Treatment options of Frey’s syndrome

Intradermal Botulinum injection reduces redding and sweating in the affected area and increases the quality of life; repeated injections are effective, but 27 to 92% of patients complain about recurrent symptoms in 1 to 3 years.[3]
Surgical therapy in established Frey’s has a likely benefit, big cohorts and clinical data to support that is missing and should be questioned in prospective studies, further SMAS, SCM, or TPFF reconstruction increases the risk of facial nerve injury. [3, 11]