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Non-Surgical Jaw Reduction & Masseter Botox

Botox for the Masseter Muscle enables Facial Slimming

Are you looking to slim down your face into more of a V-shape? Faces that look square or too round may be a result of enlarged masseter muscles on the sides of the face and jawline. To help improve this cosmetic appearance, there is an amazing new non-surgical procedure for reducing these muscles and making the face look slimmer. The technique is known as Botox square jaw reduction or Botox masseter reduction, which Dr. Michele Green expertly performs in her private boutique NYC office every day. Dr. Green is a specialist in non-invasive cosmetic dermatology procedures, from Botox to dermal fillers, CoolSculpting, microneedling, chemical peels, Thermage, Fraxel, skincare, and all of the latest anti-aging procedures. A board certified cosmetic dermatologist, Dr. Green was one of the first physicians in New York to incorporate Botox injections into her practice and utilize it for facial slimming. If you are bothered by teeth grinding, TMJ, or the shape of your face and jawline, Botox injections for the masseter muscle, may be the best solution. Contact Dr. Michele Green’s NYC office today to find out how Botox can help improve the appearance and function of your jawline.

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25-29 Year old female, Botox to masseter muscle, 2 weeks before and after

What is the masseter muscle?

The masseter muscle is located on each side of your jaw and is one of the main muscles involved with chewing, along with the temporalis and pterygoid muscles. When someone chews or grinds their teeth too often, the masseter muscles can increase in size and cause issues with the shape of your face. It is akin to someone lifting weights too often, and their muscles enlarging.  Botox injections in the masseter muscle will relax this facial muscle, and in turn shrink the jaw line and reduce the square appearance of the jawline. The result is that a square face will morph into a more V-shaped appearance. The best part is that no surgery is required. Injections of Botox in the masseter muscle are a safe, non-invasive method for jaw reduction and facial slimming, which can be performed in just a few minutes.

How are Botox injections for the masseter muscle preformed to slim the jawline?

Dr. Michele Green has perfected the technique of reducing the masseter muscles enlargement by injecting just one single injection on each side of the muscle. In the past, Botox injections to slim the jawline involved injecting 3 to 6 points on each side of the face. However, Dr. Green has developed an innovative technique which involves the injection of one single point on each side of the face, which helps reach the other points within the masseter muscle. There is no topical anesthesia needed for these Botox injections. The results are facial slimming, but with one single injection, which means quicker, more effective, and painless results. There is absolutely no discomfort with this technique and no downtime. This procedure can be performed in Dr. Green’s office during your “lunch break” with no preparation or after care needed.

Botox for jawline slimming without surgery

The cosmetic injection of botulinum toxin in Botox, Dysport, Jeuveau, or Xeomin, into the masseter muscle, will all help counter the lower jaw and slim the face. Botox is FDA approved for injection for cosmetic purposes, to treat fine lines around the eyes (crow’s feet), glabella, and forehead area. Botox blocks the signals for the nerves to the muscles, preventing their contraction. In the masseter muscle, this block in the signal allows the size of the muscle to decrease, and the jawline slimmed and contoured. While jaw Botox injections work the same way as every other type of Botox injection, the treatment of the masseter muscle for the jawline is still considered “off-label” and not yet FDA approved.

Why does the masseter muscle enlarge?

The size of the muscle is determined in a number of factors. There most common reasons for increased size of the masseter muscles are:

  • Genetics
  • Ethnicity, with many patients from Asia having increased masseter muscles. Dr. Green is an expert in treating Asian skin and has extensive expertise.
  • Clenching (bruxism), particularly at night
  • Grinding
  • Excessive chewing
  • Chewing on only one side of the mouth

Botox Jaw reduction

Masseter reduction is a procedure which reduces the size of the masseter muscle, to create a narrower jaw through the us of botulinum toxin injections. Many patients are unhappy with their jawline and Botox jaw reduction can be combined with other modalities, such as Kybella injections, CoolSculpting of the neck with the CoolMini applicator, and Thermage for tightening the jowls and necks. The benefit of Botox for the masseter reduction is a cosmetic slimmer appearing face and the relief of TMJ and bruxism.

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Botox for masseter reduction vs jaw surgery

Botox for masseter reduction is also commonly called “jaw Botox”. Since the advent of Botox injections for facial slimming, the surgical reduction of the jaw muscle is rarely performed. Traditional jaw reduction surgery involves breaking and removing part of the jaw bone. With jaw reduction surgery there runs the risk of serious complications such as infection, facial nerve damage, and  extended pain.

Most patients do not want invasive plastic surgery and opt for Botox injections to slim the lower face and create a more attractive V-shaped appearance. Botox is an effective, convenient solution to treating the jawline and softening the appearance of the lower face, in a more feminine appearance.

How long does it take to see results from Botox injections in the masseter muscle?

The facial slimming and jaw reduction procedures can end up taking anywhere from 2 to 8 weeks to see visible results. And the best part is that the treatment will look natural. It will feel to others as if you merely lost a little weight or some baby fat from the face. Dr. Green makes sure that the right amount of Botox is used so that there is no risk of it looking “over-done”.

And since you have approximately 75% less skin injection points versus conventional methods or dermal filler procedures (which also require multiple injections), the 1 injection Botox procedure on the masseter muscles has fast become the preferred option for many male and female patients.

Results are not permanent though, and additional injections will be needed at regular intervals to maintain these cosmetic results. Dr. Green will discuss with you beforehand what options might work best for your requirements.

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18-24 year old male. Botox to masseter muscle, 3 months before and after.

Where to inject masseter Botox?

Botox is injected directly into the masseter muscle itself to contour the jawline and have the best facial slimming effects. Botox injections into this muscle also treat TMJ, bruxism, migraines, and other medical conditions.

Who is a good candidate for masseter Botox?

Botox injections in the masseter are the best treatment for healthy patients who describe permanent tension in my jaw and want to :

  • Slim their face and create a more V-shaped appearance
  • Improve the cosmetic appearance of their jawline
  • Minimize teeth grinding and clench of the jaw
  • Treat migraines and headaches
  • TMJ
  • Relieve bruxism
  • Treat an asymmetric jawline

What are the contraindications for masseter reduction?

Masseter Botox reduction is a very safe and effective procedure for jaw slimming. However, the same contraindications which pertain to Botox for other indications extend to Botox for jaw reduction. These contraindications include:

  • Known allergy or hypersensitivity to neurotoxins
  • Active skin infections at the site of injection
  • Pregnancy
  • Breast-feeding
  • History of central nervous system diseases such as ALS, which are contraindicated to having Botox injections.

Botox treatment for TMJ

Many patients suffer from teeth grinding, or clench their teeth under stress or while they are sleeping. This grinding or clenching of your teeth can cause you to experience TMJ or bruxism. The masseter muscle is one of the key areas where patients build up stress. By relaxing the masseter muscle, through Botox injections, the muscle atrophies and jaw pain is reduced, jaw clenching, and the symptoms of temporomandibular joint syndrome or TMJ are improved. Dr. Green often suggests to her patients who suffer from TMJ to consult their dentist or orthodontist as well, to see if a retainer or mouth guard can help as well. Finally, in addition to Botox injections, patients are advised to avoid excessive gum chewing, as this can contribute to masseter muscle hypertrophy.

Are there any side effects for masseter Botox?

With Dr. Michele Green’s “single injection” technique, you will be able to return to your day with no swelling or bruising. In the first few days there may be a slight dull irritation when chewing, but this should resolve within a week. You should also avoid lying down in the first four hours after the procedure and avoid massaging the masseter muscles. Some patients have temporary soreness in the area of injection, which disappears within a few hours of Botox injection.

Improper injection of Botox in this area can cause an asymmetric smile, which may be caused by paralysis the zygomatic major muscle. Besides facial asymmetry, injecting Botox incorrectly into this area can cause a crooked smile, although these side effects are not permanent. In addition, special care must be used in balancing the correct amount of Botox used on each side, to correct for any disparities between the size of the right and left masseter muscle.

Can masseter Botox effect your smile?

Botox injections, when placed properly into the masseter muscle, should not effect your smile. Improper injections or too many units of Botox, could have side effects, such as in your smile.

How many units are needed for masseter Botox for non-surgical jaw reduction?

Dr. Green typically injected 50 units of Botox, or 25 units on each side, directly into the masseter muscle. The effect of Botox starts to be visible in a few days but the full effect takes up to two weeks. When Botox is used to reduce masseter muscle hypertrophy, the maximum effect is not realize for the first 3 months. There is a cumulative effect of Botox in the masseter muscle. With repeated injections, over the course of a year, the masseter muscle gets weaker. With this decrease in strength, comes atrophy of the muscle, and a decrease in muscle hypertrophy and ultimately, improved facial slimming. Dr. Green recommends having repeat Botox injections, every 3 to 6 months, to maintain the best cosmetic results.

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How much Botox is needed for masseter reduction?

Every patient is different, and the size and strength of their particular masseter muscle varies for each individual. Dr. Green will examine your jaw muscles and generally initiates treatment  with 25 units on each side but may re-inject an additional 25 units or more if the masseter muscle is particularly strong and more facial slimming is needed.

How much does Botox for the masseter muscle cost?

The cost for Botox for the master muscle depends on the amount of Botox needed to reduce the masseter muscle hypertrophy. Dr. Green will evaluate your jawline and facial muscles during the consultation and follow up with you after two weeks of your Botox injections to evaluate the results.

How long does it take for masseter Botox to work?

Within two weeks, the masseter muscle should be “frozen”. However, since the muscle will continue to shrink, weeks after injection, continued Botox injections decrease the size of the muscle.

How often should I get Botox for the masseter?

Botox injections last approximately three to four months in duration. Maintenance of Botox injections will keep the jawline slim and continue to allow the masseter muscle to shrink and atrophy over time, giving you even better cosmetic results over a period of months.

How long does masseter Botox last?

Botox injection in the masseter last about three to four months. Repeat injections of Botox are required to maintain the ideal cosmetic results.

Is masseter Botox permanent?

Botox injections are not permanent in any area of the body injected. The muscle, in this case the masseter muscle, is temporarily “frozen” and after the results of the Botox injections dissipate, repeat injection will be needed. Initially, Botox in the masseter muscle may last three months, and the cosmetic effects visible for the same amount of time. However, repeated maintenance and injection of the masseter muscle will create longer lasting results, typically with up to six months duration.

Which procedures can be combined with masseter Botox to improve my jawline?

When sculpting the jawline, there are a number of factors which come into play to have a beautiful jawline. If the jawline lacks definition, dermal fillers, such as Juvederm and Sculptra injections, can be used to create a well angled jawline and improve the underlying structure, providing definition and an improved cosmetic appearance. If there is skin laxity, in the jowls and neck, skin tightening with Thermage FLX is the key to producing new collagen and proving the best non-surgical skin tightening results.

Submental fat, or fat under the chin, can be dissolved with either Kybella injections or the CoolMini applicator for CoolSculpting. Non-Surgical fat removal of the fat around the neck greatly imports the overall appearance of your jawline. Finally, Botox injections directly into the neck cords provides a “Nefertiti Lift” and tightens and improves the appearance of wrinkling on the neck. Skin changes, such as fine lines, sun damage, and texture, can be improved with the Fraxel laser or Clear + Brilliant laser with minimal recovery time.

During your consultation with Dr. Green, she will assess your jawline and facial muscles and structure, and assess the best combination of treatments for you. Whether it is facial or body contouring, cosmetic injections, or laser treatments, Dr. Green will customize a unique cosmetic treatment plan for you.

Who is the best doctor for masseter reduction to improve my jawline in NYC?

Dr. Michele Green, in New York, is an expert in non-invasive cosmetic treatments, such as cosmetic injectables of Botox, Juvederm, Kybella, Thermage, non-surgical body contouring, skin care, chemical peels, and laser treatments. One of the best board certified dermatologists in New York, she was one of the first physicians to incorporate Botox injections into her discreet, private, Upper East Side Dermatology practice. With an expertise in masseter Botox injections and facial slimming, she will provide the best cosmetic results for you.

Find out more and contact us online today or call 212-535-3088 to learn more about how Botox can work for you.

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