Patients with masseter muscle enlargement seek out masseter Botox to achieve facial slimming. Just like your biceps or glute muscles, the more you use the masseters, the bigger and stronger they get.

Normal activities like eating and speaking do not cause masseter enlargement.

Masseter enlargement typically comes from chronic teeth clenching or grinding (known as bruxism), often done unintentionally during sleep.

Alternatively, some patients’ natural facial structure is more square-shaped due to having genetically large masseter muscles.

Before treatment, you will have a consultation with Dr. Aivaz to discuss your concerns, desired outcomes, and personal philosophies on aesthetic treatments. During this consultation Dr. Aivaz will ask questions about your medical history to ensure you are a candidate for treatment. She will then perform a facial analysis and create a treatment plan custom-tailored to your needs.

During the procedure, your skin will be cleaned and prepped. Most patients do not require numbing cream, but it is available should you wish to use it. A tiny needle is used to inject the Botox into the treatment area. The procedure takes anywhere from 5-15 minutes depending on how many areas are being treated, and patients can go about their normal routines afterwards. We do recommend staying upright for 4 hours after the procedure and waiting for 12 hours before resuming aerobic exercise. 

Over time, with repeated injections, the masseter becomes smaller, which leads to facial slimming. Many people also experience less teeth grinding and clenching during sleep when they receive injections in their masseter muscles.

Results may start to be seen around 7-10 days, and full effect is typically seen 14 days after the procedure. The effects of treatment typically wear off after 3 months.

Overtime, with repeated injections, the masseter becomes smaller which leads to facial slimming.

Avoid the following to the treatment area for 24 hours:

• Massage

• Facials

• Microdermabrasion

• Waxing, tweezing

• Vigorous washing of the area

• Strenuous exercise is not recommended for 12 hours after treatment and putting your head in an upside down position is not recommended for 4 hours.

• You can apply your cosmetics, moisturizer, or lotion using very light pressure. 

Botox has an excellent safety record in Dr. Aivaz’s hands. Ice packs and professional strength numbing cream make the procedure virtually painless. Redness that resolves within an hour and temporary bruising are possible. Rare and temporary side effects include headache, temporary smile distortion or temporary weakness when chewing.