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Botulinum Toxin

Botulinum toxin is a very safe and effective treatment for expression lines. It can also change the skin, decrease muscle mass due to less activity and help shape the brow.

The procedure takes approximately five to ten minutes. The treatment is temporary and lasts anywhere between 2 to 6 months.

Dynamic Wrinkle treatment

Injecting the toxin is a non-surgical procedure that temporarily blocks the nerve impulse to the muscle, thereby relaxing the muscles that are responsible for the facial wrinkles. This softens and in some cases virtually flattens the wrinkle. It is particularly effective for the upper portion of the face, such as frown lines, crows feet, or horizontal forehead lines.

A very small dose of the toxin is injected into the muscle.

Nefertiti Lift

The Botulinum toxin type-A injection which was used for the correction of excessive gingival display caused by hyperactive upper lip elevator muscles was seen to be highly effective. The results were extremely satisfactory for both the patient and the orthodontist. Even though Botox has a transitory effect, six months post treatment the gummy smile was still seen to be within the normal range. Hence, depending on the cause and the needs of the patient, this treatment approach could well be used as an alternative procedure for faster and minimally invasive treatment of gummy smile.

For the Neck

The Botulinum toxin type-A injection which was used for the correction of excessive gingival display caused by hyperactive upper lip elevator muscles was seen to be highly effective. The results were extremely satisfactory for both the patient and the orthodontist. Even though Botox has a transitory effect, six months post treatment the gummy smile was still seen to be within the normal range. Hence, depending on the cause and the needs of the patient, this treatment approach could well be used as an alternative procedure for faster and minimally invasive treatment of gummy smile.

Non-surgical Jaw Reduction

We often have patients who complain about heaviness to their lower face as they get older. Part of what they are seeing is skin laxity and descent of facial fat causing a “jowly” appearance. Another part of this heaviness effect, however, is an enlargement and squaring of the angle of the jaw. With time, many people develop an enlargement of their masseter muscle. This is the main muscle responsible for chewing. Either through genetic predisposition to enlargement or through continuous exercise via teeth grinding and clenching, or both, the muscle gets bigger.

Frequently, patients are grinding and clenching only at night, so they are not even aware that they are doing it. Enlargement of the master muscle is one sign that this is happening. Dentists will note wearing of the teeth that is typical of grinding or clenching. Some patients note morning tenderness and fatigue around their jaw area.

As the masseter muscle enlarges and the jawline becomes more square and pronounced. Softening the angular appearance of that strong jaw gives them a more oval and gentle shape to their face.

Botulinum toxin injections have been shown to be a safe and effective way to reduce the size of the masseter muscles. Two weeks following the first treatment, we monitor the results and adds more toxin to the area if needed. The jaw reduction treatment does not result in weakness of the bite or chewing. The effects can be relatively quick, however it may take up to six months before the visible shrinking of the muscle can be observed. The procedure is fast, relatively painless, and requires no anesthesia or downtime. Ice is used to numb the area for a short period prior to injecting Botox.

Botox injections should be repeated every 3 to 4 months for up to a year in order to obtain optimal results. Jawline reduction is often maintained even if no further Botox injections are done after the first year of treatment. The ultimate goal is to break the habit of grinding and clenching by weakening the masseter muscles. Once the habit is broken, it may never return.

Brow shaping

Botulinum toxin type-A is often very effective in helping to lift and shape the brow.

Gummy Smile

The Botulinum toxin type-A injection which can be used for the correction of excessive gingival display caused by hyperactive upper lip elevator muscles. The results can be extremely satisfactory. Hence, depending on the cause and the needs of the patient, this treatment approach could well be used as an alternative procedure for faster and minimally invasive treatment of gummy smile.

Hyperhidrosis

Botulinum toxin type-A is a very effective treatment that can be injected into the skin to treat too much sweating under the arms and on the hands or under the feet. 

Medical indications

Botulinum toxin can be injected sometimes for medical reasons, as for example for facial symmetrization after facial paralysis, for certain migraines, Frey syndrome after parotidectomy, for certain vocal cord or swallowing disorders, for hypersalivation and for other conditions.

 

These indications are discussed on a case by case basis.

Coverage by insurance may not be possible. 

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