How Many Times Jaw Botox to Make It Permanent?

I want to make it permanent or come back longer

Doctor Answers 12

Atrophy of masseter muscle with serial Botox treatments

Botox will never effect a permanent change, but with serial treatments you will certainly notice atrophy of the muscle (thinning) and a reduction in the dose necessary for full reduction.  Patients who have had 3-4 Botox treatments per year for several years will typically have very little masseter activity even when Botox has completely worn off.  

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Botox for masseter reduction.

Thank you for your question. Botox in the masseter region usually takes longer than in the standard areas to take effect. I tend to use anywhere from 15 units (conservative treatment) to 50 units (for someone with really strong masseters) on each side to get the desired result. It may start within the first week but I tell my patients to wait three weeks before doing a more thorough evaluation. The treatment typically lasts longer than the forehead/crows feet/frown regions. It is also a gradual onset of the return of masseter function. I have tried the masseter injections myself and space the treatments around 4 months apart, but use smaller doses to maintain the effect. I normally know the effects are wearing down when I start to clench my teeth more heavily at night when asleep. Once you stop using Botox, the masseter muscles will return to their original baseline when the effects of Botox wears off completely.  If you continue, however, you may find that the results last longer with each treatment.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Make Botox Permanent?

   Botox after multiple treatments may produce atrophy that can provide for longer intervals between Botox sessions.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Is Botox permanent?

Botox is a temporary treatment, and there is no way to make the effects permanent. In order to have a consistent effect, it will be necessary to repeat each treatment when the Botox wears off. In general, the Botox will last around 3 months on average. I hope this helps, and best of luck to you.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Botox to masseters

Botox is not "permanent" and if your provider isn't educating you on the process of masseter reduction, it might be time to visit another.

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

Botox is not permanent

People often ask why Allergan does not market a product that last 3, 5 or 10 years. I would say that unless they have the antidote to correct problems as is seen sometimes with Botox Cosmetc (e.g. asymmetry) or when patients don't like the way they look, it is a good thing that the effect dissipates, requiring reinjection.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Botox will never be permanent

Botox is never permanent. And you can't do anything to make it more permanent or last longer. This is the essence of the product itself. It's not permanent - and in places where we see bad problems or overinjection of an area - we are all thankful it only lasts 4-6 months!

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

Botox to masseter muscle

Botox is not permanent and will be required to be sued every 4-6 monthst to maintain its effect.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Is Botox permanent? Ask Dr Ellen

Hello Caroline,

The good news is that Botox is very effective for reducing muscle movement, lines and for shaping.

The bad news is that Botox is NOT PERMANENT and must be used repetitively to maintain it's results.

Thanks for asking!  Dr Ellen

Ellen A. Mahony, MD
Westport Plastic Surgeon
5.0 out of 5 stars 27 reviews

Is Botox for Jaw Slimming Permanent

Hi Caroline.  Unfortunately Botox injections for jaw slimming is not permanent.  We advise our patients that they will need the injections several times a year and each time they will get 25 units of Botox or 75 units of Dysport.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 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.