2nd time Botox treament for masseter?

Question

will the second treatment ->30 units ( first was 30 units too ..after 3 months opted for 2nd round) - will be more effiecient on muscles than first? - will the muscle hypertrohpy occur again and ruin my btox effect if i engage in meat chewing ( sort of hard) 2 times a day ? -as i slept after 3 hours post treament will it effect my results ? -its been 5 days since no big change has occured ( this 2nd time .. bcoz after injection it got swollen and still i see it enlarged and no atrophy yet )

Aldo Guerra, MD · Answer

I appreciate your concerns!Yes, the second set of injections into the masseter seem to help a bit more. Muscle atrophy (shrinking of the muscle size) takes time! Most patients achieve the best results after a series of injections. Best. Dr. Aldo

Kambiz Golchin, MBBS, FRCS (Eng), FRCS(ORL-HNS) · Answer

Hi Rotarydolphin,
Thank you for your question, Yes, the second set of injections into the masseter sites certainly seem to help symptoms more.  Shrinking of the muscle size AKA: Muscle atrophy - takes time! Most patients achieve the best results after a series of injections best results seen possibly 2/3 years post 1st treatment I treat my patients roughly every 6 months for this concern also. Please seek review consult with your doctor and ask for an aftercare sheet pertaining to your treatment also regarding sleeping on the area post treatment.
Best Wishes
Mr Golchin

Eric YK Li, MD · Answer

The key to maintaining the best results is to inject Botox just as it begins to wear off, rather than after it completely wears off, so as to not allow return of muscle strength and size of the masseters.  For Botox to the masseter, typically injections every 3-4 months should be effective in preserving your result.  As always, seek proper consultation before treatment and best of luck!

Michele S. Green, MD · Answer

The key to the best results is injecting the proper amount and in the correct area and continued maintenance of treatment.  The muscle will continue to shrink with maintenance and Botox should be injected approximately every four months. Please consult an expert in Botox.  Best, Dr. Green

Leonard Grossman, MD · Answer

If you put yourself on a schedule to receive botox every 3 months, there will be significant atrophy of the masseter muscle after approximately 3 years of such treatments. Good luck from New York City

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