One product, two reasons to book
Montville MedSpa & Pain Center is a MedSpa and a pain center under one roof, so people ask about Botox here for two quite different reasons. Some want the creases on their forehead or between their brows to soften. Others have a jaw that aches from clenching or grinding, often with headaches attached. The same family of medicine can serve both, through two separate assessments.
For lines made by movement
Botox and Dysport are FDA-approved forms of botulinum toxin type A. Placed in a chosen muscle, they block acetylcholine, the chemical signal a nerve uses to make that muscle contract, so the skin over it stops creasing as deeply. The usual cosmetic targets are three:
- The forehead, where the frontalis raises your brows; it is dosed so the brows can still lift.
- The “11s” between the brows, pulled in by the corrugator and procerus muscles when you frown.
- Crow’s feet, drawn by the orbicularis oculi, the ring of muscle around each eye.
Expect softening after three to five days, the complete effect between day 10 and day 14, and results that typically last three to four months.
For a jaw that will not let go
Temporomandibular joint disorder, TMJ for short, affects the jaw joint and the muscles around it. The practice’s pain side sorts it into four kinds: muscle-related pain from clenching, grinding or stress; inflammation inside the joint itself; a disc inside the joint that has shifted, which causes clicking, popping or locking; and degenerative, arthritic change. Botox for TMJ works on the muscles: relaxing jaw muscles that are overactive from clenching and grinding eases the strain they put on the joint. Many patients notice less jaw tension and fewer headaches within days, with relief continuing over several weeks. Expect the jaw to feel mildly tender for a day or two afterwards, and repeat treatments at intervals may be suggested to keep the effect. The listed risks are temporary soreness, mild bruising or swelling, a tired-feeling jaw for a while, and, rarely, asymmetry or a change in how your bite feels. Alongside it, a plan may include stress reduction, a bite evaluation and muscle relaxation techniques.
Who assesses you
TMJ care is led by Dr. Donna D’Alessio, MD, board certified in Physical Medicine & Rehabilitation, who also reviews every cosmetic neurotoxin treatment. Cosmetic injections are given by Dr. D’Alessio or nurse practitioners Amy Natalicchio and Tanya Santoro.
From White Meadow Lake
White Meadow Road becomes White Meadow Avenue, and a short run on Hibernia Avenue brings you to the I-80 eastbound ramp. Change to I-287 north, take Exit 47 and turn left; Main Road leads to number 624. Allow close to 22 minutes without traffic for about 14 and a half miles.
Rockaway Township patients ask
My jaw clicks. Is Botox the answer? Clicking and popping are among the signs of a displaced disc inside the joint, a different problem from tight muscles, so the evaluation comes first and the plan follows from it.
How long does Botox for TMJ last? Typically three to four months, after which maintenance may be suggested.
Can I come after work? On Tuesdays, until 7 pm.
Read about TMJ treatment, the full Botox and Dysport page, or Botox for chronic migraines.
Testimonials
What Our Patients Say About Us
★★★★★
Amy is exceptional at gentle transformations. Amy’s ability to identify how the slightest aesthetic change can make a youthful impact is truly remarkable. Between her keen artistic eye and her precise injections, Amy’s technique is my secret weapon to aging with grace.
★★★★★
Trust the process! Your lips might not look perfect right after the first appointment—and that’s totally normal! That’s why scheduling a follow-up is so important. I ended up needing a little more, and I couldn’t be happier with the final results! If you’re thinking about Botox or filler, go see Tanya Santoro! She’s thorough, professional, incredibly knowledgeable, and has the most amazing personality. You’ll be in great hands!
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