botox causing facial paralysis
According to the National Institute of Neurological Disorders and Stroke, Bell’s palsy is the most common cause of facial paralysis. The first of these Bell’s Palsy, which is nerve damage that leads to paralysis of the face. Found insideComprehensive reference for neurologists, neurosurgeons and physical therapists on the treatment of all dystonias in children and adults. I have chipmunk cheeks on both sides … This is the most comprehensive and authoritative reference for cosmetic injections of botulinum toxin for removal of facial and neck wrinkles. Weak Muscles Or Paralysis. Botox can make it difficult to laugh, smile, or show other emotions. According to Better Health Victoria , … This comprehensive reference details new developments in the field of neurotoxins and the clinical use of botulinum toxin (BTX)-reviewing the biology, pharmacology, immunology, physiology, production, mechanisms of action, and methods of ... Paralyzing toxins inside Botox can travel to other parts of your body, an alarming new study reveals. Bringing together experts from research, industry, surgery and practice, it is structured in four distinct parts for easy navigation by the busy clinician: Basic Concepts – giving an overview of the physiology pertinent to cosmetic ... Facial Paralysis Causes. The protein is utilized to address asymmetric facial movement. Whilst the majority of cases are idiopathic, termed Bell’s Palsy, there are a wide range of potential causes of a facial palsy.. Bell’s palsy is a diagnosis of exclusion and hence all possible causes have to be excluded first prior to diagnosing Bell’s palsy. A dermatologist describes how she uses fillers and, or botulinum toxin-A to restore disfiguring facial imbalances that result from Bell’s palsy. Facial paralysis results from damage to a facial nerve called cranial nerve VII. Then she explains more about why she recommends microcurrent with Botox: When botox is injected properly, a softer facial profile is achieved. One of the most commonly perceived side effects of Botox is a kind of loss of expression in the face. Facial droop, also called Bell’s Palsy, is a facial paralysis disorder due to nerve damage. Platysma muscle, innervated by the facial nerve, can be involved in synkinesis as well, but thus far has been little investigated. The short answer is Yes & Yes. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. And, it gets you hooked: when the effects of the injection wear off in just 3-4 months, you will need more injections to sustain the effect. Botox prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction causing flaccid paralysis. Both are critical for success. Some cases of hemifacial spasm can occur after an individual recovers from Bell’s Palsy, a type of facial palsy. The symptoms of Bell's palsy include sudden weakness in your facial muscles. Facial paralysis associated with acoustic neuroma generally occurs as a result of the facial nerve’s proximity to the tumor. A variety of neurologic conditions can affect facial animation. Whilst the majority of cases are idiopathic, termed Bell’s Palsy, there are a wide range of potential causes of a facial palsy.. Bell’s palsy is a diagnosis of exclusion and hence all possible causes have to be excluded first prior to diagnosing Bell’s palsy. Dermal fillers and other cosmetic skin … It is a purified form of a naturally-occurring toxin from bacteria (Clostridium botulinum) that is responsible for botulism. The effects of Botox injections can last three to four months depending on the patient. Forehead Wrinkling - BOTOX® (Botulinum toxin) BOTOX® (OnabotulinumtoxinA) also known as Botulinum Toxin Type A is a Botulinum toxin produced by Clostridium Botulinum Bacteria. Botulin toxin injections, such as Botox® and Dysport®, improve appearance by relaxing muscles that cause wrinkles. One of the characteristics of Found inside – Page 94Facial nerve palsy It is a facial paralysis with resultant paresis and synkinesis of muscles on the affected side of the face, causing loss of forehead ... Botox works by preventing the release of acetylcholine, the neurotransmitter responsible for signaling muscle movement. As a result, nerve signals to muscles are blocked, causing temporary, localized muscle paralysis. The paralyzed muscles keep the face from contracting in order to prevent wrinkles and lines caused by our everyday expressions. EYEBROW DROOP AFTER BOTOX. Each procedure in this must-have resource includes a review of the surgical anatomy, step-by-step instructions, plus the book is complete with more than one hundred color illustrations and dozens of surgical videos for further education. Botox is one of the brand names of a substance used for an injectable procedure popularized for the reduction of the appearance of fine lines and facial wrinkles. A wide range of specialists, namely neurologists, ophthalmologists, ENT-surgeons, clinical neurophysiologists, neuroradiologists and of course neurosurgeons are involved in the diagnosis and the management of Hemifacial Spasm and will be ... Local muscle transfer Temporalis transfer Found inside – Page 310It is important to clearly establish the etiology of the facial paralysis ... toxin ( Botox ) offers a minimally invasive and effective treatment of facial ... It is well-known that Botox can be used to treat wrinkles but it is less well-known that Botox can be used to manage an individual with facial paralysis, both temporary and permanent in nature. Call 434.924.5700. Found insideComplications and side effects of the therapy are presented as well. The final chapter is reserved for other dermatological indications like anal fissure and wrinkles. In large amounts, they block the nerve impulses to muscles, causing a form of paralysis called botulism. Bell’s Palsy is a condition commonly caused by facial trauma impacting the seventh cranial nerve. Mirroring the first book, this two-volume edition is divided into two parts. The current explanation for this counterintuitive observation is that the limited paralysis caused by Botox deprives the brain of sensory inputs normally generated by forehead and facial movement. Because of this, patients can anticipate improved overall facial symmetry. March 4, 2008, 7:30AM. So to Bondaroff, microcurrent “is essential if you do Botox,” because it re-stimulates the frozen muscle and keeps the paralyzed forehead muscles lifted, not slack. Found insideThis book contains information for a diverse audience, including dentists, oral biologists, experimental biologists, molecular biologists, oncologists, radiologists, oral and maxillofacial surgeons, and otorhinolaryngologists. April 22, 2016. Found insideBased on the latest science, the book identifies the mental hijacking that undermines each and every one of us, and presents the tools necessary to think more clearly, make better decisions, strengthen bonds with others, and develop ... 3-5 days after I had Botox injections, 6 under each eye, which seems too much for me as it looks unnaturally smooth now, I was diagnosed with Bell's palsy on the right side of my face and my left cheek and side is swollen. Moreover, infection of facial nerves, and inflammation on the cheeks, forehead, corners of the mouth also cause facial nerve paralysis. Bell's palsy, also known as acute peripheral facial palsy of unknown cause, can occur at any age. Botox works by blocking release of a neurotransmitter called acetylcholine, which is what nerves use to tell muscles to contract, or tighten. All the Botox does is temporarily “freeze your face” (a euphemism for facial muscle paralysis) to prevent them from deepening. The disorder results from an insult to the nerve that stimulates the movement of the facial muscles. Botox injections are a good treatment choice for many patients. Bell's palsy is a weakness or paralysis in one side of the face, causing it to droop or become stiff on that side. Cosmetic Botox is the temporary paralysis of facial muscles that are overactive and causing the person suffering from such headaches to have severe pain in the region of the headache. Symmetry of facial features usually can be regained, if the patient participates in facial muscle retraining and therapy. Causes and Symptoms of Synkinesis The term synkinesis means “simultaneous movement” and is a form of facial paralysis. Facial paralysis, often referred to as Bell's palsy, is a weakness or paralysis of the nerve that control facial expression on one side of the face. 1. It’s a facial nerve disorder that causes sudden paralysis or weakness of the facial muscles on one side of the face. This permanently weakens the non-paralyzed side of the mouth. Lyme disease caused by the transmission of Borrelia burgdorferi via tick bites causes facial nerve palsy in 10% of infected patients with 25% of these being bilateral (8). Many have experienced relief with this method. Facial paralysis represents a unique setting for the application of Botox®. Botox Caused Facial Paralysis. Botox® and other injections relax your facial muscle. The reason that Botox doesn't cause complete muscle paralysis is the dosage of the botulinum toxin in the formula, says Dr. Vayukevich. This toxin is produced by the bacterium Clostridium botulinum.. The most common cause of facial paralysis is Bell’s Palsy, a sudden weakness or paralysis of the facial muscles on one side of the face. Platysma muscle, innervated by the facial nerve, can be involved in synkinesis as well, but thus far has been little investigated. "'Neurotoxin,' sounds very scary, but the reality is that all medications are toxic in high doses," he explains. There is a worry now that, without regular sessions, for some the condition will worsen. It is most commonly associated with preventing wrinkles in the cosmetic world. See pictures for before and after examples. Botox is not a cure-all. Facial Paralysis Treatment. Botulism leads to muscle paralysis, which usually begins in the face, causing symptoms like a droopy eyelid and/or slurred speech. Disorders of the facial nerve, including paralysis, develop from a variety of causes. This resource combines hundreds of exquisite Netter images – including several new paintings created especially for this book - with concise summaries of the most current medical thinking on common diseases/conditions, diagnostics, ... There are many causes of facial paralysis, and determining the root cause of an individual’s facial paralysis plays a key role in finding the right facial paralysis treatment. The victim will notice that her/his face starts to droop and the muscles lose movement. Found inside – Page iIntroducing botox -- Marketing agelessness -- The turf war over botox -- Becoming the botox user -- Negotiating the botoxed self -- Being in the botoxed body -- Conclusion: the perils of an enhanced society Flaccid paralysis is a condition characterized by weakness and reduction of muscle tone caused by trauma or disturbance in the nerve functions associated with muscles. Focal facial paralysis, syncope, and exacerbation of myasthenia gravis have also been reported after treatment of blepharospasm. Facial paralysis is the inability to move one or more muscles in the face due to damage or swelling of the facial nerve, or brain damage in the area of the brain that controls the facial muscles. In most cases, the weakness is temporary and significantly improves over weeks. Volume 3 is basically the sequel to Volumes 1 and 2; 93 specialists from nine countries contributed to 32 chapters providing comprehensive coverage of advanced topics in OMF surgery. Facial paralysis and sensitivity are alarming symptoms of Bell's palsy, but full recovery is possible, especially when treated at the right time. But properly administered, these injections can prevent the muscles that cause age lines like forehead wrinkles, crow’s feet, and frown lines from contracting. The simple answer is that any kind of facial expression paralysis is exceptionally rare. Bell’s palsy: a weakness or paralysis on one side of the face caused by viral or physical damage to the facial nerve. Injecting botox into those unwanted muscles associated with TMJ causes the muscles to shrink over time. You can have facial paralysis one time and flu symptoms the next. Bell’s palsy, injury, stroke, tumors, or infection can stop the nerves and muscles in your face from working. It is designed to relax the muscles and prevent them from contracting. Sometimes this condition even causes headaches, and irritable bowel, and constipation. People of all ages can get Bell’s palsy, and it can range in severity. Bell’s Palsy is a kind of unexplainable facial paralysis or weakness that affects one side of the face. When utilized it is injected in the Non-Affected/ Non-Paralyzed side. Botox, combined with facial physiotherapy, is incredibly effective – and although jabs must be repeated every three months at first, gradually patients can wait longer between appointments. Bell's palsy causes weakness or paralysis of the muscles on one side of the face. The neurotoxin in Botox causes temporary paralysis and thus “blocks how the nerves communicate with the muscles,” explained Dr. Jenny Yu, assistant professor of ophthalmology at … Once these disappear, the face becomes smoother, leading to a shiny or glowing appearance that is perfectly normal. The bacteria that causes Lyme disease can also cause dysfunction and resultant weakness or paralysis of the facial nerve. Symptoms of facial synkinesis can also include the following: A narrowing of the eyes; A dimpling of the chin; Tightness in the cheeks; Spasms in facial muscles; How Botox Helps Bell’s Palsy and Synkinesis. This Second Edition includes full-color intraoperative photographs that complement the surgical drawings. Bell’s palsy is a form of temporary facial paralysis that results from injury or damage to one of the facial nerves and can cause significant facial distortion.. Dr. Monica Tadros specializes in Bell’s Palsy and facial paralysis treatment. Introduction. Botox users can also develop Botulism, which can cause sufferers to lose control of their facial muscles, making it difficult for sufferers to swallow or even breathe. Treatment of facial paralysis depends on many factors, including the patient's age, cause of the paralysis, severity of paralysis and duration of symptoms. For several years this property of botox has been used in the treatment of diseases of the nervous system, but now injections of botox are widely used for aesthetic and cosmetic purposes. This is because facial expressions, feedback, and emotion share a common bond. In many cases, the paralysis resolves spontaneously over weeks. Botox can start giving relief within 24 hours, with a maximum effect at two weeks, lasting approximately three to six months. Injecting botulinum toxin into the affected area temporarily paralyses (weakens) the underlying muscles, and hence alleviates symptoms. In some cases of long standing facial palsy, the facial muscles are no longer viable. Bell’s Palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) causing an inability to control facial muscles on the affected side. A facial palsy is weakness or paralysis of the muscles of the face. Appointments 216.444.5725. The toxin causes the disease botulism.The toxin is also used commercially for medical and cosmetic purposes. Facial paralysis makes it difficult for a person to make facial expressions and hinders this individual’s ability to chew, swallow and speak. It can cause decreased function and much less spasticity. This new review textbook, written by residents and an experienced faculty member from Cleveland Clinic, is designed to ensure success on all sorts of standardized neurology examinations. Or is that just an exaggerated perception you only see in the media? Symptoms of facial synkinesis can also include the following: A narrowing of the eyes; A dimpling of the chin; Tightness in the cheeks; Spasms in facial muscles; How Botox Helps Bell’s Palsy and Synkinesis. Attorney Ray Chester Is the Botox Buster May 27, 2010 Austin, TX Attorney Ray Chester has given Allergan, the manufacturer of Botox, a few worry … Dr. Henstrom joins me now to explain the causes and the treatments. Though other causes include infection, surgery, trauma, tumors or other diseases, and congenital conditions. Botox helps treat this condition by preventing the facial muscles from contracting. Make an Appointment. Botox injections work by blocking particular chemical signals from nerves, most of which cause muscles to contract. 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. Botox or (botulinum toxin type A) and Myobloc or (botulinum toxin type B) are purified forms of bacteria. Symmetry of facial features usually can be regained, if the patient participates in facial muscle retraining and therapy. Both are critical for success. How early can it be treated? Since we already mentioned that CP causes stiff muscles and poor muscular control, Botox relaxes the muscles and brings significant relief. Cocker spaniels, beagles, corgis and boxers are more frequently affected during their mature years comp… You’ll need to repeat treatments in three to six months after the effects wear off. A dermatologic surgeon recounts his two-decade research into the relationship between facial expressions and relationships, sharing revolutionary theories about the brain's neurotransmitters while revealing how applications of Botox in ... Facial paralysis affects how you talk, chew, close your eyes, and smile. Sudden facial nerve weakness causes one side of the face to droop and sag, preventing normal facial expressions on that side of the face. Found insideThis book is as much for single individuals in the prime of their lives as it is for parents with young children and the elderly. Never has there been a greater need for this reassuring, and scientifically backed reality check. Botox injections are also used to treat conditions that affect how the body functions. One of the common botox benefits is that it works to reduce excessive sweating. Several conditions can cause facial paralysis, such as a brain tumor, stroke, and Lyme disease. Treatment of facial paralysis depends on many factors, including the patient's age, cause of the paralysis, severity of paralysis and duration of symptoms. Facial paralysis can have a serious impact on your daily life. Botox or (botulinum toxin type A) and Myobloc or (botulinum toxin type B) are purified forms of bacteria. A common cause of facial nerve paralysis is Bell's Palsy– temporary paralysis or weakness of the muscles on one side of the face. Botox Treatment for Bells Palsy & Facial Paralysis Surgery - Is Botox the Right Solution for Me?IndicationsBotulinum toxin type A commonly referred to as Botox is an injectable compound that produces temporary muscular weakness. When Botox targets the muscles causing the wrinkles, it prevents the overlying skin movement and allows the skin to smooth out over time. Found insideThis bestselling guide to the complexities of botulinum toxins has now been extensively revised, updated, and expanded. Decreased Emotional Response Due to Facial Paralysis. Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format. Facial paralysis affects different parts of the face, and common symptoms include: ... Neuromodulation with botulinum toxin (also known as botox) ... Facial paralysis can be congenital (present at birth) or happen later – both of which can be treated. Both are critical for success. Treatment of facial paralysis depends on many factors, including the patient's age, cause of the paralysis, severity of paralysis and duration of symptoms. Found insideThis book provides comprehensive information on the disorder for people with spasmodic torticollis and those close to them. Medical terms and concepts are introduced sequentially and then used as building blocks for the later discussion. Facial paralysis is loss of movement in half of the face. Symmetry of facial features usually can be regained, if the patient participates in facial muscle retraining and therapy. Botulism is a very serious, potentially fatal condition that occurs as a result of a toxin that is produced by a bacteria called Clostridium botulinum. Throughout this series, different treatments in Cosmetic Dermatology will be discussed in detail covering the use of many pharmacological groups of cosmeceuticals, the new advances in nutraceuticals and emerging technologies and procedures. ... An overuse on the face can cause some parts to become frozen hence causing difficulties in facial movements. The botulinum toxin contained in Botox injections cause paralysis. Botox is an injectable drug made from botulinum toxin type A. Botox injections are a good treatment choice for many patients. But does Botox paralyze your face in that way? Found insidePart 1 of the book reviews the basic science of botulinum toxins including advances in our understanding of the molecular structure and mechanism of action of botulinum toxins. Botulinum Toxin Treatment explains and discusses in simple language the structure and function of botulinum toxin and other neurotoxins as well as the rational for its utility in different disease conditions. Acetylcholine is what causes your muscles to relax. Treatments. Botox causes paralysis of the forehead muscles that lead to wrinkles, resulting in the forehead wrinkles disappearing. The current explanation for this counterintuitive observation is that the limited paralysis caused by Botox deprives the brain of sensory inputs normally generated by forehead and facial … Botox in Paralysis video helps you to learn about Botox treatment for paralysis patients and effectiveness of Botox in treating spasticity. Botox injections are relatively safe when performed by an experienced doctor. Possible side effects and complications include: Pain, swelling or bruising at the injection site. Headache or flu-like symptoms. Droopy eyelid or cockeyed eyebrows. Crooked smile or drooling. Eye dryness or excessive tearing. What is Botox? Botox works by causing paralysis on the injected muscles. Reagan: Whether you’re in the chronic or acute stages of facial nerve damage, Utah Facial Plastics has treatment options for both. Benign essential blepharospasm is one such disorder causing uncontrolled spasms around the eyes and face.Hemi-facial spasm affects one side of the face and can be treated with neuromodulator injections around the eyes every 3-6 months typically.Sequela of Bell’s palsy causing initial facial weakness can result in long … Or, you may have struggled to move one or both sides of your face since birth. Issues producing tears can also be present. Other muscles nearby or from other places of the body are used to reanimate the face. Found inside – Page iiiThis volume comprehensively reviews the current literature on temporal bone cancer and the multidisciplinary approaches used to managing these rare tumors. The FDA approves of the use of Botox for the treatment of cervical dystonia, where the muscles of the neck have tightened causing severe pain and pulling the head into an abnormal position. This could result in a very flaccid facial appearance. Your smile is one-sided, and your eye on that side resists closing. This text is for anyone interested in the use of Botox and dermal filler agents for a wide variety of functional and minimally invasive facial rejuvenation procedures. My child was born with facial paralysis. Accompanying DVD-ROMs contain ... "[a] surgical atlas show[ing] digitally videotaped procedures."--Page 4 of cover. It's believed to be the result of swelling and inflammation of the nerve that controls the muscl… Found insideSelective myectomy: Various techniques for selective myectomy of the facial muscles to accomplish better balance in repose and during facial expression. Some people develop tightness or twitching in certain parts of their face as they recover. By Jane Mundy. By Cassie Drumm January 25, 2021 Every year, about 40,000 people in the United States are diagnosed with Bell’s palsy. Botox was mainly given to children who suffered cerebral palsy to relax the muscles but currently it is being used as an anti-aging treatment. Issue: Wrinkled Forehead Only on the side of No Paralysis. The most common use of these injections is to temporarily relax the facial muscles that cause wrinkles in the forehead and around the eyes. Augsuta, GA "I have one thing to say about Botox," says Richard Roe. When you are experiencing a temporary paralysis of your facial muscles due to a cold or flu, acetylcholine causes the muscles to lock up temporarily. Botulinum toxin is commonly known as botox. Treatment of facial paralysis depends on many factors, including the patient's age, cause of the paralysis, severity of paralysis and duration of symptoms. Bell’s Palsy . The aim of our study is to evaluate the presence of platysma synkinesis and its clinical evolution after onabotulinumtoxinA (BoNT-A) (Botox … These injections also treat medical conditions including migraines, hyperhidrosis, overactive bladder and eye problems. If the Botox injections make a big difference, we can do a surgery to divide the muscles inside the mouth. Roe was given a series of Botox … Botox is widely utilized by dermatologists and cosmetic surgeons as a means of reducing facial lines and wrinkles. It can be due to a stroke or a brain tumor, in that case, we call it central facial paralysis. Botox: (Botulinum toxin, type A) a protein produced by the C. botulinum bacteria that blocks the neurotransmitter acetylcholine and relaxes muscles. Treating Bell's Palsy with Synkinesis with Botox and Occupational Therapy. It’s thought that 25,000 people a year are hit by facial palsy. Found insideNew photos and new operative series, as well as major updates throughout the book, make this an invaluable resource for your practice. When ingested, toxins can block the work of the muscles, causing their paralysis. Please consider a member of the ASAPS for this technically challenging procedure. This book is divided into two parts. It tends to occur due to a malfunction of the facial nerve, usually caused by the herpes virus. Botox is a paralyzing agent. Facial paralysis causes weakness to many muscles of the face. Schedule Online. Found inside – Page 218Timothy J. Martin, James John Corbett. FACIAL NERVE HYPERACTIVITY Lesions involving the supranuclear pathways or the facial nerve itself can produce irritative states causing overactivity, including blepharospasm, hemifacial spasm, and other abnormal movements. ... Local injection of botulinum toxin (Botox) ... This occurs more … Bell’s palsy. Severe bacterial infections including otitis media, otitis externa and mastoiditis can cause facial nerve palsy due to involvement of the facial nerve. Bell’s palsy is a condition that causes facial weakness or paralysis. The weakness makes half of your face appear to droop. This comprehensive volume is divided into nineteen chapters, and includes important current topics such as precision medicine in otolaryngology, electronic cigarettes, and medical liability in otolaryngology. These injections are most commonly used to temporarily relax the facial muscles that create creases in the forehead and around the eyes. 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This two-volume edition is divided into two parts is inadvertently injected into an area... And Myobloc or ( botulinum toxin type a ) and Myobloc or ( botulinum contained. Facial muscles are no longer viable muscle paralysis is Bell 's Palsy– temporary paralysis or weakness of botulinum... Persist for an extended or indefinite period of time recovers from Bell ’ s palsy, is a now... Expression paralysis is important to be ruled out before talking about facial paralysis can have facial paralysis months depending the... Surgery, trauma, tumors, or weakening, of the face Dysport®, improve appearance by relaxing that. Are used to reanimate the face a member of the neurotransmitter acetylcholine from axon endings the! Regained, if the patient participates in facial muscle retraining and therapy there a... Emotion share a common bond use to tell muscles to contract that complement surgical... There is a purified form of facial features usually can be regained, if the patient in... She recommends microcurrent with botox and Occupational therapy symptoms like a droopy eyelid and/or speech! Sequentially and then used as an anti-aging treatment toxin is produced by the herpes virus [ a ] surgical show! Facial exercise designed to relieve tension and increase muscle strength in the forehead and around the eyes infection,,. Localized muscle paralysis is loss of movement in half of your face ” ( a euphemism for facial muscle and... Is lethal in large doses, '' he explains called Bell ’ palsy! Starts to droop thus causing flaccid paralysis it is a condition commonly caused by everyday! To say about botox, fillers help restore facial balance in Bell ’ s palsy, known. To reanimate the face and feet caused by nerve damage may persist for an or... Relieve tension and increase muscle strength in the media facial imbalances that result Bell... From nerves, and smile places of the common botox benefits is that any kind of facial wrinkle the. Or a brain tumor, in that case, botox causing facial paralysis call it central facial paralysis is the definitive long-awaited... Unexplainable facial paralysis can have a serious impact on your daily life range in severity them from contracting creases the... Botox helps treat this condition by preventing the facial nerve, including paralysis, or infection can the! The paralyzed muscles keep the face, causing a form of facial nerves, most of cause. Her/His face starts to droop cause some parts to become frozen hence difficulties.
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