Botox

Administered by injection, just like a filler, Botox or Xeomin block neurotransmitters between your nerves and certain muscles, thereby reducing the movements that cause wrinkles and lines. The procedure is brief and has no downtime. The effects of Botox typically appear within a few days, and last several months.

The beauty of Botox is more than just skin deep. When treated with Botox, the jaw muscles that contribute to TMJ pain relax. Your jaw can perform all of its normal, useful functions, but its muscles will not return to their subconscious rigid, spasming or clenching positions.

Botox is also used to treat chronic migraines. Botox helps to prevent migraines by blocking neurotransmitters that carry pain signals from your brain to your head and neck.

Dr. Marc Kayem performs the procedure himself. As an Ear, Nose, and Throat doctor (ENT), he has detailed knowledge of the anatomy and physiology of the head and face.

The visit starts with a review of your medical history, your medications, and the areas you would like treated. Botox is injected with a fine needle into specific facial muscles. There is no incision, and most people return to their usual activities the same day. The effect is temporary, so treatment is repeated if you choose to maintain it.

Tell Dr. Kayem before treatment if you have a nerve or muscle condition, trouble swallowing or breathing, or if you take muscle relaxants or certain antibiotics, because these can change how Botox works.

The most common effects are bruising, swelling, or tenderness where the injections were given. Side effects reported in clinical trials include facial weakness, drooping of an eyelid, and drooping of the brow.

The FDA requires a warning on all botulinum toxin products: in rare cases, the effect can spread beyond the injection area and cause symptoms such as general muscle weakness, double vision, drooping eyelids, a change in the voice, or trouble swallowing, speaking, or breathing. These symptoms have been reported hours to weeks after injection. Seek medical care right away if you have trouble swallowing, speaking, or breathing after treatment.