Will masseters keep shrinking with repeated Botox? How can I maintain the effect without further slimming?

Question

Will masseters keep shrinking with repeated Botox, or is it possible to maintain them where they are? I have TMJ and started Botox last year. Balancing pain reduction and facial slimming, I now get 25 units/side and have a little jaw/preauricular filler to fill in. I’d hate my face to get slimmer than it is after now (I’m 3 sessions in; first dose was much higher since pain was a lot). Generally, at what point does the atrophy stop and how can a person maintain the effect without more slimming?

Anil R. Shah, MD · Answer

Hello Ginger_Snap123! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Thank you for your question. In general, patients who receive Botox treatment for TMJ related pain need 2-3 treatments followed by maintenance treatments every 6-12 months depending on the results. Further, based on your results, in order to balance the slimming effect and reduce pain, its important to properly dose the Botox during each treatment. I recommend scheduling an appointment for an in-person consultation to better assess your face. I hope this helps and best of luck!

Will masseters keep shrinking with repeated Botox? How can I maintain the effect without further slimming?

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