The injections are performed in the office with an ultra fine needle with the number of injections required varying with the degree of wrinkling. The effects of BOTOX Cosmetic begin within 24-72 hours and the effect lasts an average of 3 months. There is some evidence to suggest that after several repeated injections, the effects last longer.
BOTOX Cosmetic injections can also be used for esthetic and functional treatment to slim the face. Some patients have very active jaw muscles (masseter muscles) that give their face a very square appearance. These are the main muscles that are used for chewing and biting. Injecting BOTOX Cosmetic into these muscles can reduce their size and give a square face a more tapered or oval appearance. Additionally, many patients grind their teeth (bruxism) which can lead to an increase in the size of the masseter muscle along with pain and tenderness. BOTOX Cosmetic can also be injected into the muscle to decrease clenching and bruxism by decreasing the force of the bite. Weight lifters and bodybuilders may also over develop this muscle and may seek cosmetic slimming of the face with BOTOX Cosmetic injections.
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