Botox in masseter muscle fail. Recommendations?

Question

I had over developed masseter muscles due to bruxism. I had botox which created moderate assymetry. Had more botox. I asked the dr to only the one side that was larger but he insisted on doing both. I still have assymetry and now one side (the larger side is painful to chew and overall sore) it's been two months since the last injections. Recommendations???

Melvin Elson, MD · Answer

Since the masseter is so large it takes a bit of time--sometimes a couple of months to see the complete results and often takes more than one injection session before the results are what you want. Make sure you are seeing a board certified dermatologist with experience in cosmetic procedures

Steven Wallach, MD · Answer

Injecting the master muscle requires multiple treatments to see the effects.  At this point you have to give it time to settle down from the botox for 3-4 months if you are not happy with the results.

Michele S. Green, MD · Answer

Botox in the master muscle takes times to shrink down. It is definitely a "once and done" procedure.  Perhaps you need more Botox injected into one side and it will need to be repeated in a few months.  Please consult an expert in masseter muscle injections.  Best, Dr. Green

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