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TMJ/Botox question

Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.

TMJ/Botox question

Postby foxeskier » Sat Nov 29, 2008 8:27 pm

Is it common to experience a soreness in the masseteur muscle after Botox injection 5 days post? What would be the cause of this and will it go away? My daughter recieved 20 units in the R side and those were injected w/ 3 injection sites, concentrating on the largest area of the massetuer.
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Postby AlexanderRivkinM.D. » Tue Dec 02, 2008 12:08 pm

hi
she only got botox on the right side?
that may be the issue.
i always inject both sides - to avoid an imbalance in the bite.
when one side is biting harder than the other, that may cause discomfort in either side.
the other possibility is that its just a healing bruise. give it a few days and if it doesn't go away, then speaking to your docotr again would be a good idea.
hope that helps
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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Postby foxeskier » Tue Dec 02, 2008 8:12 pm

Good point, Dr. We will ask our injector about that. If it is due to uneveness, will there need to be an equal amt of Botox injected in the other side or can less be used?

She really only had an issue with the R side for bruxism pain and the injector noted that the massetuer on that side was much larger. If the massetuer is larger on one side already, isn't that an imbalance in itself? I thought the Botox would even out that imbalance.

On a side note, my daughter thought it felt like a bruse for the first week or so. It has been about 10 days now and it is somewhat improved.
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Postby AlexanderRivkinM.D. » Mon Dec 08, 2008 12:26 pm

hi
less can be used - that's ok
i've found that i get good results if i put a little on the other side, even when its only one side that is at issue.
it sounds like everything will be ok.
i would hold off and see if it goes away on its own
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
www.westsideaesthetics.com
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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