Dysport in the masseter not working

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.

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.

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.

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.

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.

Hello! It sounds like you need a larger dose of toxin in this muscle. 60 units of Dysport per side may not be enough to relieve the clenching. Remember, this treatment is not FDA approved and there are no recommended doses. As a provider, I re-evaluate 2 weeks after each treatment and add more each time until results are achieved. Best of luck!

I think the issue is that there a few groups of muscles and there are deeper muscles that can not be reached. If it isn't working don't keep trying it is just is not going to help.
See your Dentist and discuss a guard to help and maybe other new options.

Best of luck!