How many units is required for a noticeable difference? Or is it entirely dependent on the individual? I've visited a few clinics and I've been quoted either 15 or 25 units. I was told by one doctor that with Botox, only a small amount is needed for a difference to be seen. But some clinics recommended a higher dosage as the cost was paid for per unit. Could anyone provide some information on this and what dosage they recommend?
Answer: Botox masseter dosing Thank you for your question. Botox in the masseter region usually takes longer than in the standard areas to take effect. I tend to use anywhere from 15 units (conservative treatment) to 50 units (for someone with really strong masseters) on each side to get the desired result. It may start within the first week but I tell my patients to wait three weeks before doing a more thorough evaluation. The treatment typically lasts longer than the forehead/crows feet/frown regions. It is also a gradual onset of the return of masseter function. I have tried the masseter injections myself and space the treatments around 4 months apart, but use smaller doses to maintain the effect. I normally know the effects are wearing down when I start to clench my teeth more heavily at night when asleep. Once you stop using Botox, the masseter muscles will return to their original baseline when the effects of Botox wears off completely.
Helpful 1 person found this helpful
Answer: Botox masseter dosing Thank you for your question. Botox in the masseter region usually takes longer than in the standard areas to take effect. I tend to use anywhere from 15 units (conservative treatment) to 50 units (for someone with really strong masseters) on each side to get the desired result. It may start within the first week but I tell my patients to wait three weeks before doing a more thorough evaluation. The treatment typically lasts longer than the forehead/crows feet/frown regions. It is also a gradual onset of the return of masseter function. I have tried the masseter injections myself and space the treatments around 4 months apart, but use smaller doses to maintain the effect. I normally know the effects are wearing down when I start to clench my teeth more heavily at night when asleep. Once you stop using Botox, the masseter muscles will return to their original baseline when the effects of Botox wears off completely.
Helpful 1 person found this helpful
May 27, 2015
Answer: Botox Everyone's facial anatomy and response to Botox differs
Helpful
May 27, 2015
Answer: Botox Everyone's facial anatomy and response to Botox differs
Helpful
May 18, 2015
Answer: Appropriate dosage during Botox for masseter reduction The appropriate dosage of Botox for masseter reduction is whatever dose will achieve full relaxation of the masseter muscle. Just like any muscle, if it is incompletely relaxed then it will be able to contract and "exercise", and thus will not atrophy and shrink maximally. For approximately 80% of patients, a dosage of 25 units per side (50 units total) will achieve full treatment. I typically recommend patients to return 2-3 weeks after their initial treatment to determine if any additional Botox is necessary for full treatment.
Helpful
May 18, 2015
Answer: Appropriate dosage during Botox for masseter reduction The appropriate dosage of Botox for masseter reduction is whatever dose will achieve full relaxation of the masseter muscle. Just like any muscle, if it is incompletely relaxed then it will be able to contract and "exercise", and thus will not atrophy and shrink maximally. For approximately 80% of patients, a dosage of 25 units per side (50 units total) will achieve full treatment. I typically recommend patients to return 2-3 weeks after their initial treatment to determine if any additional Botox is necessary for full treatment.
Helpful
July 18, 2018
Answer: Botox for masseter hypertrophy Thank you for your question.I use approximately 25 units per side because the vial comes in 50 units so I divide it between the two sides. I think only 15 is really needed though. You can always start with a less aggressive approach and up the units if needed.- Dr. Bryson Richards
Helpful 1 person found this helpful
July 18, 2018
Answer: Botox for masseter hypertrophy Thank you for your question.I use approximately 25 units per side because the vial comes in 50 units so I divide it between the two sides. I think only 15 is really needed though. You can always start with a less aggressive approach and up the units if needed.- Dr. Bryson Richards
Helpful 1 person found this helpful
July 18, 2018
Answer: Botox for Masseter I would agree with the Botox unit range that was quoted to you. Typically, I place about 20 units into each masseter muscle for a total of 40 units. Certainly, this depends on the individual and some patients require even more units. I recommend consultation with a board certified dermatologist or plastic surgeon experienced in injection of the masseter muscle. Best wishes.
Helpful 1 person found this helpful
July 18, 2018
Answer: Botox for Masseter I would agree with the Botox unit range that was quoted to you. Typically, I place about 20 units into each masseter muscle for a total of 40 units. Certainly, this depends on the individual and some patients require even more units. I recommend consultation with a board certified dermatologist or plastic surgeon experienced in injection of the masseter muscle. Best wishes.
Helpful 1 person found this helpful
