While we know and love neuromodulators like Botox, Dysport, and Jeuveau in the medical aesthetics world, their uses extend far beyond wrinkle reduction. Botox was first developed in the mid-to-late 1900s by ophthalmologists to manage ocular conditions caused by muscle activity. It was later discovered that it could also treat facial muscle movement that, over time, leads to rhytids, or wrinkles. It wasn’t until the early 2000s that Botox received FDA approval for cosmetic use.
In much the same way it helps reduce muscle overactivity in the face, neuromodulators are now widely used to treat conditions exacerbated by muscle tension, such as tightness in the trapezius muscles, TMJ symptoms in the masseters, and hyperhidrosis in the underarms. Let’s take a closer look at these applications beyond aesthetics.
Neuromodulator treatment for trapezius muscle tension, often referred to as “trap tox,” has grown in popularity. The trapezius is a kite-shaped muscle that spans from the neck across the shoulders and down the upper back. Treatment targets the upper portion of the muscle, where many people carry significant tension along the neckline. Injecting a neuromodulator in this area helps relax the muscle and reduce the sensation of tightness. Additionally, deeper injections can reduce muscle bulk over time, which may create the appearance of a slimmer, more elongated neckline after a series of treatments.
Another common use of neuromodulators is treatment of the masseter muscles. If you place your hands at the back of your cheeks near your ears and clench your teeth, you’ll feel these muscles activate. The masseters can become enlarged and tense in individuals who grind or clench their teeth. Treatment with a neuromodulator can help relieve tension and, at higher doses, reduce muscle bulk, resulting in a softer, more tapered lower facial appearance from the front. However, in patients with existing skin laxity, reducing volume in this area may accentuate jowling. For this reason, a thorough consultation and precise injection technique are essential.
A fan-favorite use of neuromodulators is the treatment of hyperhidrosis, or excessive sweating. If you find yourself avoiding certain clothing (like gray shirts) due to sweat concerns, this treatment can be a game-changer. In this case, the neuromodulator is injected superficially into the skin of the underarms rather than into muscle. It works by blocking the signals that trigger sweat production, resulting in a significant reduction in sweating. The effect is localized, meaning it does not impact sweating in other areas of the body.
If any of these treatment options resonate with you, the best next step is to schedule a consultation with a provider at JECT. As always, all medical aesthetics treatments should begin with a thorough history and examination performed by a licensed medical professional.