Wrinkle Reduction in Forehead: Botox use is a great option for reducing wrinkles on the forehead. Minute doses of Botox over multiple areas has proven very effective in this regard. If administered effectively, Botox could help to achieve a useful and relaxed appearance. Care must be taken during the administration as the excessive weakening of the muscles in the forehead region could lead to eyebrow or eyelid skin droop. To prevent droop, the need to inject Botox into the crow’s feet or eyebrow area may arise.
Crow’s feet:As long as you keep working your facial muscles by smiling, laughing or squinting, the appearance of crow’s feet is somewhat inevitable. Botox is basically used to keep crow’s feet under control as they tend to get deeper over time. Botox administration is a great non-surgical option for controlling crow’s feet. Small doses of the injection at scheduled intervals seems to be a good option for most people as this ensures subtle change.
Glabella: the glabellar region is the area of space between the eyebrows and above the nose. Botox shots are given between the eyebrows to limit the appearance of frown lines and wrinkles in that region.
Reduction of a gummy smile: The term ‘gummy smile’ is used in describing excessive exposure of the gums when you smile. They could be caused by a short upper lip, small teeth or excessive gum tissue. Intramuscular injection of very low dose Botox into the elevator muscles in the upper lip has been used by dentists as an effective method for reducing gummy smile. Botox paralyzes the upper lip, preventing its contraction and subsequent exposure of the gums. The treatment normally lasts for about three to four months.
Tightening of the neck: The use of Botox in the alleviation of neck tightening is also gaining popularity. Local injection into the muscles of the neck results prevents contraction of the muscles, inhibiting neck tightening. Its effect on the skin surrounding the neck may or may not be different from that of the face. This is because the neck skin is often loose and much less elastic than the skin on the forehead. The restriction of muscular movement in that area is, therefore, unlikely to translate into smoothening of neck wrinkles.
Hyperhidrosis: Botox is approved for the treatment of severe underarm sweating in people 18 years and older. Botox is, however not a first line drug in this condition. It is only used when treatment with topical agents and antiperspirants have proved ineffective. The safety or efficacy of the use of Botox in treating excessive sweating in places other than the armpits has not been established.
TMJ / bruxism: Botox has also been used successfully in the treatment of Bruxism and Temporomandibular Joint Disorder. Bruxism is characterized by constant teeth grinding or clenching of the jaws. This is also due to hyperactivity of the jaw muscles. Paralysis of the muscles would prevent this and teeth grinding. Botox is injected into the muscles of mastication and the major symptoms of bruxism particularly myofascial pain is greatly reduced. The low dose is able to partially paralyze the muscles, limiting their ability to forcefully clench or grinding while still retaining enough muscular mobility such that normal functions such as eating and talking are not compromised. Higher doses may be required for people with stronger muscles of mastication.
Hypertrophic masseters: the masseters are one of the four muscles of mastication in humans. Anatomically, the muscles are strategically located. Their closeness to the mandibular ramus gives them a major role in facial aesthetics. Hypertrophic masseters usually alter facial lines, giving the face an odd square shape. Masseter hypertrophy, unlike bruxism does not exhibit any symptoms. From an aesthetic point of view, however, the odd shape it imparts on the face makes treatment worthwhile. Bruxism is a known cause of hypertrophic masseters. A low dose of Botox injected directly into the masseter muscles cause disuse atrophy thereby de-bulking the masseter muscles and reducing the width of the lower face. Considering many of the other available treatments for this condition are invasive, Botox injection is a great way to correct hypertrophic masseters.
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