Off Label Cosmetic Applications Of Botox Boston

Off-Label Cosmetic Applications Of Botulinums such as Botox®, Dysport®, and Xeomin®: A Gummy Smile, Acne Scarring, Sagging Neck and Jaw Reduction

What is BOTOX®, DYSPORT® and XEOMIN® and How do they work

Botox® Cosmetic is a registered brand name of a neuromodulator that is produced from the bacterium Clostridium botulinum. Small controlled amounts of the neuromodulator have been shown to have significant positive effects for conditions like uncontrolled blinking, extreme sweating, migraine headaches, lazy eye, and more.

Botox®, Dysport® and Xeomin® work to block acetylcholine, the nerve transmitter that causes muscles to contract. Injecting a neuromodulator into the muscle reduces or stops these movements, thereby relaxing the muscle. In 2002, the FDA approved Botox® for cosmetic purposes. Botox®, along with Dysport® and Xeomin® are now approved to reduce crow’s feet around the eyes, soften frown lines between the eye brows, and relax lines in the forehead. Unapproved off-label uses of these neuromodulators include relaxing lines around the lips, nose and mouth, on the neck and jaw and for treatment of acne scarring.

Acne Scarring Correction

If you have pock marks or facial scaring left from those teenage acne years, there are a range of treatments available to improve your appearance with laser skin resurfacing. However, one of the least invasive alternatives is the use of Botox®, Dysport® and Xeomin®. Pock marks may in part be due to muscle movement in the face that stretches the scar and makes its appearance more noticeable. By injecting Botox®, Dysport® and Xeomin® into the area in tiny increments where muscles contractions pull on the acne scar, the tension and stress on the scar reduces making it less visible. This treatment has been shown to reduce both the bumpiness and the width of scars and may be a great option for you in combination of other treatments to increase collagen production and reduce or eliminate the scarring.

Gummy Smile

Does your smile show too much gums, what is referred to as a gummy smile (excessive gingival display) which makes you feel uncomfortable and uneasy about smiling? According to dentists and cosmetic surgeons, the ideal smile has the upper lip drape over the top of the upper teeth, with little gum showing. Some people with aggressive gummy smiles show more gums and their lips may thin out during the smile.

A gummy smile can be of skeletal, dentoalveolar or soft tissue origin. While the first two causes may need to be treated with dental surgery, one relatively simple solution is through the use of a botulinum like Botox®, Dysport® and Xeomin®. Injections into the hyperactive muscles relax the lip so that it does not raise as much when you smile. It is a simple procedure but, as with other uses of Botox it is only likely to last for three to four months.

Jaw Reduction (Masseter)

One of the strongest muscles in the face is the masseter muscle in the jaw that is used for chewing. For people who chew or grind their teeth too often, this muscle can grow larger. Just like working out at the gym and building your biceps or triceps, the masseter muscle can grow in size. This may have the impact of making your jaw look larger and more-square shaped. By injecting Botox®, Dysport® and Xeomin® directly into the masseter muscle on each side of the jaw, the muscle will relax and overtime reduce in size. This will have the effect of slimming down the face and creating a more of a V-like appearance to the jawline.

As with any reduction of muscle, it will take two to three weeks to see the effect of the treatment. This application of Botox®, Dysport® and Xeomin® can last from four to six months and then will need to be repeated.

Saggy Neck (Nefertiti Lift)

Weather it’s aging or genetics that that make you feel subconscious about your “heavy neck” and lack of jaw definition there are different options available to you and one is with Botulinum injections with Botox®, Dysport® and Xeomin®. Depending on the cause and severity of the sag (i.e., fat deposits, lose skin), there are a number of treatments available to address this problem. One such procedure has been dubbed the Nefertiti Lift. Nefertiti was the Queen of Egypt in the 14th century and was well known for her distinct and elegant jaw line and smooth neck.

The Nefertiti Lift uses Botox injections along the lower jaw and down the patient’s neck. These injections target the platysma muscle, which when it contracts pulls down on the tissues of lower face, including the jowls, reducing jaw definition and producing the look of sagging skin on the neck. By relaxing these muscles, it reduces the downward pull and can have the effect of the appearance of a lifted and tighter jaw and neckline – moving towards the elegant jaw and neck of Queen Nefertiti.

The Nefertiti Lift is most effective with patients who do not have excess fat along the jawline or loose and folding skin on the neck. As with other botulinum treatments, the patients should expect to repeat it three or four times per year to maintain the effect.

Arranging a Consultation

The most important step in preparing for neuromodulator treatment is deciding on the right doctor to perform it. Dr. Onir is an award winning, highly qualified and experienced medical professional who will be happy to tell you more about the use of neuromodulators – Botox®, Dysport® and Xeomin®- and their benefits. Contact our office today to schedule your consultation.

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