Dysport in the masseter not working

Question

I have a really strong jaw and have always had issues with clenching. This gave me really strong masseter muscles and a more square shaped face. I have been getting disport in my jaw for over a year now. I get about 60 units on each side and have had that done about 6 times. I still have so much movement with the muscle when I bite down, and I don’t think I’ve seen a change physically or pain-wise. It still hurts when I smile a lot. I’ve tried 2 experienced providers and I’m just confused.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having.  I encourage you to speak with your dentist about your concerns.  It may be a higher dose of Dypsort is recommended for you, or perhaps this isn't the correct treatment for you since you've tried different injectors and several attempts with no improvement.

Edward Buckingham, MD · Answer

Neuromodulator treatment for masseter hypertrophy is both technique and dose dependent. It is recommended you discuss with your treating provider on if higher doses versus targeting a different portion of the muscle is recommended.

Deborah Marciano, DO · Answer

H Sorry to hear that you are in pain. You may need more than 60 units but before doing that you may want to consult your dentist or a maxillofacial surgeon.

Michael I. Echavez, MD · Answer

An examination of you would be helpful to try and determine why the Dysport is not working for your masseter muscles.  It is possible that you just need a higher dose to give more effect.

Dysport in the masseter not working

Answers (5)