I'm wondering how you can tell if the swollen area in the masseter region are enlarged parotid glands or just overly large jaw muscles from jaw tension, etc. and, if it is just an enlarged muscle, what is the appropriate amount of botox to use for significant reduction in a man. I have had botox reduction before but I think my doctor was using the the same amount on me (male, 6 foot, 200 pounds) as she was on her general clientale which is mostly small asian women.
March 3, 2015
Answer: Both enlarged parotid and masseters are treated with Botox to slim face It's academic to say whether it's parotid or masseters. Typical dosing is up to 40 units per side with Botox. Please see my blog post below as well.
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March 3, 2015
Answer: Both enlarged parotid and masseters are treated with Botox to slim face It's academic to say whether it's parotid or masseters. Typical dosing is up to 40 units per side with Botox. Please see my blog post below as well.
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Answer: Botox and parotid glands. The masseter muscle attaches to the mandible about half an inch in front of the back corner of the jaw bone.You can feel it bulging when you clench your teeth down back-and-forth.The lowest part of the parotid gland sits a little further back almost at the back lower corner of the mandible right by the bottom of your ear lobe. It can sit as high as your cheekbone.Any parotid gland growth or tumor can be anywhere within the parotid gland.One way to differentiate would be to feel the muscle while it's contracting.If it feels like there is a mass or a lump when the masseter muscle is completely relaxed, then there may be a parotid gland growth.Also, if one side looks significantly different than the other, this could mean the possibility of a parotid growth.The fact that you haven't even mentioned a possible parotid mass, tumor or growth leads myself and most likely the rest of the physicians on this forum to recommend a workup for a parotid mass.These are typically done by an ENT (ear, nose and throat) specialist, also known as head and neck surgeons.Some surgeons with ENT background also refer to themselves as facial plastic surgeons.If you have had Botox injections to your masseter in the past and liked the results, then continuing these treatments may be a good idea.Men typically need more Botox then women.For women, typical injections are 30-40 units per side. In men, 40 to 60 units may be more appropriate.You may also find better long-term results having more frequent injections.I often tell my patients I would rather see them have lower doses on a more frequent basis.This allows for more muscle atrophy, which is what we are trying to achieve, particularly with masseter treatment using Botox.Please follow up with your primary care doctor or, preferably, an ear, nose and throat specialist to make sure you don't have a product growth.Best of luck,Mats Hagstrom, M.D.
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Answer: Botox and parotid glands. The masseter muscle attaches to the mandible about half an inch in front of the back corner of the jaw bone.You can feel it bulging when you clench your teeth down back-and-forth.The lowest part of the parotid gland sits a little further back almost at the back lower corner of the mandible right by the bottom of your ear lobe. It can sit as high as your cheekbone.Any parotid gland growth or tumor can be anywhere within the parotid gland.One way to differentiate would be to feel the muscle while it's contracting.If it feels like there is a mass or a lump when the masseter muscle is completely relaxed, then there may be a parotid gland growth.Also, if one side looks significantly different than the other, this could mean the possibility of a parotid growth.The fact that you haven't even mentioned a possible parotid mass, tumor or growth leads myself and most likely the rest of the physicians on this forum to recommend a workup for a parotid mass.These are typically done by an ENT (ear, nose and throat) specialist, also known as head and neck surgeons.Some surgeons with ENT background also refer to themselves as facial plastic surgeons.If you have had Botox injections to your masseter in the past and liked the results, then continuing these treatments may be a good idea.Men typically need more Botox then women.For women, typical injections are 30-40 units per side. In men, 40 to 60 units may be more appropriate.You may also find better long-term results having more frequent injections.I often tell my patients I would rather see them have lower doses on a more frequent basis.This allows for more muscle atrophy, which is what we are trying to achieve, particularly with masseter treatment using Botox.Please follow up with your primary care doctor or, preferably, an ear, nose and throat specialist to make sure you don't have a product growth.Best of luck,Mats Hagstrom, M.D.
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