Aesthetic clinics are often visited by patients who are dissatisfied with the appearance of the face along with physical symptoms. For example, bruxism can be both a cause of headaches and an expansion of the lower jaw area, which makes a woman's face more masculine. This is due to the gradual thickening of the masseter muscle. Accordingly, all three problems can be solved by influencing m. masseter. In the article estet-portal.com, dermatologist Lily Talakoub presents a case of successful narrowing of the mandibular area, as well as the treatment of bruxism and associated headaches by injections of onabotulinum toxin type A into masticatory muscles.
- Prior consultation and treatment choice
- Results of injection of onabotulinum toxin A into masticatory muscles
- Recommendations for the treatment of bruxism with onabotulinum toxin injections type A in m. ;masseter
Prior consultation and choice of treatment
A 42-year-old female patient came to the author's clinic complaining of an unsatisfactory facial appearance. During the examination, the doctor found that due to the thickened masticatory muscle, the woman's face in the lower jaw area had a square shape. This visually filled the patient's face and gave it a masculine look.
History of patients:
- bruxism;
- Migraines.
A woman reported unsuccessful treatment for bruxism, for which she used three different mouth guards, and for headaches, for which she took prescription drugs prescribed by a doctor.
You can correct the masticatory muscle with botulinum toxin during your lunch break – it is fast, painless and effective.
In patients with bruxism who have a habit of clenching their jaws during stress and for other reasons, the masseter muscle thickens over the years, which leads to an expansion of the lower jaw area.
The author has suggested a therapy with injections of onabotulinum toxin type A for relaxation of the masticatory muscles which prevents excessive clenching of the jaws. As a result of the weakening of muscle activity, m. masseter becomes less massive, which allows:
- narrow the face;
- eliminate headaches;
- stop bruxism.
The patient has agreed to the proposed method of treatment.
Results of injection of onabotulinum toxin A into masticatory muscles
The doctor injected 100 units into the masticatory muscle. ona botulinum toxin type A. The results of therapy are shown in the photo.
Photo: The patient before (above) and one month (below) after the administration of 100 units. ona botulinum toxin type A Into masseter muscle
A month later, the patient came for a follow-up examination. She was extremely satisfied with the results:
- lower third of face narrowed;
- Migraine attacks have stopped;
- Mouthguards are no longer required.
You may also be interested in: Pain management with botulinum toxin injections
Injections of onabotulinum toxin type A into masticatory muscles – idealtreatment option for patients:
- with bruxism;
- having a habit of clenching their jaws in stressful situations;
- suffering from frequent tension headaches or migraines;
- unsatisfied with the shape of the face (square shape, too massive line of the lower jaw, which make it more masculine).
Recommendations for the treatment of bruxism with injections of onabotulinumtoxin type A in m. masseter
Depending on the thickness m. masseter, you may need 60 to 100u onbotulinum toxin type A for its relaxation.
The patient should be warned that:
- headaches may occur for a week after the procedure.
- the result of changing the shape of the face, i.e. narrowing in the area of the lower jaw, will be noticeable a month after the injections.
Subscribe to our channel in Telegram!
The author has been doing this procedure for 10 years. During this time, there were no side effects, except bruises, which can appear after any injection procedure. Botulinum toxin injections in m. masseter are not accompanied by puffiness and do not require a recovery period. Patients can return to their usual activities immediately after leaving the clinic. This also applies to physical exercise.
The amount of onabotulinum toxin type A required to inject into the masticatory muscle varies from 60 to 100 units, depending on its thickness.
Repeated toxin injections are performed about every six months, which is much less frequent than when working with botulinum toxin in other areas. Most patients after 6 months recurrence of headaches, which leads them to repeat procedures.
Of course, if an insufficient dose of the drug is administered during the first visit, additional correction will be needed earlier.
Read also: How to improve aesthetic results with botulinum toxin
When injecting onabotulinum toxin type A into the masticatory muscles, it is important to palpate their start and end points. M. masseter shape resembles a triangle . It is also important to know where the laughter muscle is located, which draws the corners of the mouth outward during a smile. Injecting a neurotoxin into this muscle will cause a distortion of the smile due to its immobility.
To obtain optimal results of masticatory muscle correction with onabotulinum toxin type A, it is important to use a sufficiently high dose of . Otherwise, the therapy will be ineffective.
Based on Practical Dermatology.
More interesting videos on our YouTube-channel!
Share:
Add a comment