Botox in the Masseter Muscle? Plus I've been told I have high cheekbones? (photos)

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.

Botox for masseter reduction will certainly reduce the fullness along the angles of your mandible - where the masseter muscle attaches to your jaw.  A typical starting dose for Botox is 25 units on each side.  The most significant slimming effect will be experienced in the first month, and will continue for 3-4 months while the Botox is active.  In addition to Botox, you may benefit from buccal fat removal, which would reduce the fullness of your cheeks and help to create more definition for your cheekbones.  

I think fillers are great for you and botox would be successful.  It would be best to see a facial contouring expert to come up with a short and long term plan of treatments that will be both antiaging and give you immediate results.  Best, Dr. Emer.