Discover the forefront of TMJ Botox treatments with our expert facial cosmetic surgeon, providing exceptional care and results.
Introducing RENATA Facial Cosmetic Surgery in Brooklyn, led by the esteemed Dr. Renata Khelemsky, a double board-certified facial cosmetic surgeon dedicated to guiding you on your aesthetic journey.
TMJ stands for Temporomandibular Joint. The TMJ represents a typical anatomical structure and does not inherently indicate any pathology or issue. "TMJ Botox" is a term gaining popularity for its simplicity and its comprehensive coverage of various treatments. Contrary to what it may suggest, TMJ Botox doesn't involve direct injections into the TMJ itself. Instead, this treatment targets the muscles that act upon the joint, using neuromodulators such as Botox or Xeomin to induce relaxation and achieve the desired effects. Essentially, "TMJ Botox" offers a muscle-relaxing treatment, effectively addressing one or several muscles involved in the process of jaw movement. TMJ Botox treatment is sought for various reasons, such as teeth clenching and grinding, facial discomfort, and cosmetic improvement by slimming facial muscles.
The TMJ, or Temporomandibular Joint, is a vital structure in our jaw that enables functions like speaking, chewing, and yawning. Just like any joint in our body, the TMJ can experience conditions like arthritis, pain, or overuse. Its unique position and function make it a complex joint in the face. The left and right TMJs work together because they are connected by the lower jaw bone.
It's essential to know that four crucial muscles, collectively known as the "muscles of mastication," play a significant role in opening, closing, and chewing. Two of these muscles, the temporalis and masseter, are easily visible and palpable. The temporalis muscle extends along the lateral scalp and temple regions, while the masseter muscle runs along the lower jaw, just below the ear on both sides. The interaction of these muscles becomes evident when you close your back teeth together, feeling the contraction of both the temporalis and masseter muscles at work.
Many patients are informed by their dentist, friends, or bed partners about their teeth-grinding habit. This habitual behavior can cause headaches, facial pain, discomfort, and even damage to the teeth. To address this issue, patients often try medications like muscle relaxants, anti-anxiety drugs, or pain relievers. Dentists commonly recommend custom-fitted night guards as a protective measure and to break the grinding habit. However, if the habit persists, TMJ Botox emerges as a direct and effective option. Botox or Xeomin, both neuromodulators, can be injected into the masseter or temporalis muscles.
By inhibiting muscle contraction, these neuromodulators effectively relax the muscles, offering pain relief when injected accurately and in the right dosage. The amount of medication used is determined by each patient's physical examination and symptoms, with some individuals requiring higher doses on one side due to asymmetric strength of muscle contraction.
For some patients, dental clenching and grinding can lead to diffuse facial pain that extends across both upper and lower facial regions. This condition is referred to as myofascial pain, stemming from excessive use of mastication muscles, particularly the masseters and temporalis. The chronic overuse causes muscle inflammation (myositis), resulting in persistent discomfort. Neuromodulators like Botox or Xeomin have become popular for treating myofascial pain.
Neuromodulator treatment for myofascial pain can be an effective adjuvant therapy when conservative and pharmacologic options have not provided sufficient relief. Before administering neuromodulators, it is essential to confirm that the facial pain originates from myofascial issues and not within the joint itself. Dr. Renata performs a thorough patient history and physical examination to determine the most suitable treatment. Often, collaborating with the patient's dentist, neurologist, or primary care physician is necessary to fully understand the scope and cause of the symptoms.
Some patients express concerns about the width of their lower face, mainly due to an overactive masseter muscle. Over time, this excessive use can lead to muscle hypertrophy, resulting in a squared and boxy jaw contour. To address this, neuromodulators like Botox and Xeomin can be injected into the hypertrophic masseter muscles, allowing for jawline slimming. The muscle relaxation leads to expected slimming over several months through a process of atrophy. When injecting the masseter muscle, a similar approach is used as in treatments for clenching and grinding. However, the necessary doses of medication, as well as the ideal interval of treatment, may vary to achieve the patient's desired cosmetic result.
In some patients with a hairless or shaved head, an overused temporalis muscle may become prominent and bulging. Injecting the temporalis muscle can result in facial slimming in the lateral scalp and temple areas, offering cosmetic benefits for those who are bothered by the bulging appearance of their temporalis muscle.
At RENATA Facial Cosmetic Surgery in New York TMJ Botox involves a series of carefully administered injections into specific muscles around the temporomandibular joint (TMJ). The treatment typically targets the masseter or temporalis muscles, which are often responsible for jaw clenching and grinding. Before the procedure, the facial muscles are thoroughly examined to determine the appropriate injection sites and dosage. During the session, a fine needle is used to inject small amounts of neuromodulator, such as Botox or Xeomin, into the selected muscles. The neuromodulator works by temporarily blocking the nerve signals to the muscles, causing them to relax and reduce their activity. By inducing relaxation, this process reduces muscle contractions and lessens the ability to clench the teeth together, ultimately reducing muscle tension. As a result, it alleviates associated facial pain and discomfort.
After receiving Botox for TMJ, patients experience minimal discomfort because the procedure is generally well-tolerated. Results usually become noticeable within a few days to a week, and the effects typically last for several months before a follow-up session may be necessary to maintain the desired outcome.
We offer surgeon-based care focused on highlighting your unique beauty. Possessing a keen eye, gentle touch, and deft technical skill, Dr. Renata stays at the forefront of aesthetic medicine to bring you the highest level of care available, tailoring every service to your unique needs.
Our state-of-the-art facial aesthetic clinic is located in DUMBO, Brooklyn, in New York City. We cater to the local areas, including Downtown Brooklyn, Brooklyn Heights, Park Slope, Williamsburg, Long Island City, and Cobble Hill, as well as Manhattan and New York City at large. Patients can expect a premium experience in our luxury office setting, where attention to privacy and one-on-one care create a professionally tranquil and high-quality visit.
A double-board-certified facial cosmetic and reconstructive surgeon, Dr. Renata Khelemsky specializes in enhancing natural beauty. A Fellow of the American Academy of Cosmetic Surgery and diplomate of the American Board of Facial Cosmetic Surgery, her personalized approach begins with a comprehensive analysis of your facial features, ensuring each transformation celebrates your unique individuality.
Learn More About Dr. Renata
Call (646) 558-3757 or complete our online form to schedule your consultation for TMJ Botox. Our customized approach to nonsurgical facial treatments, coupled with surgeon-level care, distinguishes us from other providers, guaranteeing an exceptional experience that addresses functional concerns like teeth clenching and facial discomfort. Schedule your personalized consultation with New York Facial Cosmetic Surgeon, Dr. Renata Khelemsky, today.
Every individual possesses a TMJ, which stands for Temporomandibular Joint. This is a natural joint found on both sides of our lower jaw, located just in front of the ear. Certain patients experience symptoms related to their TMJ, such as clicking, popping, pain, or swelling. Problems originating from the joint fall under a group of conditions known as Temporomandibular Joint Disorders, or TMD. Therefore, while everyone has a TMJ, not everyone will experience TMD.
Dr. Khelemsky is a highly trained facial surgery specialist with a background in maxillofacial and TMJ surgery, offering a unique perspective in finding the right nonsurgical treatment for TMJ-related symptoms. TMJ Botox targets the muscles surrounding the joint, not the joint itself. If patients show signs of internal joint issues like arthritis, they will be referred to a TMJ specialist for further evaluation and treatment. It's essential to avoid unnecessary delays or treatments with neuromodulators like Botox or Xeomin when they won't effectively address the symptoms.
The risks of TMJ Botox treatment are generally minimal and may include temporary side effects like bruising, swelling, or mild discomfort at the injection sites. Rarely, there can be unintended effects on nearby muscles, but these are usually temporary and resolve on their own. It is crucial to have the procedure performed by a qualified and experienced healthcare professional to minimize any potential risks.
Most patients are permitted to undergo treatment during orthodontic therapy by their dental specialist. However, it is essential to consult with your orthodontist or dental professional before considering TMJ Botox treatment while undergoing Invisalign or orthodontic fixed appliances. They will assess your specific situation and determine if it is appropriate to proceed with the treatment. In some cases, it may be advisable to wait until after your orthodontic treatment is complete to avoid any potential interactions or complications.
No, X-rays are typically not required for TMJ Botox treatment. However, if there are concerns about joint-related issues, a referral to a specialist for further evaluation may be necessary.
During your consultation, Dr. Khelemsky will listen to your concerns and evaluate your best options. Every patient is provided with a personalized treatment plan, so the cost will vary based on the procedures involved.
We do not accept insurance for TMJ Botox treatment. However, we can provide patients with documentation of their specific treatment, which they can submit on their own to their medical or dental insurance company if they have coverage for such treatment. Additionally, financing and payment options may be available through CareCredit.
At RENATA Facial Cosmetic Surgery, we prioritize privacy. While many Before & After photos are featured on our social media channels, we understand not everyone wishes to share them publicly. To respect our patients’ unique preferences, we invite you to explore a more comprehensive Before & After gallery during your consultation in our office.
Life can be demanding, and we understand. For patients who may be traveling, preparing for a last-minute occasion, or simply looking for a more exclusive experience without any inconvenience or delays, we are pleased to offer preferred patient scheduling. Patients may undergo a personal consultation as well as tailored cosmetic treatments during evening hours or weekends. Appointments are required and premium rates apply. Please call our office to inquire about preferred patient scheduling and allow us to create an exceptional experience just for you.
Request a ConsultationAt RENATA Facial Cosmetic Surgery, patients receive excellent customer service, communication, personal attention, and scheduling flexibility. Located in the historical and breathtaking waterfront neighborhood of DUMBO, Brooklyn in New York City, our office serves local neighborhoods including Brooklyn Heights, Park Slope, Williamsburg, and Cobble Hill, as well as Manhattan and New York City at large.
Our office location is:
58 Prospect Street, Brooklyn, NY 11201
Monday - Friday: 8:30AM to 4:30PM Saturday (by appointment only): 9:30 to 2:30PM
