I have TERRIBLE TMJ pain, so I saw a nurse practitioner at a Botox spa and she put 20/20 each Masseter and 5/5 each temporalis. I feel better now 2 weeks post, however my smile is HIDEOUS! Did she do it wrong? Did it just spread out too much into wrong muscles? Should I do less next time or find a different doc? Please see my before/after pics. I have tried everything for my TMJ, and this yields the most pain relief, so I want to keep doing it, but can’t stand this weird smile :( Thank you!
August 5, 2019
Answer: Terrible smile distortion after TMJ Botox, do I need different doctor I'm sorry that you are having issues after your Botox treatment. One of the risks of injecting this area is it affecting the smile. Fortunately this effect is temporary and your smile will return to normal over the next few months. In the future you may want to consider an injector who is experienced with injecting this area regularly.
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August 5, 2019
Answer: Terrible smile distortion after TMJ Botox, do I need different doctor I'm sorry that you are having issues after your Botox treatment. One of the risks of injecting this area is it affecting the smile. Fortunately this effect is temporary and your smile will return to normal over the next few months. In the future you may want to consider an injector who is experienced with injecting this area regularly.
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August 4, 2019
Answer: Accidental injection into Risorius muscle This is due to injector error and the botox was placed too superficially and medially - so that it affected the risorius muscle. Your smile will eventually return to normal after the botox wears off. This could take several months. In the future - you should look for an experienced injector who does this full time and understands the underlying anatomy. My suggestion is when you look for your next provider - test them and ask them if they have encountered this problem before. Ask them why this happens. If they can tell you it's due to accidental injection into the risorius muscle - then they are probably the right person for you.
Helpful 1 person found this helpful
August 4, 2019
Answer: Accidental injection into Risorius muscle This is due to injector error and the botox was placed too superficially and medially - so that it affected the risorius muscle. Your smile will eventually return to normal after the botox wears off. This could take several months. In the future - you should look for an experienced injector who does this full time and understands the underlying anatomy. My suggestion is when you look for your next provider - test them and ask them if they have encountered this problem before. Ask them why this happens. If they can tell you it's due to accidental injection into the risorius muscle - then they are probably the right person for you.
Helpful 1 person found this helpful