BOTOX® for TMJ and Cosmetics

Dr Mahit Bhatt is Botox AAFE Level One Certified for TMJ therapeutic pain management and cosmetic rejuvenation


BOTOX injections are the most common cosmetic treatment in the world, with some 6 million injections per year. Correctons of conditions involving abnormal muscle contractions is another little known use of botox – currently its  being used for conditions ranging from migraines, overactive bladder and pain in the extremities.  As it temportarily prevents contraction signals to muscles, this makes sense. Thus botox is very useful for a TMJ condition which has failed to respond to conservative treatment such as nightguards , moist heat and NSAIDs (non-steroidal anti inflammatory drugs, ie drugs which reduce local muscle irritation – Advil and aspirin)

A quick search will bring up numerous articles citing the effectiveness of BOTOX for TMJ symptoms:


BOTOX®  treatment is a revolutionary approach to reversing the effects of facial wrinkles. Crow’s feet, worry lines and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting botox into the tiny facial muscles that create the wrinkles.

Before Surgery

To better understand your overall health, we will evaluate your medical history prior to surgery. In addition, a complete examination of your eyes is made in order to decide the most effective injection sites. All issues and concerns will be discussed.

The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

The BOTOX® Procedure

BOTOX® injections are performed without anesthesia because it is virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment’s effect. Patients over the age of 65 may not experience results as dramatic. Botox is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

Post-Operative Information

After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop. BOTOX® is completely reversible so any side effect is only a temporary condition. The doctor will explain all risks associated at the time of your consultation.