Does Everyone Who Offers Botox Treat the Masseter Muscle?

I'm interested in getting Botox and fillers done but I'm also wanting to get my masseter muscle reduced & I'm finding it difficult finding a place that puts Botox into the masseter. when setting up a consultation I ask if it's offered and I get a lot of no's. Im going out of the country in a few weeks and wanted toget this done ASAP. are there specific doctors that only do this?how do I find them? In the San Antonio Area please, thanks.

Doctor Answers 15

Masseter injection is an advanced technique

Injection of the masseter muscle is an advanced technique; not all injectors do it.  Remember that there is a huge range of skill levels among injectors, just as there is with hair stylists, surgeons, accountants, etc.  

I have been performing the procedure since 2008.  I find it works very well, with minimal downtime and usually excellent results.

Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Many injectors don't

It depends on the injector. Look for an injector who has experience and knowledge of the area for your treatment to be safe and effective. In addition, treating the masseter muscle is considered an off-label use, which is another reason why some doctors do not do this.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

Treating the Masseter muscle with Botox

In North America, injection of the Masseter muscle with Botox is less commonly performed than in Asia, and so there are many physicians who are not perfectly comfortable with this treatment. Ask around till you find a dermatologist who has the experience to do a great job for you. 

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.9 out of 5 stars 49 reviews

Not all doctors who do botox inject the masseter muscles

Absolutely not, not all physicians who are expert in injecting cosmetic botox are experienced in injecting the masseter muscles.  hypertrophic masseter muscles, the muscles of chewing, can create full cheeks.  Treatment of the masseter muscles can thin out the cheeks for a pleasing result. however, there can be side effects and if there is an unequl effect, it is possible that one side might create more chewing strength and create an unbalance that would affect the TMJ areas (temporamandibular joints of the jaw).  Some patients get TMJ from teeth grinding or an unequal bite and see dentists and ENT facial surgeons for adjustment because of the pain. could masseter treatment induce such symptoms of TMJ syndrome in rare individuals if there is an unbalance created?

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox for masseter muscle

Botox treatment can be effective to treat masseter muscle to smooth out jaw prominence.  It is usually done by experienced Botox injectors, and e.g. we do offer it at the Toronto Dermatology Centre -

Anatoli Freiman, MD
Toronto Dermatologist
5.0 out of 5 stars 4 reviews

Botox is effective in reducing masseter muscle bulk, requires 30-50 units per side

The use of Botox for masseter muscle reduction is a relatively straightforward procedure so I am surprised that you are having such a hard time finding someone.  Any Plastic Surgeon should posses the knowledge of facial anatomy and of botox to be able to perform this procedure for you.  A spa with less qualified non-MD injectors might be afraid to perform this procedure.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 457 reviews

Botox for the Masseter Muscle

Many injectors who perform botox do not treat the masseter muscle. Consult the botox cosmetic website for qualified injectors in your area, and call to see if they treat the masseter muscle.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Masseter Muscle Reduction with Botox: Not routine but effective and easy.

The masseter muscle is an the outer muscle of the jaw and is involved in chewing or masstication. It can become hypertrophied or enlarged with excessive chewing, such as people who chew gum all day, and in people who grind their teeth, though some people have large masseter muscles even without these habits. This hypertrophy of the masseter muscle can lead to a wide and square jaw which is unflattering in the female face. This may be more common in the asian population. Treatment may involve reversing the habits that tend to enlarge the muscle, such as gum chewing cessation or a mouthguard for teeth grinding, but the even with these interventions the muscle can still be worked excessively. There are procedures which surgically reduce the volume of the masseter, though these are invasive and is not without risk of injuring the nerves to the face, which lie just above the masseter. This is an area I am in during my sub-SMAS dissection for facelifts and the muscle is quite deep. An easier treatment for masseter hypertrophy is Botox injections directly into the muscle. This is very straightforward and can be done in the office with topical anesthesia and ice. Usually I would inject up to 20 units of Botox into both masseters and repeat this every 3 to 4 months as needed. The reduction of the muscle volume can be seen with just one round of injections. Bruising is the most common side effect which can be reduced with icing for the 2 days after the injections. Masstication or chewing should not be effected because there are 5 other muscles involved in this action. Botox is very predictable and reliable for treatment of frown lines and crows feet in the upper face and masseter injection is not part of the routine injection pattern with Botox, though can be applied easily if requested. 

Let me know if this helps and if you would like to come in for evaluation and treatment.

Dr. Trussler

Andrew P. Trussler, MD
Austin Plastic Surgeon
4.9 out of 5 stars 45 reviews

Botox For Masseters (Jaw Muscles) is Effective

Not all Botox injectors offer this treatment of the masseters (i.e. jaw muscles).  We offer this advanced technique that requires extensive Botox experience and an understanding of the complex facial anatomy in the region.  In my experience, Botox masseter muscle injections provide a pleasing aesthetic improvement to an undesired fullness of this facial jaw region. 

Robert Strimling, MD
Las Vegas Dermatologist
4.3 out of 5 stars 9 reviews

Botox and Jaw Muscles

I do these injections and have for years, but Botox into the jaw muscles, just like any Botox injections, is an art form. Many very experienced Botox injectors still don't do this area. You will simply need to ask when you call for a consultation. It's not something every injector does or would know how to do.

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