Would Masseter Botox Would Help Me Much? (photo)

I consulted my doctor for rhinoplaty but after seeing me he is pushing me to go for Masseters Botox before rhinoplaty( he saw my face from far and didnt even touch it to analyse)I am not sure if the Botox will do much good to me,as my cheekbones are broad and I have fluffy cheeks too thou I am slim. He says “Given the structure of your face,Masseters must be done with the nose.For best results for the nose too. I was keeping my priorities as Rhinoplasty and then chin implant. I am confused now.

Doctor Answers 12

Botox and masseter reduction

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It sounds like you need to visit more than one provider to get a better understanding of what your options may be. I would first determine what will make YOU happy, and go from there!

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Botox for masseter or jawline reduction or TMJ symptoms

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Botulinum toxin using Botox, Dysport or Xeomin is an effective way to bring out slimming lower 1/2 of the face by creating targeted atrophy of the masseter muscles, which are responsible for chewing as well as the TMJ symptoms that people who suffer from teeth grinding may have. In the hands of an experienced and advanced core aesthetic physician injector, most can see a difference in 2-4 weeks. Based on my clinical experience, less should be done as additional botulinum toxin touchup can be done later, particularly for the first time to minimize migration of the Botox and to avoid excessive weakening of the muscles responsible for chewing.

William Ting, MD
Bay Area Dermatologic Surgeon
4.5 out of 5 stars 14 reviews

Botox for masseter reduction

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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.

As far as sequencing Botox vs Rhinoplasty, I do not think it is imperative to both at the same time.  It is usually easier to lead with the non-surgical, but there is nothing wrong with starting off with a rhinoplasty.

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Rhinoplasty, Chin Implant, and Botox to Masseters

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  Rhinoplasty, chin implant, and Botox to the masseters can all be used to help achieve your goals.  Botox of 25 units per masseter is the usual dose.  The 100 units mentioned was probably for Dysport.   Seek out a board certified plastic surgeon with the BEST credentials who has performed hundreds of these procedures.

Botox for Masseter Muscles

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Individuals with a very square jaw and/or wide lower face benefit from Botox injection on the masseter muscles. It helps thin the lower face and better define the chin. From your pictures, I do believe you might be a candidate for this treatment. However, the selection of a cosmetic procedure should be based on your concerns. If you are concerned about your nose, I would seek a second opinion about the rhinoplasty procedure before pursuing an alternative therapy.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon

Facial width

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If your facial width is more due to the muscle than the jaw itself, then Botox may help to soften it, but it will take several treatments over a year or more time.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Would Masseter Botox Help Me Much? Does this need to be done before rhinoplasty?

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You do appear to be a candidate for masseter Botox treatment to slim your lower face. However, if you desire a rhinoplasty and chin implant that should also be the focus of your plastic surgeon. I do agree with you based on your photos that you are a good candidate for rhinoplasty and chin augmentation. If you feel that your plastic surgeon does not share your priorities then you should seek a second opinion. I hope this information is helpful.

Stephen Weber MD, FACS

Your Priorities Should Guide Cosmetic Procedure Choice

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Thank you for your question.  I agree with you that if a rhinoplasty and chin augmentation are your cosmetic priorities, that these areas should be the focus of attention.  You appear to be a reasonable candidate for both procedures and botox to the masseters is not absolutely necessary to give you an improvement.  Good luck with your decision.

Botox to masseter muscles

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I agree with Drs Kaplan and Culbertson, you should address what you are most concerned with first.  You look like a beautiful young lady, the addition of the neurotoxin to the masseter muscle will likely augment the effects of the wanted rhinoplasty.

Botox for Masseter

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Hi Ritu.  We think that you may benefit from the masseter injections too.  The problem is that your surgeon needs to respect your priorities.  If you feel like the rhinoplasty is most important at this time then stick with that.  We see no reason why they have to be done together.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.