Ep 271 The Tox Talks (Chapter 9): A New On-Label Indication for Botox – Masseter Muscle Prominence | Dr Felix Li & Dr Stefania Roberts

Episode 271 hosts Dr Felix Li (Cosmetic Doctor based in Singapore) and Dr Stefania Roberts (Phlebologist & Cosmetic Doctor based in Melbourne, Australia)

In 'The Tox Talks' episodes we feature expert injectors who have significant experience in using botulinum toxins. These episodes explore our guests experiences using particular brands, the evolution of their injecting techniques and we get special insights into the subtle nuances of getting the best out of toxins.

In chapter 9 we discuss a new on label indication for Botox (by Allergan Aesthetics, an Abbvie Company) - Masseter Muscle Prominence (MMP). This was recently approved in China at an event in Shanghai and it's the first and only toxin brand to be approved for this particular indication.

We discuss:

• What MMP is
• The difference between on VS off label indications
• Why having a standardised technique is so important
• What patients want when it comes to MMP
• Asian vs caucasian beauty ideals and beauty standards
• The on label dose for MMP
• The technique to treat MMP
• Masseter anatomy
• The role of ultrasound in assessing the masseter
• Risks and precautions when it comes to treating MMP

00:00 Introduction 00:42 Podcast Updates and Patreon 02:05 Topic MMP Botox Label 02:37 Meet the Guests: Dr Felix Li & Dr Stefania Roberts 04:57 China Launch and Ultrasound 07:25 Why Seek Approval 09:10 Masseter Basics and Aesthetics 13:15 On Label vs Off Label 16:42 Culture and Face Ideals 18:56 How Botox Changes Function 24:07 Consulting and Patient Requests 27:54 Alternatives and Surgery Risks 31:18 Study Dosing and Duration 32:54 Real World Dosing Strategy 36:40 Dose by Age and Ethnicity 39:41 Finding the Right Units 40:35 Training and On Label Protocol 42:30 Needle Depth and Anatomy Errors 47:56 Paradoxical Bulging Explained 54:06 Counseling Risks and Avoiding Risu 01:03:30 Three Point Injection Mapping 01:05:30 Preventing Jowls and Parotid Mixups 01:09:29 Pricing and Maintenance Strategy 01:13:23 Resistance and Closing Thoughts

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