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The Many Uses of Botox for the Face

3 min read
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By the Surgeon
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Facial Plastic Surgeon · Double Board-Certified

Botox is a well-known procedure used to remove wrinkles from the face, typically in the forehead or the area around the eyes. What is not commonly known is that Botox has far more uses for the face than just helping with appearance. Here, we will talk about many of the ways Botox injections can be used to treat different conditions.

Eyelid Spasms

Botox is a neurotoxin which temporarily paralyzes nerves, and thus, stops the nerves from communicating with the muscles. With blepharospasm (eyelid spasms), an individual loses control of the basal ganglia, which controls their eye movements. This can cause droopy eyelids or uncontrollable twitching. These abnormal facial movements can be very disruptive to everyday life. Botox works by blocking the nerves from communicating with their muscles at the neuromuscular junction. In blocking receptors, the drug cuts off access to the nerves, so the muscles become paralyzed, which stops spasms.

Crossed Eyes

Botox was also initially approved for treating crossed eyes, also known as strabismus. Crossed eyes can be congenital in children or result from trauma, such as blunt force trauma to the eye area. When people have crossed eyes, they can be permanently corrected by surgery, but they may also opt to get Botox first to relax their muscles and see what the uncrossed eye will look like. Botox can also be used by people with strabismus to calm their eye muscles without having to undergo eye surgery.

Hypersalivation

Hypersalivation can be an extremely irritating condition, often negatively affecting the sufferer’s ability to live a normal day-to-day life. Fortunately, yes, Botox can actually be used to treat hypersalivation by paralyzing the nerves and stopping them from overproducing saliva.

Bell’s Palsy

An individual with Bell’s palsy suffers from one-half of their face drooping as a result of facial nerve paralysis. It can be caused when pregnant, when someone has diabetes, or when a virus has been transmitted, and with other viruses, such as Lyme disease. With recovery of the nerve, the crossed fibers can cause severe facial tics and spasms. The spasmodic facial muscles can be relaxed with Botox injections to aid recovery in Bell’s Palsy.

Spasmodic Dysphonia

Spasmodic dysphonia is characterized by the sound of shaky, strained, or hoarse vocal cords. Even though it affects the voice, it is actually classified as a neurological condition, and not a speech disorder. With spasmodic dysphonia, an individual’s speech can be affected by uncontrolled spasms caused by abnormal brain signals. Botox helps by weakening the muscles of the vocal cords so that the voice is smoother and more stable, with less strainig.

Thyroid Eye Disease

If the thyroid is overactive due to Graves’ disease or hyperthyroidism, the eyes sometimes cannot close completely. When a person has thyroid eye disease, their eyelids can often appear retracted or bulging. But, with Botox injections, the eyelid’s muscles weaken, causing the eyelids to appear more normal.

Botox is commonly known as the solution to fine lines and wrinkles. But it has so many more beneficial uses than just reducing the visible effects of aging.

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