersh, MD · Answer

Thank you for posting your question. Botox is a safe and effective treatment option for symptoms associated with persistent clenching. The clenching can be due to overactive muscles, and Botox can block receptors to reduce clenching. Botox may not be suitable for degenerative arthritis or other health concerns. For severe cases like yours, it is critical to have an in-person consultation with a board-certified facial plastic surgeon to review your medical history and determine if Botox or dermal fillers can help with your cosmetic concerns.

Zoran Potparic, MD · Answer

Only on the basis of in person clinical evaluation, one can make a decision about temporary paralysis/weakening of selective muscles. Consultation with a board certified plastic or oculoplastic surgeon with experience in neurological application of Botox, is recommended. Good luck.

Camille Cash, MD · Answer

Botox has many uses including softening muscle tension from TMJ.  I encourage you to visit with an expert injector near you to discuss your concerns and see if Botox or another neuromodulator may help.

Frontalis muscle, temples, and eyebrow/lid muscles look increasingly clenched and prominent - would Botox help?

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