Hi all. I have very strong masseter muscles (jaw clenching). I grind my teeth at night so hard that my jaw hurts and I've chipped a tooth. My dentist suggested botox in the masseter. But I'm scared it will change my face shape or make me look gaunt. I have a round face, and I'm worried that if the muscle shrinks, my skin will sag. What's the real effect on the jawline?
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Masseter botox is a medical miracle for bruxism, but you are right to consider the aesthetic effects. The masseter is a large chewing muscle. When you inject it, the muscle atrophies (shrinks) over several months. For someone with a very square, wide jaw, this slims the face dramatically – often in a flattering way. For someone with a round face that is held up by strong jaw muscles, the skin can sometimes appear looser, especially as we age. However, the effect is usually subtle. The muscle shrinks, but the skin retracts. Most people love the V-shape face it creates. The pain relief from clenching is usually worth it. You can try a small dose first (15-20 units per side) to see how you react. The full effect takes about 4 weeks to see the slimming, and it lasts 4-6 months.
I got masseter botox for my TMJ (jaw pain). I had a very square jaw. After two sessions, my face slimmed down so much that people asked if I lost weight. I loved it. But I also noticed that my smile changed slightly – my back teeth didn't show as much when I smiled big. That went away after a month. The best part? No more headaches from clenching. I highly recommend professional botox injections for the jaw from someone who understands facial balance. Do not let a dentist who does 'a little botox on the side' do this. Go to a med spa that specializes in facial aesthetics. You can see how they map the jaw muscles here: https://bellasanamedspa.com/service/botox. It's worth it for the pain relief alone, trust me.
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RE: Professional botox injections
