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Botox in Masseters Resulting in Buccal Fat Pad Herniation - New York, NY

Not Worth It
Spent: $640 in NYC

Comments (12)

Updated 17 Apr 2012

Posted 13 Jun 2011

Pros: Last time I had this treatment done, I loved the result. I loved my more contoured, feminine jawline, and the atrophy of my masseters has really brought out my cheekbones.

Cons: This time, I had the same amount injected, but it seemed to have caused an over-weakening of my left masseter, resulting in "pseudo-herniation on the buccal fat pad." When I smile, a distinct lump is visible next to the left corner of my mouth. It messes up my facial balance and causes asymmetry. The left side of my face looks like it did when I was 15 years old: chipmunk cheek.

I had 40 units injected in each side. Why this only happened to one side, I don't know. I'm praying this goes away once the botox wears off...in the mean time I'm chewing lots of gum to rebuild the muscle. If this doesn't resolve by itself, I'll need to either have the fat pad pulled out (buccal lipectomy) or have it resutured into its previous position (this is a much better choice for me, as I'm only 18 and having a one-sided buccal lipectomy at this age would surely result in extreme facial asymmetry later in life). If any of you have had a similar experience from treating your masseters, or if you know a very skilled doctor who may be able to shed some more light on this very specialised subject, PLEASE share your thoughts. I'd love feedback as this condition is causing me extreme anxiety and depression.



Updated on 5 Sep 2011:
I think it may be getting slightly better. No one has ever heard of this side effect before. I believe I'm the only one to have ever experienced this.

Updated on 20 Oct 2011:
I doubt anyone is reading this, but, just in case, I'm positive it's better than it was in these pictures. By quite a lot. I'm absolutely not able to demonstrate the asymmetry to this degree anymore. I feel comfortable smiling despite a slight imbalance and "tight" feeling in the affected cheek. I will update in two months.

Updated on 17 Apr 2012:
I'm doing very well thank you! My masseters are back to around 80% their original size and it looks MUCH better than that sickly narrow face I had before. That dr put SO MUCH BOTOX into my face it is astounding. This was a year ago and yes, there is still very, very slight asymmetry, but it's not even bothersome anymore. I also started my transition (male to female) so the estrogen is rounding out my cheeks and making my face look much softer so whatever asymmetry remains will blend in now. I'm also on Prozac so I feel much better all-around! I am SO GLAD I didn't do anything stupid like a Buccal fat removal or resuturing the fat pad...Jesus that would be a disaster!

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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My Doctor: name not provided

My rating:

Go to someone who specialises in the injection of botox to the masseter muscle. This is apparently a very important facial muscle and while anyone can push down on a syringe, very few know the possible consequences.

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Comments (12)

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BrittB 16 Jun 2011

Hi Robin,

That's crazy! I wonder why it happened. You might want to check out the answers to the question, "How Can I Get Rid of Botox Side Effects?" It might help, hopefully it will leave your system soon. Please keep us updated. 

Thanks so much for the review, and have a great weekend!

-Britt

keithNJ 21 Aug 2011
hi im thinking of having this done for TMJ jaw pain,, 40cc seems a bit much? thought avg was only 25.
gxcgirl 20 Oct 2011
40 CC is a LOT! And it will affect your smile! Have you ever tried chiropractic care or accupuncture for TMJ? My sister has had a lot of relief from those methods.
KitteNYC 20 Oct 2011
Hi, I don't have TMJ though. I did this for cosmetic reasons.
gxcgirl 28 Oct 2011
Sorry, I was answering the remark from keithNJ above mine. I'm glad to hear you are seeing improvement.
Megan P (Community Manager) 1 Nov 2011

KitteNYC it made me a bit sad when I read your comment that you doubted anyone was reading this. I want to thank you for sharing your story & experience with us all and make sure you know that tons of people come on & read the reviews everyday. Some people prefer to stay more anonymous and don't comment, but don't doubt for a second that what you have shared has helped many others in making their decision of whether or not to try Botox.

I'm so glad to hear you are seeing improvement & I look forward to hearing more updates from you!

KitteNYC 12 Jan 2012
Wtf are the last two comments
Megan P (Community Manager) 13 Jan 2012

They were from spammers - we do all we can to prevent them but sometimes they still get through, ugh! Sorry about that guys. I have blocked their accounts & erased the comments.

20candles 10 Feb 2012
Hi I expEriencec
20candles 10 Feb 2012
Hi I experienced the same side effect as you- except that they were on both cheeks. Doctors I spoke to never heard of this side effect. I'm seriously considering buccal fat removal.
screaming in the midwest 15 Apr 2012
how are you doing now doll?
Megan P (Community Manager) 17 Apr 2012

Great to hear such a positive update from you kitteNYC! We recently launched a Gender Reassignment community. Despite the name it is open to all going through transition so please feel free to join in the discussions there as well. :)

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