Masseter Botox to fix asymmetrical jaw (male)? Age 28. (Photo)

Question

Hi, I have a asymmetrical jaw that I guess comes from grinding my teeth and chewing mainly on one side (my crooked teeth are beeing treated and should be aligned in ca. 10months). I wonder if the asymetrical look can be corrected with botox. What results can I expect? How many ml I would need on each side?

Mitchel Goldman, MD · Answer

You are already getting treatments that may alleviate your asymmetrical look. If you don’t want to wait 10 months to see how that affects your jaw asymmetry, then a little bit of Botox in the overdeveloped masseter muscle will slim it down. If you just want to do the one side, then 10-20 Units may be sufficient. Please consult a board-certified dermatologist who is an expert at treating the jaw with Botox, as this is a very advanced procedure.

Jason Emer, MD · Answer

Botox combined with radiofrequency can help improve asymmetries to the jaw. The amount needed will vary and needs an in-person evaluation. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Kory Kitagawa, MD · Answer

Botox in the masseter muscle will relax it, allowing it to better match the other side of your face. It will take about 10 units or more and last about 6 months. A board-certified dermatologist will be able to help you with this, but make sure this is a procedure they’ve done many time before because it takes a great amount of skill.

Harry Glassman, MD · Answer

Botox is not measured in millileters, but rather in units. If the cause of the asymmetry is the overdevelopment of the masseter muscle, 20 units injected into the larger side may be helpful.

Melvin Elson, MD · Answer

Botox can help alleviate the TMJ issue and the asymmetry but you should have your dental issues corrected first and then the Botox

Leonard Grossman, MD · Answer

The amount asymmetry that you have is absolutely normal in every single individual. However, if it bothers you so much so, you can definitely try using Botox on the side that's slightly larger. I would not do any other treatments as it is absolutely unnecessary and you may pay a higher price for it and not just financially. Good luck from New York City

Praven Chetty, MD · Answer

Dear Pkandgon:Botox works fantastically to reduce masseter muscle hypertrophy from overactivity with consequential less tension and discomfort over your TMJ and jawline.  Thus Botox will help improve your jawline asymmetry.  Please see an expert injector for best results.  Best wishes. Dr. Praven Chetty

Shaun Patel, MD · Answer

I think you are a good candidate for Botox/Dysport treatment of the masseters. The muscle on the larger side of your face could be treated with Botox/Dysport to improve face symmetry. I recommend you schedule an in person consultation with an experienced injector to discuss your concerns and to come up with an appropriate treatment plan.

John Tanqueray, MBBCh · Answer

Yes Botox can be used to reduce masseter activity and muscle bulk, and there is no reason why you should not have treatment on one side only. I usually use 16-20 units per side. The full effect on muscle bulk can take about 3 months, and the effects usually last close to 6 months in my experience.
If its going to be 10 months before your teeth are sorted out I think it would be reasonable to have treatment while you are waiting for this.

David A. Sieber, MD, FACS · Answer

Thanks for the great question! The muscle on the large side of you face can be reduced with botox. It's a fairly simply procedure and would require 10-20 units of botox. I think you'd get a very nice result.Best,Dr. Sieber

Masseter Botox to fix asymmetrical jaw (male)? Age 28. (Photo)

Answers (16)