5 days post op of Botox. Does the botox used for jaw reduction appear to be working? (photos)
Doctor Answers 9
Not enough time for the botox to show an effect...
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Botox for Masseter Reduction
Botox for masseter reduction and jaw tapering
Once the masseter muscle is fully treated, just like any muscle that is not allowed to "work out" it will become smaller and thinner over the next month. After an initial treatment the most noticeable difference usually comes ~1 mo after the injection. The muscle will continue to taper with serial treatments.
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Jaw reduction with botox
Botox for jaw reduction
3-5 days to feel weakness; 2+ weeks to see shrinkage
At 5 days, you should feel some effect of the Botox which should make chewing food more tiring, since the muscle is weaker. This is assuming that you received a large enough dose to weaken the muscle. For the masseter, I will use between 15 to up to 45 units or more per side depending on the size and bulk of the patient's masseter muscle at rest.
To see visible narrowing of the jaw width and reduction of the squareness of the jaw to a more heart shaped appearance takes at least 2 weeks for the bulk of the muscle to shrink (atrophy), the Botox needs to be injected for a bulky (hypertrophied) relaxed masseter. If the masseter is only bulky when biting down, but narrow at rest, then the Botox will only make the muscle difficult to contract and appear the same as it does when it is relaxed. A before and after photo from the front view will look essentially the same. If the squareness is from protruding bone, you will not see much improvement from Botox. The take home point is that Botox has to be injected for the right reason and does not work for everyone if their problem is bone related.
Many patients have a problem with grinding their teeth AKA bruxism. Their dentists will comment that they are wearing down their molars or are starting to have cracks on the enamel at the neck of the tooth. These patients are usually recommended to wear a bite guard. Botox for these patients can be very helpful in reducing tension in the jaw and head. For these patients, they feel relief, but may not see a significant narrowing in the width of the jaw or squareness. They may get Botox earlier when they feel tension as opposed to waiting until they see the jaw width and squareness begin to return.
These bruxism patients may be the same as the wide/square jaw patients. Typically they get the Botox at shorter intervals 5-6 months as opposed to 7-9 months for purely cosmetic. I will use a smaller dose to maintain weakness, but not as big of a dose to further narrow their width, since a very narrow jaw can look weak and sickly.
Hope this helps.
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Results from Botox to jawline take longer
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
Is so early for the results
Normaly you beggin to see the results at the 7 to 10 days, but
give 2 weeks to see results.