Does Botox Work As Well As Surgery For Temporal Reduction?
Q: Dr. Eppley, Can I please also ask for your honest opinion about using Botox for temporal reduction? I read on your website that it’s another remedy, but I was wondering if you think I could expect similar results, and if I could get it at your office?
A: Like the use and effectiveness for reduction of the large masseter muscle, Botox injections will similarly create a reduction in size of the temporal muscles as well. Like all Botox injections its effects will be temporary and how effective it will be is based on dose. (number of units injected) Generally it takes a 100 unit treatment session (50 units per side) to see any appreciable size reduction. Such an effect will last 3 to 4 months.
While Botox can reduce the size of the posterior temporal muscles, it is to not as effective surgery which removes 100% of the muscle and thus has a more profound effect.
The value of Botox injections in the temporal muscles is really a test to determine if one may like the effect. Given that its effects are temporary this not a long-term solution to the problem. But for the unsure patient as to the value of surgery, this is a harmless and completely reversible treatment approach.
Dr. Barry Eppley