Menu

Does Masseter Botox Slim Your Face – How Does It Work?

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Masseter botox injections have emerged as an effective non-surgical method for facial slimming and jawline contouring. This treatment targets the masseter muscles, which are responsible for chewing and can become enlarged due to teeth grinding or genetics, resulting in a square jawline.

By injecting botox into these muscles, they gradually relax and shrink, creating a slimmer, more V-shaped facial contour. This technique not only enhances aesthetic appearance but can also reduce symptoms of temporomandibular joint (TMJ) disorders and bruxism. The procedure is minimally invasive, requires no downtime, and offers a subtle yet noticeable change in facial shape. Results typically last 4-6 months, with many patients experiencing longer-lasting effects after repeated treatments. While not a permanent solution, masseter botox provides a safe and effective alternative to surgical facial slimming procedures, making it an increasingly popular choice for those seeking a more refined jawline.

How Masseter Botox Works for Facial Slimming

Masseter botox is a non-surgical treatment that has gained popularity for its ability to slim and contour the lower face. This procedure involves injecting botulinum toxin into the masseter muscles, which are large muscles located at the angle of the jaw responsible for chewing and clenching.

Mechanism of Action

Botox as a Muscle Relaxant: Botulinum toxin, commonly known as botox, works by blocking nerve signals in the muscles where it is injected. When administered into the masseter muscle, it interferes with the nerve impulses that cause muscle contractions. This results in a temporary paralysis or weakening of the muscle. The reduced muscle activity leads to a decrease in muscle bulk over time, contributing to a slimmer appearance of the lower face. Additionally, this muscle relaxation can provide relief for individuals who suffer from teeth grinding (bruxism) or temporomandibular joint (TMJ) disorders, as it reduces the force of involuntary muscle contractions.

Atrophy of the Masseter Muscle: Following the injection of botox, the masseter muscle gradually undergoes a process of atrophy. As the muscle receives fewer nerve signals to contract, it becomes less active and starts to shrink in size. This reduction in muscle mass is what ultimately creates the slimming effect on the face. The process is gradual, with noticeable changes typically occurring within 4-6 weeks after treatment. The degree of atrophy can vary among individuals, depending on factors such as the initial size of the muscle, the dosage of botox used, and the individual’s response to the treatment. It’s important to note that this atrophy is reversible, and the muscle will gradually return to its original size if treatments are discontinued.

Injection Technique

Number of Injection Points: The number of injection points for masseter botox typically ranges from 3 to 5 on each side of the face. These points are strategically chosen to target different areas of the masseter muscle for optimal results. The exact number and location of injections can vary based on the individual’s facial structure, the size of their masseter muscles, and the desired outcome. A skilled practitioner will assess each patient’s unique facial anatomy to determine the most effective injection pattern. The injections are usually administered in a fan-like distribution across the masseter muscle, ensuring an even distribution of the botox for uniform muscle relaxation. This precise technique helps achieve a natural-looking result, avoiding an overly dramatic change in facial appearance while still providing noticeable slimming effects.

Dosage of Botox Used: The appropriate dosage of Botulinum toxin for masseter reduction varies depending on several factors, including the size and strength of the masseter muscle, the patient’s facial anatomy, and the desired outcome. Typically, practitioners start with a conservative approach, using between 20 to 30 units of botox per side. However, some patients with particularly strong or enlarged masseter muscles may require up to 50 units per side. It’s crucial to note that the dosage is not a one-size-fits-all approach. Experienced practitioners will often begin with a lower dose and assess the patient’s response before considering additional units in subsequent treatments. This cautious approach helps minimize the risk of over-treatment, which could potentially affect chewing ability or create an unnatural appearance.

Gradual Results and Maintenance

Timeline for Visible Effects: The results of masseter botox injections are not immediate but develop gradually over time. Patients typically begin to notice changes in their facial contour within 2 to 4 weeks after the treatment. Initially, they may experience a softening of the jaw muscles when clenching, which is often the first sign that the botox is taking effect. As the weeks progress, the masseter muscles start to decrease in size, leading to a more noticeable slimming of the lower face. The full effect of the treatment is usually visible around 6 to 8 weeks post-injection. It’s important for patients to understand that the timeline can vary from person to person, depending on factors such as muscle size, metabolism, and individual response to the treatment.

Frequency of Treatments for Sustained Results: To maintain the slimming effects of masseter botox, regular treatments are necessary. The duration of results can vary, but on average, patients enjoy the effects for about 4 to 6 months before the masseter muscles begin to regain their strength and size. For optimal and consistent results, most practitioners recommend scheduling treatments every 4 to 6 months. However, some patients may find that with repeated treatments, the interval between sessions can be extended as the muscles become conditioned to the effects of botox. It’s not uncommon for long-term users to require treatments only twice a year. The frequency of treatments should be personalized based on individual response and desired outcome, with adjustments made under the guidance of a qualified healthcare provider.

Benefits of Masseter Botox for Facial Contouring

Masseter botox offers a non-surgical approach to facial contouring, providing benefits that extend beyond mere aesthetics. This treatment can significantly alter facial shape, improve symmetry, and even reduce certain functional issues related to the jaw muscles.

Non-Surgical Jawline Reduction: Masseter botox provides a non-invasive alternative to surgical jawline reduction, offering significant benefits with minimal risks. This procedure involves injecting Botulinum toxin directly into the masseter muscles, causing them to relax and gradually shrink over time. As the muscles decrease in size, the jawline appears slimmer and more contoured, creating a softer, more oval facial shape. Unlike surgical options, which involve permanent alterations to bone structure, Masseter botox is reversible and allows for subtle, customizable results. Patients appreciate the minimal downtime, lower cost compared to surgery, and the ability to adjust results over time. Additionally, this non-surgical approach can be particularly beneficial for those who want to avoid the risks associated with general anesthesia and invasive procedures.

Improvement of Facial Proportions and Symmetry: Masseter botox injections can significantly enhance facial proportions and symmetry, contributing to a more balanced and harmonious appearance. By reducing the size of overdeveloped masseter muscles, this treatment can help create a more proportionate lower face that better complements the upper and mid-face regions. It’s particularly effective in cases where a square or wide jawline creates an imbalance with other facial features. Moreover, Masseter botox can address facial asymmetry caused by uneven masseter muscle development or unilateral teeth grinding. By precisely targeting each side with appropriate dosages, practitioners can achieve a more symmetrical lower face, enhancing overall facial harmony. This improvement in proportions and symmetry often results in a more youthful, refined appearance that many patients find highly satisfying.

Reduction of Teeth Grinding Symptoms

Relief from Jaw Pain and Headaches: Masseter botox injections offer significant relief from jaw pain and headaches associated with teeth grinding and clenching. By relaxing the masseter muscles, botox reduces the intensity and frequency of involuntary muscle contractions that occur during bruxism. This relaxation leads to a decrease in tension throughout the jaw area, reducing chronic pain and discomfort. Patients often report a noticeable reduction in jaw soreness, particularly in the morning after nocturnal grinding episodes. Additionally, the treatment can help reduce tension headaches that stem from overactive jaw muscles. As the masseter muscles relax, the overall strain on surrounding facial and neck muscles decreases, potentially reducing the occurrence of tension-type headaches associated with temporomandibular joint (TMJ) disorders.

Prevention of Tooth Damage: Botox injections in the masseter muscles play a crucial role in preventing tooth damage caused by excessive grinding and clenching. By weakening these muscles, botox significantly reduces the force exerted during involuntary grinding episodes, particularly during sleep. This reduction in bite force helps protect tooth enamel from wear and tear, preventing issues such as flattened, chipped, or cracked teeth. Moreover, the treatment can help preserve dental work such as crowns, veneers, and fillings, which are particularly vulnerable to damage from persistent grinding. By mitigating the effects of bruxism, Masseter botox not only protects the teeth but also helps maintain overall oral health, potentially reducing the need for extensive dental repairs and restorations in the long term.

Frequently Asked Questions

How many units of botox are needed for masseter reduction?

The number of units needed for masseter reduction typically ranges from 20 to 50 units per side, depending on the size and strength of the masseter muscles and the desired outcome. Your practitioner will assess your individual needs during the consultation.

Can masseter botox cause facial asymmetry?

Yes, but it is rare. Facial asymmetry can occur if the botox is unevenly distributed or if one masseter muscle responds differently to the treatment. This can often be corrected with a follow-up adjustment.

Can masseter botox be combined with other facial treatments?

Absolutely, masseter botox can be combined with other facial treatments such as dermal fillers, skin tightening procedures, and other botox applications to achieve a complete facial rejuvenation and contouring.

Are the results of masseter botox permanent?

No, the results of masseter botox are not permanent. The effects typically last between 4 to 6 months, after which the muscles gradually return to their original state if no further treatments are administered.

Can masseter botox be reversed if I don't like the results?

While the effects of masseter botox cannot be immediately reversed, the treatment is temporary. If you are not satisfied with the results, the effects will gradually wear off over a period of several months.

Conclusion

Masseter botox is a highly effective, non-invasive method for facial slimming and jawline contouring. By temporarily weakening the masseter muscles, it offers both aesthetic and functional benefits, including relief from teeth grinding and jaw pain. While results are not permanent, regular maintenance treatments can prolong the effects, providing a safe and flexible alternative to surgical procedures. Whether seeking a more feminine facial appearance or relief from bruxism-related symptoms, Masseter botox offers a versatile solution that answers to various needs. Always consult with a qualified practitioner to create a personalized treatment plan adapted to your specific goals and expectations.

Was this article helpful?

Yes
No

References:

Wu, Y., Zeng, D., & Wu, S. (2023). Botulinum Toxin Type A for the Treatment of Masseter Muscle Prominence in Asian Populations.

https://academic.oup.com/asjopenforum/article/doi/10.1093/asjof/ojad005/7029279

Klein, F. H., Brenner, F. M., Sato, M. S., Robert, F. M., & Helmer, K. A. (2014). Lower facial remodeling with botulinum toxin type A for the treatment of masseter hypertrophy.

https://www.scielo.br/j/abd/a/RfBqLvYw35xjdBFgfmPtFHS/?lang=en

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.