Hello.
This is Director Jung-Hwang Information of Cleor Clinic Gangnam Branch.
As the days of going without masks increase, have you ever felt newly conscious of your lower face?
The line below the cheeks, which we didn't notice when it was covered by fabric,
often becomes the first thing we are aware of whenever we sit face-to-face with others.
Sometimes it looks fine in the mirror, but photos taken from the side feel unfamiliar.
Even when you haven't gained weight, I often hear in the consultation room that the area from below the ears to the jawline
looks thick.
Because there are layers of tissues with different characteristics beneath that area,
if we don't identify which layer has thickened, we cannot set the right direction.
Among these, the degree to which the salivary glands are stimulated varies depending on what and how you chew.
Today, I will examine what Gangnam salivary gland Botox is,
what its strengths are, and what principles it works by.
What is Gangnam salivary gland Botox?
👉 Gangnam salivary gland Botox is a treatment that injects toxin into the parotid glands below the ears to temporarily lower the frequency of signals telling them to produce saliva.
The parotid gland is the largest organ among the salivary glands.
It is spread widely from just in front of the earlobe to above the corner of the lower jaw,
and it covers the chewing muscles like a blanket.
Because of its location, it is reflected in the side facial contour,
so the cause of a blurred jawline is not always just the muscles or fat.
The inside of the parotid gland consists of clusters of glandular cells gathered like grapes
and ducts that carry the saliva.
The glandular cells produce thin, serous saliva and send it along the ducts to the inside of the cheek.
The pathway that instructs these glandular cells to secrete is the parasympathetic nerve, and fibers starting from the glossopharyngeal nerve
pass through the otic ganglion and enter the parotid gland along the auriculotemporal nerve.
During the consultation, I scan the side of the face with my fingertips to distinguish between hard lumps and soft lumps.
The hardness felt in the front is created by the chewing muscles,
and the soft lump felt under the ear corresponds to the parotid gland.
The strength of salivary gland Botox targeting secretory organs
👉 It targets the secretory organs, not the muscles. Therefore, it treats only the side volume without affecting chewing strength.
First, the nerves involved are different.
Botox injected into muscles targets the motor nerve endings, but
Botox injected into the salivary glands targets the parasympathetic nerve endings heading toward the glandular cells.
Acetylcholine released from these endings must attach to the muscarinic receptors on the surface of the glandular cells
for the secretion command to be transmitted.
If the toxin blocks the release process of acetylcholine, that command does not reach the glandular cells.
This is why it is possible to lower only the secretory activity without affecting the chewing muscles.
Second, utilizing the nature of the organSecretory glands have the property of operating actively the more they are stimulated, and they maintain their volume accordingly.
If the state of reduced secretory stimulation continues, the activity level of the glandular cells decreases.
Then, it is reported that the volume of the entire parotid gland also tends to decrease gradually.
The change where the side contour gradually appears more refined occurs through this process.
Third, the left and right sides can be viewed separately.
If you have a habit of chewing on only one side for a long time, the parotid gland on that side
is frequently stimulated, so the volume on both sides is often not the same.
Since the injection site and amount can be divided and distributed between the left and right,
we can approach it while considering the balance even for faces that originally have a difference.
I will be honest about one thing.
The criteria for predicting how much the salivary gland volume will change and how long that state will last
have not yet been established.
This is because the range of response varies depending on chewing habits and the original size of the glands.
Therefore, it is better to approach it with the original strength of controlling secretory stimulation as the focus,
and continue while observing the condition.
The working principle of salivary gland Botox
👉 Botox first cuts off the secretion command. Then, glandular cell activity decreases, and the side volume subsides in turn.
The starting point is stimulation.
Every time you chew food and taste it, the parasympathetic nerve sends a secretion command to the parotid gland.
If you have a habit of chewing tough food for a long time or chewing on only one side, stimulation is concentrated on the gland on that side,
and the frequently used organ maintains its activity state and keeps its volume.
The site where the toxin enters is not the glandular cells, but the nerve endings placed in front of them.
If vesicles containing acetylcholine cannot attach to the cell membrane, the neurotransmitter cannot
get out, and the receptors on the surface of the glandular cells do not receive any signals.
Glandular cells that do not receive commands reduce the work of producing and sending out saliva.
If the state of lowered activity continues, the volume of the organ also responds gradually.
This is why the change appears more slowly than when injected into muscles.
As time passes and the nerve endings regain their function, secretory activity also returns to normal,
so it is suitable for management where you set the timing again while observing the condition.
Procedure and program
👉 Since it is an item that targets the parotid gland under the ear, it is operated separately from the range for facial expression muscles.
The Botox items at the Gangnam branch are divided by where they are injected.
Because the salivary gland is a secretory gland, not a muscle, it is not included in the facial expression range or chewing muscle range,
but is grouped under special areas.
The hyperhidrosis range for sweat glands and the body range for shoulders or calves are also separated from each other.
It is common for secretory glands to have different left and right sizes originally.
Therefore, we do not inject the same amount on both sides.
We divide and distribute it based on the size felt by hand.
The products used are domestic, domestic premium, Xeomin, and Allergan.
We proceed with a suitable product after consultation.
The reason the side looks thick could be the chewing muscles or the secretory glands.
Since the feeling to the touch is different, we determine the range after checking the state with muscles relaxed and the state with teeth clenched.
Recommended for these people
Those whose lower face looks wider from the side and semi-side angles than from the front
Those who can feel the volume below the cheek under the ear as soft even when not clenching their teeth
Those who have received square jaw management but were unsatisfied with the side impression
Those who have a habit of chewing tough food for a long time or chewing on only one side
Those who want to clearly refine their jawline contour
Types of Gangnam Botox
👉 The sites reached by the toxin are divided into the secretory gland side and the muscle side.
Depending on whether it is a secretory gland or a muscle, even the texture felt by hand is different.
Even with the same lower face concern, if the texture felt is different, the treatment area is divided.
Side effects and things to know in advance
👉 It is reported that the things to know are generally short-lived reactions and often subside over time.
If you already have dry mouth, have neuromuscular diseases,
or are pregnant or breastfeeding, we check your condition first during the consultation stage.
⚠️ Precautions before and after the procedure
❓ Frequently Asked Questions (FAQ)
Q. How is salivary gland Botox different from square jaw Botox?
A. Square jaw Botox targets the motor nerves of the chewing muscles,
while salivary gland Botox targets the parasympathetic nerves heading to the parotid gland.
Because the target sites are different, there are cases where both are examined side by side.
Q. Doesn't my mouth get excessively dry?
A. It is not in the direction of stopping secretion, but in the direction of lowering the speed that was running excessively.
However, you may feel that your mouth is dry, so we recommend drinking water more often than usual.
Q. Does eating become uncomfortable after the procedure?
A. Because it is injected into the organ that produces substances, not the muscle that exerts force,
many people say they did not feel a big difference in their usual meals.
However, we recommend reducing tough side dishes for the first few days.
Q. When can I feel the change?
A. Because it goes through a process where the volume responds after the activity of the glandular cells decreases,
it tends to appear more gradually than when injected into muscles.
There are large individual differences in the timing.
Q. Is it okay to receive it just once?
A. Since secretory activity returns when the nerve endings regain their function, we recommend
continuing while observing the condition.
Q. Doesn't my face look sunken?
A. It is not a method of removing the entire area below the cheek, but approaches focusing on the range where the parotid gland is located.
Because we look at the distribution differently depending on the face shape, we check it together during the consultation.
The impression of the lower face is not created by a single factor.
Several tissues such as bone angle, chewing muscles, fat, and salivary glands are overlapped in the same place.
Gangnam salivary gland Botox is a treatment that selects and deals with only the secretion signals heading to the parotid gland among them,
so it has the strength of approaching the side volume without affecting the chewing strength.
We divide and look at the area felt when relaxed and the area that becomes hard when clenched, and then determine the distribution; these parts are checked directly during the consultation.
At Cleor Clinic Gangnam Branch, we operate treatments that can take care of the jawline together, including the full line of Botox, contour injections, Ultherapy Prime,
All-Tight, and Shurink.
Please feel free to inquire, and we will guide you according to your condition.
※ This content is for general information purposes, and changes that appear may vary depending on the individual.
Please judge the accurate diagnosis and whether to proceed with the procedure through consultation with a specialist.
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