When giving botox to corrugators and procerous which act as accessory muscles
It is worth while, therefore, to recall them, not only for completeness, but because of their undoubted clinical importance in connection with certain forms of ocular headaches.
The first of these accessory muscles is thecorrugator
supercilii. According to Gray, this is a small pyramidal muscle placed near the median line, beneath theoccipito frontalis and theorbicularis palpebrarum. It arises from the inner extremity of the superciliary ridge, its fibers passing outward, to be inserted into the under surface of theorbicularis palpebrarum opposite the middle of the orbital arch. There are decided variations, however, in this muscle, as in others of the group, and also in the distribution of the fascia near the center of the forehead.
These variations are appreciated when we compare the drawings given by Gray, Fig. 63, and byHenle, Fig. 64, and become very evident after even a few dissections. The second group of fibers to be noted includes those of thepyramidalis nasi. These arise from the edge of theorbicularis, and with those on the opposite side pass downward covering the upper part of the nose. muscle is very imperfectly developed
Is this point taken care of when botox is given. ocular headaches and driving difficulties are experienced. Since I tokk the botox im having a lot of difficulty in driving a car. so can some one tell me how much should the dosing be.
Hi correct dose for procerus are 4 UI, for corrugator 2 UI. These are the recomended dosages of FDA
HI Satyaprasad, which eye muscle are you particularly concerned about
What is the nature of difficulty while driving car
the Levator, orbicularis(palpebral part), or sup rectus are some muscled which could potentially get weakened while addressing corrugators
I prefer to start with 2.5 IU per inj for 1st dose and then titrate as per need and comfort there after.