How Long Does Masseter Botox Last – Botulinum toxin masseter injections were first prescribed by dentists for a condition called bruxism (teeth grinding that destroys teeth during sleep). This condition was caused by the strongest muscle in our body (the masticatory muscle).
The masticatory muscle, the masticatory muscle, is responsible for the elevation of the mandible and part of the protraction, but above all it determines the clenching force of the teeth.
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Over time, some people develop this condition called bruxism, where the strongest muscle in the body (the masticatory muscle) almost always contracts unconsciously. This causes jaw clenching and teeth grinding, destroying teeth and causing other health and aesthetic issues.
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Oddly enough, you would think that, from an evolutionary perspective, the strongest muscles would be in our limbs to lift us up or out of harm’s way, but no! Human evolution, from eating grass and wild plants to developing teeth to grind highly nutritious grains and raw meat through chewing, has led to the enlargement of chewing muscles. The discovery and control of fire 2 million years ago has saved us from chewing and grinding ever since. Evidence suggests humans have been around for at least 6 million years. So I think the presence of this condition, which is still found in humans today, may prove that it takes a long time, from an evolutionary perspective, to break a habit.
The condition of masseter bruxism also has aesthetic concerns. The main reason for this is that it increases the width of the jawline and makes the face square. It’s only recently that people have had this treatment whether they have bruxism or not. The goal is to refine the face and give it a “V” shape.
Muscle mass increases the more you use it, the same way you train your biceps in the gym to make them bigger.
The same concept can be used to discuss the masseter muscle. The muscle is used excessively, unconsciously and even during sleep. The consensus in the etiology of overuse is due to a subconscious psychological tick that stems from a variety of causes.
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Overuse of the masticatory muscle also destroys the teeth over time as the teeth are constantly put under pressure and over time the affected teeth become shorter and even crack if left untreated.
Most aesthetic medicine educators now teach and advocate aesthetic treatment for all patients because they are fully convinced of the noticeable benefits. Injectors are trained to give botulinum toxin massage treatments to patients who do not have severe jaw problems for “anti-aging” benefits. They teach clinical studies showing that jaw bone loss was GREATER in those who did not treat the masticatory muscle compared to those whose masticatory muscle was treated with botulinum treatment.
Well, the structures of the face are held together by the jawbone and over time we usually lose the minerals from the bones and the aging face loses its scaffolding. Where would soft tissue like muscle, fat, and skin go? Soft tissue will go where gravity requires it and fall down the center of the face. What most people call a “floppy face” is the result of a domino effect, from bone loss to tissue shifting toward the center of the face, loss of collagen, and other soft tissue laxity. Makes sense, doesn’t it? [I]
Well, if you look at the actual studies, there’s not a whole lot of research on botulinum toxin chewing and bone loss. Currently, medical journal articles have been published comparing patients who received masseter therapy with patients who did not.
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After years of treatment, jaw scans were then taken to determine the progression of bone loss. Surprisingly, many studies show conflicting results, namely that jaw loss was greater in people treated with a masseter than in those who did not. However, there are not enough studies to determine effectiveness and bone loss. The debate is whether muscle loss (atrophy) also leads to bone demineralization?
But back to bruxism. Another problem caused by bruxism is recurring migraines and constant headaches which can seriously weaken you.
If we’re starting to get sentimental about it, there’s a simple 5 minute fix to these issues with a botulinum toxin injection every 6 months.
In this regard, I have personally changed my life through my aesthetic medicine and brought confidence to women and men who thought they would never have to look in the mirror and say “I got it! “. It went deeper than confidence in the bar trying to get someone’s attention, but I’m talking about people who have pursued careers they haven’t been able to achieve because of the psychological barriers they have erect, and all it took was a little injection in the jawbone. it took 5 minutes at my clinic.
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It still blows my mind to think of the incredible change in their lives after a procedure that has nothing to do with their intellectual ability or physical endowment to give up their future.
Not everyone suffers from bruxism, although aesthetic medicine has taken it to a whole new level. Today we all know the weight of pseudoscience that has infected social media, magazines, stores, clinics and even scientific journals, causing unprecedented utter confusion among people without a scientific nose. sharpened. That’s why it’s so hard to smell the stench of a lie, and it takes a master’s degree in medicine and a degree in pathology to understand the extent of it.
That doesn’t mean dermatologists have no idea what they’re talking about most of the time. As a physician and surgical resident at Burns Plastic and Reconstructive Surgery, I can tell you that most physicians have no idea what they’re talking about. Going with patient suggestions and advice, we can assume this is the way to go after being reassured by a few randomized controlled trials (remember that most research contains some degree of bias and error ), and the fact that they are FDA approved. and enough physical results have been obtained and complications studied long enough to justify its use in our clinic.
Once approved by the FDA, most clinics start offering treatments as soon as they hit pharmacies, or a marketer walks into a clinic with a good deal to make a profit.
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To put an end to this misconception, it’s unclear what botulinum toxin can do long-term, but it does help some people with temporary symptom relief. Although I would be hesitant to give injections to patients who just want a slimmer face unless there is an urgent need and it affects the patient’s daily life. I await enough randomized controlled trials to assess mandible bone density after botulinum toxin injections.
De Maio, M., Wu, W.T., Goodman, G.J. & Monheit, G. (2017). Facial assessment and injection guidance for botulinum toxin and hyaluronic acid injectable fillers: Focus on the lower face.
Raphael, Karen G et al. “Effect of multiple injections of botulinum toxin into painful masticatory muscles on bone density in the temporomandibular complex.”
Hong, Seok Woo and Jeong Hyun Kang. “Decreased mandibular cortical bone quality after botulinum toxin injections into the masticatory muscles in adult women.”
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Tsai CY, Shyr YM, Chiu WC, Lee CM. Bone changes in the mandible after botulinum neurotoxin injections. Eur J Orthod. 2011 Apr;33(2):132-8. doi:10.1093/ejo/cjq029. Epub 2010 Sep 30. PMID: 20884720. Botox chew reduction results in a slimmer, heart- or oval-shaped face through non-surgical lower facial reshaping. Precise placement of Botox into the muscles of mastication temporarily reduces the muscle tension responsible for the bulky appearance of the lower face and relieves the painful symptoms of TMJ disorder.
The attractive chin line has a sharp, angular profile, heart-shaped or oval when viewed from the front. The appearance of angular jaws is unflattering due to the hypertrophy of the masseter muscle.
When Dr. Schwarzburg injects Botox into the masticatory muscle, it temporarily inhibits forceful muscle contractions. Chemical inactivation of masticatory muscles results in loss of muscle strength, mass and volume.
Dr. Schwarzburg invented and refined his own injection technique to relax rodents without surgery to achieve the best slimming and pain relief possible. His new approach includes 4 injection points in each face to precisely inactivate the jaw muscles. Patients are asked to clench their teeth to isolate the strongest part of the masticator, and injections are performed when the masticators are fully contracted and flush with the skin. Jawline Botox injections are well tolerated by patients who generally do not require anesthesia or downtime.
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A more serious side effect is asymmetry caused by paralysis of the rhizorius muscle, which can occur when the toxin is injected.
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