I got 30 units (each) in my masseters about 6 weeks ago to slim my jaw, with TMJ as a bonus. My face appears to have slimmed marginally but my smile is now uneven (see pics). I assume this means the Botox spread into the surrounding muscles. Two questions: 1) how long will it take my smile to return to normal? 2) I do like the face slimming and teeth grinding benefits, but not at the cost of my smile. Should I not pursue this procedure again, or do I just need a different doctor?
Answer: Smiling Issues will resolve! Sally, so sorry you are having this problem, but it should improve over the next few weeks. Some of the Botox seeped into the muscles that affect smiling. Rare but happens. If you like the look, try again. Be certain your injector is a board certified plastic surgeon or dermatologist. Good luck!
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Answer: Smiling Issues will resolve! Sally, so sorry you are having this problem, but it should improve over the next few weeks. Some of the Botox seeped into the muscles that affect smiling. Rare but happens. If you like the look, try again. Be certain your injector is a board certified plastic surgeon or dermatologist. Good luck!
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August 29, 2017
Answer: Your mildly asymmetrical smile after masseteric Botox will completely return to normal. Your smile asymmetry is mild, so most people may not notice it. You probably notice that the corner of your mouth on your left doesn't raise as high as you are used to when you smile. Miss Sally, make sure the fullness at your jaw is all due to your masseters, and not from enlarged parotid salivary glands. An examination is all that would be necessary. I would like to see more of a slimming effect after masseteric Botox, and the fact that your smile was affected by this treatment may not preclude pursuing another treatment when this wears off. Hope this helps! Dr Joseph
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August 29, 2017
Answer: Your mildly asymmetrical smile after masseteric Botox will completely return to normal. Your smile asymmetry is mild, so most people may not notice it. You probably notice that the corner of your mouth on your left doesn't raise as high as you are used to when you smile. Miss Sally, make sure the fullness at your jaw is all due to your masseters, and not from enlarged parotid salivary glands. An examination is all that would be necessary. I would like to see more of a slimming effect after masseteric Botox, and the fact that your smile was affected by this treatment may not preclude pursuing another treatment when this wears off. Hope this helps! Dr Joseph
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August 29, 2017
Answer: Botox to the Masseter Muscle Botox is great treatment for enlarged Masseter Muscle. It can narrow the jawline and create a more slender appearance. It sounds like your injection was not placed properly and that muscles that help you smile were weakened. This may take as much as 3-4 months to resolve, but it is likely that it will resolve sooner than that. It is unlikely that this would happen if you ensure that you are seeing an expert injector who is a facial plastic surgery specialist or dermatologist, so you should feel comfortable trying this treatment again in the future.Best Regards, Dr. Weiss
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August 29, 2017
Answer: Botox to the Masseter Muscle Botox is great treatment for enlarged Masseter Muscle. It can narrow the jawline and create a more slender appearance. It sounds like your injection was not placed properly and that muscles that help you smile were weakened. This may take as much as 3-4 months to resolve, but it is likely that it will resolve sooner than that. It is unlikely that this would happen if you ensure that you are seeing an expert injector who is a facial plastic surgery specialist or dermatologist, so you should feel comfortable trying this treatment again in the future.Best Regards, Dr. Weiss
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August 28, 2017
Answer: Uneven smile after Botox in the masseters. Yes, the risorius muscle must have been affected. This is not uncommon masseter injections. There's no way to know when this will go away or whether it will last 3 to 4 months. Nest time, I would suggest a smaller does and an injection into the lowest part of the muscle. You should follow monthly with your injector to document recovery.Best wishes,
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August 28, 2017
Answer: Uneven smile after Botox in the masseters. Yes, the risorius muscle must have been affected. This is not uncommon masseter injections. There's no way to know when this will go away or whether it will last 3 to 4 months. Nest time, I would suggest a smaller does and an injection into the lowest part of the muscle. You should follow monthly with your injector to document recovery.Best wishes,
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Answer: Uneven smile following Masseter Botox Dear SallyRS: Thanks for sharing your photos. They are quite helpful and do indeed show your beautiful smile! I’m sorry for your troubles but the muscle activity in your cheek will return; generally in 3 to 4 months as the action of the Botox wears off. Diagnosing the proper cause of TMJ and slimming your posterior jawline with Botox takes skill and experience. If you make little or no muscle bulge when clenching your teeth, then Botox injection to the masseter will produce little to no results and jaw surgery will be needed to reduce the jawline width. The Botox does appear to have diffused into the muscles of the upper cheek causing the lowered nasolabial fold, corner of mouth and cheek fold. I have found that exercise and TENS stimulation of the weakened muscles may help hasten the process of returning to normal. Before you know it, your gorgeous smile will return. On your next venture, consult with a well experienced and Board Certified Plastic Surgeon or Oral Surgeon who uses Botox for TMJ and masseter therapy regularly. I wish you the best!
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Answer: Uneven smile following Masseter Botox Dear SallyRS: Thanks for sharing your photos. They are quite helpful and do indeed show your beautiful smile! I’m sorry for your troubles but the muscle activity in your cheek will return; generally in 3 to 4 months as the action of the Botox wears off. Diagnosing the proper cause of TMJ and slimming your posterior jawline with Botox takes skill and experience. If you make little or no muscle bulge when clenching your teeth, then Botox injection to the masseter will produce little to no results and jaw surgery will be needed to reduce the jawline width. The Botox does appear to have diffused into the muscles of the upper cheek causing the lowered nasolabial fold, corner of mouth and cheek fold. I have found that exercise and TENS stimulation of the weakened muscles may help hasten the process of returning to normal. Before you know it, your gorgeous smile will return. On your next venture, consult with a well experienced and Board Certified Plastic Surgeon or Oral Surgeon who uses Botox for TMJ and masseter therapy regularly. I wish you the best!
Helpful 4 people found this helpful