The first time I had a botox shot, I experienced the breathiness afterwards, but could still talk. It was such a small amount that only a month later I was back to square one.

But, the next times I had a larger doses, and completely lost my voice for several weeks.....or almost completely the second time. In those two cases, I had more a total voice loss than a breathy period.....followed by voice recovery. Career wise, it was almost a meltdown situation by the way.

So, what does it take to get a botox shot.....and go to the breathy but able to talk period immediately......instead of getting a botox shot, followed by no voice for weeks at a time? I'm assuming the obvious answer......less botox.....but what's the point if a small dose will last only a month?

Any thoughts on this SD dilemma?

I'm glad you asked the question about what "breathy" actually means as I posed that question to my ENT several months ago. I had told him that most people think "breathy" means the whispery, hoarse, laryngitis kind of voice but he said, "No, no, no...it's when you can only say three or four words on one breath instead of about 15 words which would be normal." In other words, you have to take extra breaths like someone who is short of breath after exercising, etc.

As far as the total voice loss (you didn't say how many units you have had each time), I would guess that somewhere in between those doses might help solve your problem? You might want to discuss dosage with your ENT.