Can a Masseter Muscle Go Down on Its Own Without the Use of Botox if Hypertrophy Was Due to Clenching?

Doctor Answers 9

Masseter muscle hypertrophy

The masseter muscle will get smaller if you can stop clenching, but usually it's not something voluntary - especially clenching and teeth grinding during sleep.  For this reason many patients find Botox for masseter reduction a very effective way to eliminate these habits.  

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Getting jaw muscle to go down

The jaw muscle is like any muscle in the body. Stopping clenching and overworking the muscle will allow it to go down, but it will take time. You don't lose muscle mass at all once.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Masseter Muscle Atrophy

When you do not use your muscles, they begin to relax and become smaller, a term called atrophy. It is likely that your masseter muscles may reduce in size if you were to decrease excessive chewing, like with gum. However, as you require your masseter muscles for chewing food, it is not possible to completely reduce the size on your own without Botox.

Botox injections for Masseter reduction is extremely effective, in that it relaxes the muscles so that they decrease in size, but still allows you to chew.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Botox and Masseter muscle

Masseter muscles are like any other muscle, if not used will atrophy and get smaller. Usually clenching of the masseter muscles and grinding d teeth during sleep is not a voluntary act. If you can stop clenching the muscle, you masseter muscles will eventually become smaller and if you cannot, the there is Botox to weaken the muscle and also atrophy the muscle. 

A. H. Nezami, MD
Jacksonville Plastic Surgeon
4.8 out of 5 stars 32 reviews

Masseter reduction simply by not clenching

The masseter muscle like any muscle will atrophy or weaken if not used. So yes, if you stop clenching, the muscle will become smaller. Botox can be helpful for this if you're not able to do it yourself. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

Botox and Masseter Hypertrophy Due to Clenching

If you can consciously stop clenching, then the masseter muscle could go down in size.  It is like body building - if you keep pumping, the muscle gets larger and if you stop pumping, the muscle gets smaller.  For most people, clenching is involuntary, in which case, Botox would help. 

(This answer is posted for patients’ general education only and not intended nor implied to be a substitute for medical advice.  Always seek the advice of your physician or other qualified healthcare provider for further evaluation of your individual case.)

Mireille Chae, MD
Seattle Dermatologist
5.0 out of 5 stars 1 review

Masseter's and atrophy

It probably won't slim down significantly. When you're sleeping, there is no way to know if you've stopped clenching unless you're wearing a guard to prevent this.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Can a Masseter Muscle Go Down on Its Own Without the Use of Botox if Hypertrophy Was Due to Clenching?

It is possible that the masseter will slim on its own but it's very difficult to completely stop jaw clenching. As long as you have any continued jaw clenching the muscle is unlikely to shrink on its own. You might want to give this 3-6 months. If you haven't seen the slimming that you desire at that point, Botox is typically a very safe and reliable option. I hope this information is helpful.

Stephen Weber MD, FACS

Lone Tree Facial Plastic Surgeon

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Jaw size and muscle use

The less that you use muscle the less that you have-use it or lose it. It is hard to break grinding habit when sleeping but if you chew gum for ten hours a day you can consciously stop. The muscle will shrink with less use.

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 18 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.