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Relief from Botox injections in Masseter muscles last only 3-4 weeks, between 15 and 25 units per side. How can I make it last?

September 25, 2019
Asked By:skielty in Albany, NY

I am a senior citizen and I have been struggling with bruxism/tmj for the last 5 years, ever since I got braces for a short time. An orthodontist told me recently that the mandibular condyle on my right side has deteriorated. Since June, I have been getting Botox in the masseter muscles but after 3 weeks, the relief has all but disappeared. This is fairly expensive. Is there a way to have my medical insurance cover it?

Answers (2)

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VOTED MOST HELPFUL
September 26, 2019

Answer: Relief from Botox injections in Masseter muscles last only 3-4 weeks, between 15 and 25 units per side. How can I make it last?

http://www.nelson-center.com/wrinkle-relaxers.html
Nelson Castillo, MDBoard Certified Plastic Surgeon
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VOTED MOST HELPFUL
September 26, 2019

Answer: Relief from Botox injections in Masseter muscles last only 3-4 weeks, between 15 and 25 units per side. How can I make it last?

Nelson Castillo, MDBoard Certified Plastic Surgeon
(291)
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MOST RECENT
September 26, 2019

Answer: Masseter injection

Melvin Elson, MD
MOST RECENT
September 26, 2019

Answer: Masseter injection

Melvin Elson, MD

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Would Botox in masseter cause accelerated ageing?
Amy Y. Paul, DO, FAAD says:

Conservative use of Botox for facial slimming in younger patients should not cause accelerated aging.  It depends on how you take care of your skin - if you have very healthy, thicker, elastic skin, you should have no problem with  a few Botox treatments in the masseter muscles. ...

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I got Botox for TMJ. Is it possible for the tech to have missed my masseter muscles?
Erin Smith, MD says:

Full effect can take several weeks. If no improvement, a discussion with your treating provider is recommended.

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Should I go to a dentist or cosmetic dermatologist for Botox to treat masseter muscle hypertrophy?
Erin Smith, MD says:

There are many different providers who may have the skill set to perform injections for bruxism. One of the more important aspects is seeing a provider who can make an assessment to help determine the cause of your issues prior to making treatment recommendations.

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