Teeth Grinders, It’s Time To Make Your Lower Face Happy With Botox Injections

Dr. Anna Avaliani’s office is a state-of-the-art laser facility that creates the best bespoke treatments for each patient using the latest, the absolute best gold-standard technology for her patients. The office has over 3 million of laser technology for full face and full body rejuvenation all carefully planned, crafted, and performed by Dr. Avaliani.

Are you starting to experience the wrath of grinding your teeth? Whether that be a stagnant headache or increased sensitivity in your worn-down teeth, the symptoms of teeth grinding are no fun. To look softer, slimmer, and be pain-free, Haute Beauty expert Dr. Anna Avaliani offers injection treatments that are ideal for teeth grinders like yourself.

Injections for Teeth Grinding

There are many remedies to treat teeth grinding. Typically, you hear of mouth guards, which are simple solutions to create a barrier to stopping teeth from rubbing one on top of each other and damaging the enamel. Though mouth guards are a practical option, Dr. Avaliani, amongst other experts, uses Botox injections, deemed a “life-changing” treatment that relaxes the muscle involved in biting and grinding movements.

Botox makes the muscles smaller and weaker and prevents the teeth from actually grinding. People that grind their teeth often don’t realize that they compensate by using other muscles of the lower face like the chin and the neck. This leads to increased frown lines and wide neck appearances, as shown in the image below.

A recent study showed that people who grind their teeth usually have widened necks and develop pronounced horizontal necklines or bands. If you ever received Botox into masseters, then you should be evaluated to receive depressor anguli oris (DAO) injections, which can depress the lateral corners of the mouth.

When going in for a consultation, Dr. Avaliani can also evaluate your vertical neck bands to see how she can use injections to slim the face and back of the neck while reducing the pain in the jawlines that can sometimes trigger migraines.

It’s essential to have a proper consultation and assessment with Dr. Avaliani so she can design a customized treatment plan that will include the areas to be treated and the suggested dosage of injectables. Remember, Botox is not just for those fine lines and wrinkles. With Dr. Avaliani’s expertise and an artistic eye, your teeth grinding symptoms will begin to diminish, and your lower face will be symmetrical to your upper face.


25 uses of Botox

25 Expert uses of Neuromodulators like Botox and Dysport in the hands of an artist.

 Dr Avaliani is a national GAIN trainer for Galderma and is amongst top injectors of neuromodulators in the United States. Here she shares some information about of the most loved treatmentsin the aesthetic field and how one“tool” can be used for multiple “conditions” when placed in the hand of an artist and an expert.

  1. Wrinkle reduction, the 5 minute non downtime procedure designed to help control muscle expressions and prevent wrinkles from developing in the first place or at least getting deeper. Think forehead lines, lines between eyebrows and lines around eyes.
  2. Gummy smile treatment is a life saver procedure which helps men and women regain full confidence when smiling without affecting their smile or ability to speak.
  1. Non surgical Nose lift if you are bothered by “droopy nose” in every smiling profile photo, then this is a procedure for you. Keep your nose elevated and your profile perfect without any downtime.
  2. Non Surgical Brow lift is a great way to open the eyes and elevate the arch if the eyebrows with 1 minute treatment.
  3. Rosacea treatment is an off label treatment with injection of “micro-botos” to help reduce inflammation in the cheek area where rosacea is often exists. It’s an alternative cost effective and even complimentary treatment for people not willing to deal with daily cream application and or expensive lasers which can have downtime.
  4. Lip lines aka smoker’s lines treatment is a quick non surgical solution to help minimize those unflattening lip wrinkles above the lips when drinking, speaking, or applying lipstick.
  5. Non surgical Lip flip/lip lift – 5 minute procedure designed to open the lip area giving lips taller and fuller look without injecting any dermal filler
  6. Facial pore size reduction – “micro-botox or dysport” injections to help reduce oil production in the forehead, hairline or nose areas.
  7. Chin dimples softening for people who can’t control their tension in the face and who don’t like to see chin dimples/wrinkles on their photos because they can’t control it.
  8. Sad or frown face aka resting B*itch face fix– the best way to look happy and to lift the corners of the mouth and prevent deep creases from developing along the corners of the mouth leading to the chin area.
  9. Teeth grinding– if you wake up in the morning with tenderness and soreness in the jawline, if the dentist told you that you are grinding your teeth or even if you are biting through the mouthguard, then this is the best way to prevent yourself from damaging your teeth in your sleep
  10. Wide or bulky lower face can be as a result of an overactive or overused chewing muscles of the jaw, called masseter. Treating this muscle can instantly and non surgically slim the face with long lasting result of up to 6 months.
  1. Facial palsy correction– the non surgical solution for patients suffering from Bell’s palsy or facial nerve spasms and/or post Stroke to help them balance their facial features.
  2. Neck lines treatments aka tech neck treatment is injection of botox/dysport into the horizonal lines of the neck preventing the lines from getting deep or noticablesimilarto the lines on the forehead treatment but for the neck.
  3. Neck cords treatment for the vertical lines from the jawline to the collar bone which can give an appearance of an aged turkey neck
  4. Nefertiti neck liftAppropriately placed botoxalong the jawline to lift the sagginess and droopy mouth corners leading to a lifted and defined jawline without the need for bulky filler injections.
  5. Neck slimming and elongation is possible with the appropriately placed injections of botox and dysport in the upper and lower neck region.
  1. Migraine treatment for people suffering from very bad migraines requiring he use of daily maintenance and preventative medication the injection of appropriately placed botox and/or dysport can offer a targeted and localized solution and alleviate the symptoms for up to 3-4 months without the need for daily medication.
  2. Shoulder and neck pain treatment – looking down on your phone or computer and not stretching enough can definitely put some strain on the muscles of the upper back leading to neck pain and shoulder pain and even headaches. This can be treated and minimized with appropriately placed botox and/or dysport.
  3. Underarm sweating – the best no downtime treatment to give you confidence in the summer to wear dark clothes and to lift your arms in the air and not having to worry about sweat stains or odor with huge bonus perk of savings on dry cleaners. A must try treatment which is life changing for so many people.
  4. Hands and feet sweating – for people with social anxiety, performance anxiety, or just medical condition causing excessive sweat to be produced in the palms and or feet leading to social isolation of individuals and even career isolation. This treatment offers a chance to function normally in the office and public setting reducing the anxiety and enhancing self-esteem in a personal and professional sector of life.
  5. Frozen shoulder treatment is a way for people undergoing painful acupuncture, trigger pints and physical therapy sessions a chance to regain their function so much faster. Dr.Avaliani helped her patient restore full mobility in 2 treatment sessions which took 1 month when “traditional’ methods promise return in about 12 months.
  6. Lower back spasmscan cause pain and discomfort and physical limitation. Back muscle strengthening and relaxation is important. Occasionally turning the wrong way or lifting something can pull a muscle causing it to “spasm” and turn into a hard rock which causes pain. Botox and dysport have long established their reputation as a safe and effective muscle relaxant treatment to effectively and non invasivelyelleviate the pain and physical limitation/immobility within 1-3 days of the procedure.
  7. Muscle twitching (facial and or body) appropriately placed botox and/or dysport where there are signs of uncontrolled twitching help to alleviate discomfort and social anxiety associated with them.
  8. Calves slimming is a unique and creative procedure offering a way to feminize bulky legs or bulky calve muscles of the lower legs helping restore confidence to wear skirts or dresses and maybe even fit into a pair of favorite boots which were too tight before or the zipper didn’t go all the way up.

Dr. Avaliani will carefully consider what is best for you. Above are only some of the options from which she can choose for your bespoke consultation and treatment.  Dr. Avaliani’s medical knowledge, expertise, eye for symmetry, integrity, and devotion to being up to date in her training and equipment ensure excellent, natural-looking results.

To see Dr.Avaliani for your expert in person and/or virtual consultation please call/text 212-673-8888 or email the office. You deserve the bespoke treatment for your unique beauty personality.


Lip Augmentation and Facial Fillers Myths

Written by: Anna Avaliani, MD

fillerLip augmentation is the number one requested injection procedure following right after Botox®. Many women who think about getting their lips done for the first time are very afraid to do so because they fear of walking around with “deformed” lips for life.  It’s a myth and I will try to explain it. 

One important thing to consider is that not all fillers are the same and the price you pay for your lip injections really determines the quality of the product and expertise of the person injecting you. Expert physicians like myself have been performing lip augmentation for some time now and in my practice, I do lip augmentation every single day. I also only use FDA approved products. 

In this blog I will try to answer the 12 most common myths about lip augmentation.

Myth #1: Fillers are irreversible

Dr. Avaliani only uses FDA approved fillers from Juvederm® (Juvederm Ultra®, Juvederm Ultra Plus®, Juvederm Volbella®) and Restylane® (Restylane Silk®) family line of products. These fillers are made out of Hyaluronic acid, are very safe, and are completely reversible!

Myth #2: Fillers stretch your lips and make them deflated

It is absolutely not true as lips anatomically have a very small space to accommodate extra volume. That space is between the lip muscle and the skin overlaying it. Fillers never cause any stretching of the lip muscle or lip skin. What happens is that people who get their lips done on regular basis forget what their original lips looked like before they started injecting them, making them think that their lips became flat.  Your body is always able to hold it’s natural and true shape.

Myth #3: Fillers cause permanent bumps

One of the common side effects of lip filler injections is the development of tiny bumps. These bumps can be felt inside the lips or actually be visible outside. They happen because your body is protecting itself and not allowing the filler to incorporate, or because the filler moved from its original space where it was injected, or rarely, due to filler being injected superficially.  Even, an expert like myself, I occasionally can cause a tiny bump, but mine are always invisible and always go away in 1-2 days.

Myth #4: Fillers cause scars

The fillers used by me are 100% authentic Hyaluronic acid fillers from the manufacturer directly. All come with serial numbers and tracking information. There has never been a case reported of scarring after getting lip injection in any of the clinical studies performed around the world using authentic real products. Fillers that would cause scarring or deformity are usually cheap quality, black market injections sold at spa’s or other places for a very cheap price and luring naïve customers.  You really get what you pay for and sometimes the price certain people pay is not worth the couple of hundred-dollar savings.

Myth #5: Fillers cause cold sores

Fillers do not cause cold sores. They are packaged sterile and come with a single use sterile needle. The only time one might develop a cord sore after a lip injection would be a person who already has a history of cold sores and because lip injection can cause stress on the lips, the cold sores can potentially be reactivated. You must inform your doctor if you are prone to getting cold sores and she or he will prescribe prophylactic medication in case you develop one.

Myth #6: All fillers cause “duck lips”

Fillers do not cause duck lips, it’s rather a desired outcome of the patient or simply an inexperienced or improper technique utilized by an injector.  A true expert will always respect natural lip anatomy and proportions in order to avoid an awful “duck lip” look.  I always ask my patients to bring in the photos of the lips they desire and we carefully discuss pro/cons of each picture in order to achieve the most desirable look for them.

Myth #7: Filler injections hurt

If you go to a cheap salon, you will have an awful experience.  This is a very comfortable procedure and most of my patients rate it as 1-2 out of 10 on a discomfort scale.  I always use a specially formulated topical numbing cream which I apply for 15-20 minutes and it will decrease any bruising and will also numb the lips very well.

Myth #8: Fillers change natural anatomy of lips

Too much filler will make your lips appear distorted or deformed, but once the filler is gone, your lips always go back to their original anatomical way.

Myth #9: Big lips are achieved in one single visit

We will use the most common example in today’s lip world: Kylie Jenner. To go from her original lip size to her current lip size it took 3 full syringes (3ml) of product, 3 visits and 3 months!!! It’s always good to be safe and add a little at a time. I never inject more than one syringe to anyone’s lips at a single visit. EVER.

Myth #10: Once you start doing lip fillers, you have to continue for life

It’s absolutely false as once the filler effect gradually weans over time, your lips will be back to their original size. People who choose to continue getting lip injections are doing so at their own will because they like their lips fuller, not because they have to do it.

Myth #11: All lip fillers are the same

Absolutely not. The best and the safest fillers for lip augmentation are made from hyaluronic acid. They differ from each other in the amount of HA acid in them and also their thickness. Every expert physician will determine the best possible filler for their patient in order to achieve their desired look.  Not all fillers are the same and not all people can get the same fillers either.

Myth #12: Fillers come in quarter and half sizes

This one is even annoying to write about. Authentic product from manufacturer of Juvederm only come in 2 sizes: 0.4cc and 1cc syringes. Restylane family only comes in 1cc syringes.  Places that offer or sell quarter, third or even half a syringes use black market, fake and diluted product which might be contaminated and will lead to infection, scarring or even death. Syringe splitting is considered a violation of health code and carries a high risk of infection.

If you choose to have less than a full syringe injected into your lips, it’s a personal choice that needs to be communicated with your physician, but depending on the product used, you either have 0.4 cc or 1cc size to choose from.  Please be very careful!!!!!