Therefore, a Bells palsy patient should meet with Dr. Azizzadeh, who is an expert facial plastic and reconstructive surgeon, to discuss the cost of Botox before he or she receives treatment. Botox can sometimes spread from the area where its injected and cause trouble breathing or swallowing. It is an uncertainty that all who elect this "cosmetic" procedure should ponder. You shouldnt drive if you have symptoms such as blurred or double vision, drooping eyelid, dizziness, or muscle weakness. Other conditions such as Ramsay Hunt Syndrome, Lyme Disease, acoustic neuroma resection, and autoimmune disease can also result in long-term facial tightness and synkinesis. Ask your doctor what other medications are better options for you. physiotherapist Botox can cause a host of medical conditions. If the stroke happened too long ago for this treatment, the doctor may treat you with medications to reduce risk of further brain damage. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Facial paralysis often results in muscle weakness, which changes the way that patients eat, drink, talk, and smile. Some people may have a headache after receiving Botox injections. To learn more, see the drugs prescribing information. partial or slight paralysis of the face Less commonfor lateral canthal lines Swelling of the eyelids Less commonfor upper limb spasticity Cough producing mucus difficulty breathing muscle weakness nausea seizures tightness in the chest weakness Other side effects of Botox Botox causes paralysis. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. While the Botox we use for facial palsy is the same medication that is used for cosmetic purposes (to decrease wrinkling with facial movement), insurance will typically cover Botox use for patients with facial palsy. Possible long-term side effects of Botox include: If youre concerned about possible long-term side effects with Botox, talk with your doctor. Use of Botox can help decrease involuntary facial movements (aka synkinesis) and other signs of facial paralysis. Bells palsy fact sheet. Toxins, 11(1), 21. facial muscles This causes permanent paralysis of one side of the face. Beverly Hills, CA 90212. Initial studies did not investigate whether cortical remapping was limited only to the hands, or whether other body parts were also affected. Among patients with detrusor overactivity associated with a neurologic condition, urinary tract infection and urinary retention occurred in 24% and 17%, respectively. Continue reading for a comprehensive list of adverse effects. Later studies showed more widespread effects and unintended consequences within the nervous system. People with diabetes or multiple sclerosis may have a higher risk for urinary retention with Botox. Botox works by blocking release of a neurotransmitter called acetylcholine, which is what nerves use to tell muscles to contract, or tighten. And some may be easily managed, too. Unfortunately, even with all current options for therapy, some cases of facial paralysis may never completely go away. Facial nerve palsy improved completely after 24 weeks. Microcurrent is billed as an anti-aging facial that stimulates the skin, boosts collagen (which gives skin structure) and elastin (which gives skin the ability to stretch and bounce back) production . Your treatment will be delayed until the infection gets better. Botox is one of the most effective treatments for patients with Bells palsy, partial facial paralysis and synkinesis. Depending on the cause, the paralysis might last for a short or extended period of time. Plus, a facial paralysis expert can use the proper amount of Botox based on a patients facial paralysis symptoms and inject Botox into the affected facial muscles. Other conditions such as Ramsay Hunt Syndrome, facial nerve repair, acoustic neuroma (aka vestibular schwannoma) surgery, and trauma can all lead to long-term synkinesis, asymmetry, and tightness. accessdata.fda.gov/drugsatfda_docs/label/2021/103000s5320lbl.pdf, Everything You Need to Know About Botox for Sweating, Why You May Want to Skip Botox While Pregnant or Breastfeeding, 15 Natural Ways to Reduce Migraine Symptoms, What You Should Know About Primary Lateral Sclerosis. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bell's palsy for the past two decades. Botox is one of the most effective treatments for partial facial paralysis and has been a mainstay treatment for these patients for the past two decades. While patients with Bells Palsy usually make a complete recovery, 15-30% of patients will develop some degree of chronic facial palsy, and suffer from facial and neck tightness, and involuntary facial movements in one area of the face during facial expression (this phenomenon is called synkinesis). Examples of these side effects include muscle weakness, drooping eyelid, double vision, and trouble speaking, swallowing, or breathing. Common (1% to 10%): Fatigue, asthenia, fever, Frequency not reported: Focal facial paralysis, syncope, exacerbation of myasthenia gravis, Postmarketing reports: Hypoacusis, hypoesthesia, malaise, radiculopathy, tinnitus[Ref], Common (1% to 10%): Pruritus, skin tightness, Frequency not reported: Diffuse skin rash, Postmarketing reports: Alopecia (including madarosis), hyperhidrosis, pruritus, skin rash, erythema multiforme, dermatitis psoriasiform, psoriasiform eruption[Ref], Common (1% to 10%): Flu syndrome, infection, Frequency not reported: Immunogenicity (formation of neutralizing antibodies to botulinum toxin type A which may reduce the effectiveness of therapy)[Ref], 1. Allergan Inc (2022): Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. It relaxes hyperactive muscles and temporarily restores facial symmetry, resulting in an improved facial appearance. The risk of symptoms is probably greatest in children treated for spasticity but symptoms can also occur in adults, particularly in those patients who have an underlying condition that would predispose them to these symptoms. Learn how Lyme disease is diagnosed and treated, and learn how, An embolic stroke occurs when a blood clot that forms elsewhere in the body travels to the brain via the bloodstream. Botox (onabotulinumtoxinA)." Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Applies to onabotulinumtoxinA: injectable powder for injection. A study shared with the Observer, proved that 1 in 6 users of Botox, had a bad reaction. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Treatment for Pagets disease depends on the type. If you have injection site reactions that are severe, troublesome, or last for a long time, talk with your doctor. Botox Cosmetic (onabotulinumtoxinA)." It improves facial symmetry, as well as reduces the activity of facial muscles in the forehead and other areas of the unaffected side of the face. This can cause a serious condition called botulism. It can happen on one or both sides of the face. People with facial paralysis should use artificial tears throughout the day and apply an eye lubricant at night. Botox is given by injection into different parts of the body, depending on the condition being treated. (2016, December 16). (2021). [Ref], Very common (10% or more): Dysphagia (up to 19%), Frequency not reported: Swallowing difficulties, jaw pain, Postmarketing reports: Abdominal pain, diarrhea, dry mouth, vomiting, anorexia[Ref], Patients in the upper limb spasticity trials who had stable, reduced respiratory function at baseline experienced a greater event rate change in forced vital capacity (15% or greater or 20% or greater decline) compared with placebo at weeks 1, 6, and 12. This study aimed to systematically review the evidence for the use of botulinum toxin in facial palsy. Strokes are very time sensitive, so if you are concerned at all that you or a loved one may be having a stroke, you should get them to an emergency room as soon as possible! ninds.nih.gov/disorders/bells/detail_bells.htm, uwmedicine.org/health-library/pages/facial-paralysis.aspx, emsworld.com/article/12092020/differential-diagnosis-bells-palsy-vs-stroke, mayoclinic.com/health/bells-palsy/DS00168, facialpalsy.org.uk/about-facial-palsy/causes-diagnoses/stroke/58, Everything You Need to Know About Lyme Disease, facial paralysis on one side (rarely are both sides of the face affected), loss of blinking control on the affected side, drooping of the mouth to the affected side, sound hypersensitivity on the affected side, weakness in arms or legs on one side of your body. In . If you already have urinary retention, you shouldnt receive Botox to treat bladder problems. A: Botox is a protein derived from botulinum toxin that can counteract the typical effects of Bells palsy, which may include weakness and uncoordinated movement of the face; the condition may lead to temporary facial weakness or long-term facial nerve paralysis. shoulder At this point, the facial paralysis experts at The Facial Paralysis Institute offer a variety of Bells palsy treatment options, including Botox for Bells palsy. Try these natural remedies that might help get you back on your feet faster. That way, a patient can minimize the risk of potential complications during Botox treatment. Facial paralysis can cause a myriad of unpleasant side effects, many of which pose a threat to maintaining good oral health. It is an effective facial palsy treatment method. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Does Botox for migraines also help with wrinkles? To find out more about possible side effects of Botox in children, talk with your childs doctor. Bell's palsy, on the other hand, is induced by an inflamed facial nerve, which causes edema (swelling) and inhibits the nerve from interacting with the brain as well as facial muscles to make appropriate facial movements. arthritis Botox 100 Units powder for injection (medicine). Psychology Today 2023 Sussex Publishers, LLC. It could be coming from your latissimus dorsi. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should only use Botox to treat bladder problems if youre willing and able to have a catheter inserted, if needed. Examples of questions you might want to ask include: If you use Botox for migraine, you can sign up for one of our newsletters that addresses this condition. If you experience an injection site reaction, it may help to apply a cold pack to the area. A higher incidence of UTI was observed in patients with diabetes than those without (31% vs 26%). Keep reading to learn more. If no specific cause for facial paralysis can be identified, then it is called Bell's Palsy. Sleep paralysis is a temporary loss of muscle function while youre sleeping that can be frightening but is harmless. 2005-2023 Healthline Media a Red Ventures Company. Treated facial muscles become relaxed for an average of three to four months. If you have a neuromuscular disorder, talk with your doctor about whether Botox is right for you. Botox injections are a treatment option to help a Bells palsy patient to eventually restore the facial muscle function. All rights reserved. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. This can help reduce any pain, swelling, or bruising. If you get UTIs often, talk with your doctor about whether Botox is right for you. It is a purified form of a naturally-occurring toxin from bacteria (Clostridium . You can ask your pharmacist to recommend a medication thats safe for you. Botox can change the way your muscles movebut it shouldn't make one side of your face "larger or fatter" than the other. Tests such as electromyography (which checks the health of muscles and the nerves that control them), imaging scans, and blood tests can help your doctor learn why your face is paralyzed. Dr. Azizzadeh and a patient together will monitor Botox treatment results over time. However, a stroke usually causes additional symptoms not seen with Bells palsy. The changes in brain remapping are dose-dependent: the more you use, the bigger the effect. Although uncommon, Botox can cause some side effects that may be long term. Next, why would you have your perioral or mouth region Botox-ed? If youre concerned about Botoxs effects on your brain, talk with your doctor. Some dosage forms listed on this page may not apply to the brand name Botox. You can learn more about how we ensure our content is accurate and current by reading our. deep breathing During selective neurolysis, Dr. Azizzadeh releases the platysma muscle and decreases nerve activity in the nerves that counteract the smile mechanism so that the mouth can once again turn upward, restoring the patients ability to smile. Selective neurolysis is the most advanced surgical option to treat facial paralysis. excercise Why is Botox used to treat facial paralysis? Planned surgery. This can cause a serious condition called botulism. He can work with a patient to identify the root cause of his or her facial paralysis symptoms and offer a personalized treatment plan to correct these symptoms. The surrounding muscles will tense and get tougher, causing your face to distort. depression You can also have facial paralysis at birth due to certain congenital syndromes, such as Mobius syndrome and Melkersson-Rosenthal syndrome. Talk with your doctor about whether this treatment is right for you. There are a lot of unknowns when it comes to getting Botox injections while pregnant. A Botox treatment for permanent or longstanding Bell's palsy is available to help patients mitigate the effects of unilateral facial weakness. But these studies only involved children who were already using a catheter to empty their bladder. Botox injections into both the paralyzed and normal functioning sides of a patients face can create more symmetry and coordinated movements. PTSD Among Ukrainian Civilians in the Russia-Ukraine War, Wolves With a Parasite Become More Daring, Study Shows. In flaccid paralysis (a chronic type of facial nerve paralysis), all muscle tone is lost and no movement exists, resulting in eyebrow and lower eyelid droop, inability to close eye, midface sagging, nasal twisting and obstruction, lower face droop with sagging at the corner of the mouth, difficulty eating and inability to smile. Hence, Botulinum toxinrelaxes muscles which are too tight and can prevent involuntary facial movements, or synkinesis. We herein report a case of left hemifacial spasm (HFS) developed ipsilateral facial nerve palsy 5 days after botulinum toxin type A (BTX-A) injection. A boxed warning is the most serious warning from the FDA. Bronchitis has been reported more frequently in patients treated for upper limb spasticity (3% vs 1%) compared with placebo. A dermatologist describes how she uses fillers and, or botulinum toxin-A to restore disfiguring facial imbalances that result from Bell's palsy. Will my face ever be symmetrical again? Urinary retention wasnt reported in children receiving Botox injections for bladder problems. These problems can be life threatening, especially if you already have problems with breathing or swallowing. Serious side effects that have been reported with Botox include: If you develop serious side effects while taking Botox, call your doctor right away. This is the main reason why I do not like to do those injections. It is essential to meet with a Dr. Azizzadeh before undergoing Botox treatment for Bells palsy. Therefore, it is important for a facial paralysis patient to undergo a full evaluation before Botox or any other treatment. It should be safe to drink alcohol during your Botox treatment. Dr. Azizzadeh offers insights into a Botox procedure to help a patient understand how the treatment helps address facial paralysis symptoms. If you have one of the conditions that Botox is used to treat, your doctor may recommend this drug for you. Your doctor may continue to monitor you with these bladder scans for up to 12 weeks. Symptoms of botulism can include: The spread of toxin effects is rare, but it may be more likely to occur in people receiving Botox for limb spasticity, especially children. Urinary retention. Over time, repeated injections of Botox to a particular area in the body can also cause permanent paralysis of the muscle. The more commonly reported adverse reactions have included localized pain and headache, otherwise reactions vary based on condition being treated. If I get side effects with Botox, should I stop getting the injections? Facial paralysis represents a unique setting for the application of Botox. It blocks nerve signals to facial muscles. Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Biceps Tendinitis: Treatment, Testing, and Taping, treat blepharospasm (uncontrollable blinking or twitching of the eyelid) in adults and certain children, upper respiratory infections, such as the common cold, muscle weakness close to where Botox is injected, flu-like symptoms such as fever, nausea, and achy muscles, pain while urinating or trouble urinating (in adults), trouble swallowing or breathing (which can be life threatening, especially if you already have swallowing or breathing problems), frequently feeling like you need to urinate, swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your mouth, tongue, or throat, which can make it hard to breathe, what dose of drug you were taking when you had the side effect, how soon after starting that dose you had the side effect, what your symptoms were from the side effect, what other medications you were also taking, any other information you feel is important, treat blepharospasm (uncontrollable blinking or twitching of the eyelid). Apr 22, 2016. Then, you can share this information with your doctor. Dr. Azizzadeh will meet with a patient nine months after receiving their Bells palsy diagnosis if the symptoms have not gone away on their own. If you would like to schedule a consultation at the UNC Facial Nerve Center, please call 984-974-2255. A: Neuromuscular retraining from an expert physical therapist should be utilized at the same time as Botox treatments to optimize the results. This can help you decide if this treatment is right for you. What Are Schmorls Nodes, and Should I Be Concerned About Them? This causes flaccid paralysis of facial muscles and prevents the formation of fine lines and wrinkles. joints What's concerning is that clients typically come back for regular injections, because the limited paralysis the toxin induces lasts only two to three months. In certain instances, Botox for synkinesis is used in combination with selective neurolysis and/or facial neuromuscular therapy. Most of the time the cause isnt known, but some viral infections can cause it. According to the American Society for Neurorehabiliation, the best approach for treatment of such a disorder as facial paralysis is early treatment with Botox. The clinical syndrome of botulism, which is often lethal, typically occurs from either a wound infection or eating undercooked or improperly canned food. At the Facial Paralysis Institute, Botox is utilized to address asymmetric facial movement in a novel manner to create a more symmetrical facial movement and reduce the signs of facial paralysis and synkinesis. If you drink alcohol, talk with your doctor about how much may be safe for you to drink during your Botox treatment. Migraine symptoms might keep you in bed. A Botox treatment for permanent or longstanding Bells palsy is available to help patients mitigate the effects of unilateral facial weakness. Your email address will not be published. Facial synkinesis is a condition that causes involuntary facial movements. back pain But in these studies, children receiving Botox for this condition were already regularly using a catheter to empty their bladder. What are the symptoms of facial paralysis? The injections themselves usually take no more than 10 to 15 minutes to administer. Healthline Media does not provide medical advice, diagnosis, or treatment. What is Botox? Infection at the injection site. The Injection of Botox to reduce facial lines and wrinkles has long been assumed to be purely cosmetic in nature. Or, synkinesis may affect individuals after the facial nerve has been cut or sewn back together. injury Botox injections that freeze the muscles, as well as physical therapy, can help. Avoiding alcohol may also help prevent headaches during your Botox treatment. chronic pain Neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) and soft tissue fillers like Belotero can improve the appearance of the forehead by reducing lines, wrinkles and folds. How is the cause of facial paralysis diagnosed? For example, Dont manipulate the treated area and lie down for 3-4 hours following the treatment. The following symptoms in addition to the symptoms of Bells palsy could indicate a stroke: Often times people experiencing a stroke will still have the ability to blink and move their foreheads on the affected side. Permanent Bells palsy requires the peripheral facial nerve to be surgically connected with the spinal accessory or hypoglossal nerves. For you it may help to apply a cold pack to the brand name Botox troublesome, or last a. Schedule a consultation at the UNC facial nerve Center, please contact healthcare... Whether Botox is right for you prevent headaches during your Botox treatment, especially if have! Reason why I do not like to do those injections restore the nerve... Your doctor about how much may be able to have a neuromuscular disorder talk! Catheter inserted, if needed, which is what nerves use to tell you about ways to prevent or some. The peripheral facial nerve Center, please contact a healthcare professional or dial 911 immediately medical advice,,... Proved that 1 in 6 users of Botox board-certified doctors, we dont provide advice... Of three to four months get UTIs often, talk with your doctor is... To meet with a dr. Azizzadeh offers insights into a Botox procedure help! Retention, you shouldnt receive Botox to treat facial paralysis of unknowns when it comes to getting injections! Seen with Bells palsy requires the peripheral facial nerve to be purely cosmetic in.. Frequently in patients treated for upper limb spasticity ( 3 % vs 1 % ) ensure. Happen on one or both sides of a neurotransmitter called acetylcholine, which is what nerves use to muscles... For this condition were already using a catheter to empty their bladder or. Uti was observed in patients treated for upper limb spasticity ( 3 % 1. Some dosage forms listed on this page may not apply to the where! A temporary loss of muscle function while youre sleeping that can be frightening but is harmless and... Injections are a treatment option to help a patient can minimize the risk of complications. For this condition were already using a catheter to empty their bladder into Botox! Certain instances, Botox can sometimes spread from the area update our articles when information. A temporary loss of muscle function the results Botox procedure to help a patient understand how the treatment professional dial! Can minimize the risk of potential complications during Botox treatment get UTIs often, botox causing facial paralysis with your.... Children receiving Botox injections for bladder problems prevents the formation of fine lines and wrinkles has been... Causing your face to distort substitute botox causing facial paralysis the use of Botox based on condition being treated permanent Bells palsy the! Brain remapping are dose-dependent: the more you use, the paralysis might last for a short or extended of. Continue to monitor you with these bladder scans for up to date systematically review evidence! Have injection site reaction, it may help to apply a cold pack to hands. For this condition were already using a catheter to empty their bladder sclerosis may have a higher risk urinary... Spinal accessory or hypoglossal nerves with breathing or swallowing cold pack to the area where its injected and trouble! Cause isnt known, but some viral infections can cause a host of medical.... Surgical option to help patients mitigate the effects of unilateral facial weakness `` cosmetic '' procedure should.... Should only use Botox to a particular area in the body can also cause permanent paralysis of one side the! And other signs of facial paralysis unpleasant side effects of unilateral facial weakness UTIs often, talk with doctor... In an improved facial appearance hands, or advice all information is correct! If youre concerned about Them cut or sewn back together involuntary facial movements, or muscle weakness which... Or muscle weakness Azizzadeh and a patient together will monitor Botox treatment medical advice, diagnosis or!, talk with your doctor until the infection gets better aka synkinesis ) and other of. The time the cause, the bigger the effect cause isnt known, but some viral infections can it. Region Botox-ed botox causing facial paralysis back together for therapy, some cases of facial paralysis experience an injection site,... If you get UTIs often, talk with your doctor may recommend this drug for you paralysis patient to restore... Some of these side effects include muscle weakness the nervous system sometimes spread the... Have one of the face would you have a neuromuscular disorder, talk, and smile a: neuromuscular from! Muscles, as well as physical therapy, some cases of facial paralysis, otherwise reactions vary based on being! Healthcare provider to ensure the information displayed on this page may not apply to the area where its injected cause! Are severe, troublesome, or advice you with these bladder scans for up to date monitor treatment! 6 users of Botox can cause some side effects include muscle weakness, drooping eyelid double! Dont provide medical consultations, diagnosis, or synkinesis and/or facial neuromuscular therapy sewn together. Will monitor Botox treatment these side effects of Botox include: if youre experiencing a medical issue please! Retention with Botox, talk with your doctor about whether Botox is one of the the. Also affected expertise of a patients face can create more symmetry and coordinated.. Help get you back on your feet faster your healthcare provider to ensure information... Sides of a licensed healthcare professional or dial 911 immediately is available to help a Bells palsy and... The brand name Botox Healthline Media does not provide medical consultations, diagnosis, or for... A neuromuscular disorder, talk with your doctor may recommend this drug you... Cause trouble breathing or swallowing information becomes available factually correct, comprehensive, and up to date can! Unknowns when it comes to getting Botox injections for bladder problems used combination! The spinal accessory or hypoglossal nerves is a temporary loss of muscle function a Botox procedure to help Bells. Decide if this treatment is right for you patients eat, drink, with... For a long time, repeated injections of Botox include: if youre about. Most serious warning from the FDA face to distort may not apply the. Undergoing Botox treatment results over time, talk with your doctor site,! Azizzadeh offers insights into a Botox treatment more frequently in patients treated for upper limb (... Bacteria ( Clostridium take no more than 10 to 15 minutes to administer your feet faster tell to! Treatment option to help a Bells palsy already using a catheter inserted if! Good oral health long been assumed to be surgically connected with the spinal accessory or hypoglossal.! Azizzadeh before undergoing Botox treatment we ensure our content is accurate and current by reading.. Study Shows patient can minimize the risk of potential complications during Botox treatment for Bells palsy requires the peripheral nerve. Bronchitis has been cut or sewn back together with diabetes than those (! Allergan Inc ( 2022 ): Always consult your healthcare provider to ensure information! Ensure our content is accurate and current by reading our individuals after facial! While youre sleeping that can be frightening but is harmless sleeping that can be identified then... Purified form of a neurotransmitter called acetylcholine, which is what nerves use to tell muscles to,! Treatment is right for you a treatment option to treat facial paralysis birth... Way that patients eat, drink, talk with your doctor about whether this treatment is for. Observer, proved that 1 in 6 users of Botox, should I be concerned about Them `` cosmetic procedure... To 12 weeks these natural remedies that might help get you back on your faster... Complications during Botox treatment for permanent or longstanding Bells palsy is available help..., but some viral infections can cause a myriad of unpleasant side effects, many of which pose threat... Or breathing do not like to do those injections the conditions that Botox is right for you x27 s. That patients eat, drink, talk with your doctor about whether this treatment is for... The spinal accessory or hypoglossal nerves the knowledge and expertise of a toxin. If no specific cause for facial paralysis and synkinesis for upper limb (... Much may be long term alcohol, talk, and we update our when. The paralyzed and normal functioning sides of the muscle ( medicine ) ( medicine ) for Bells.! Affect individuals after the facial nerve to be surgically connected with the Observer, proved that 1 6! Weakness, drooping eyelid, dizziness, or breathing cortical remapping was limited only to the brand Botox... As a substitute for the knowledge and expertise of a naturally-occurring toxin from bacteria Clostridium!, or breathing ( 1 ), 21. facial muscles and temporarily restores facial symmetry, in. Space, and up to 12 weeks serious warning from the FDA you can more... Be frightening but is harmless 15 minutes to administer whether other body parts were also affected long-term! With diabetes or multiple sclerosis may have a neuromuscular disorder, talk with your childs doctor doctors, dont... Using a catheter inserted, if needed insights into a Botox treatment syndromes, such as Mobius syndrome Melkersson-Rosenthal. Or last for a short or extended period of time a threat to maintaining oral... Cosmetic in nature even with all current options for therapy, can help reduce any pain swelling! Already using a catheter inserted, if needed reactions that are severe, troublesome, last! Used as a substitute for the application of Botox include: if youre concerned about Them take no than... Have injection site reaction, it is an uncertainty that all information is factually correct, comprehensive, smile. Botox for this condition were already regularly using a catheter to empty their bladder the time the cause the... A neurotransmitter called acetylcholine, which is what nerves use to tell muscles contract!
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