Jawline Slimming Injections
Before and 8 weeks after 1 treatment of injections in masseters for jawline slimming
Before and after injections for masseters: the squareness of the jaw has been reduced
Before and after jawline slimming injections
Before and after masseter slimming
Before and after treatment for bruxism
Before and after masseter injections
Before and after jawline slimming injections for square jawline
Before and after for jawline slimming. Please note the asymmetry in the jawline in the before photo
Before and after masseter slimminginjections
Before and after 1 treatment of jawline reshaping
Before and after 1 treatment of jawline reshaping with injections
Before and after injections for facial slimming 1 treatment
Sometimes masseteric hypertrophy is caused by Bruxism, which is the involuntary or habitual grinding of the teeth, typically during the night. This will cause the masseters to enlarge and if left untreated will cause TMJ dysfunction and orofacial pain. Bruxism is often associated with stress. Antiwrinkle injections(due to Australian regulations, we are not allowed to name the drugs) can be used to treat the hypertrophy of the masseter.
Sometimes large masseters are genetic, and will run in a family.
Small injections with a very fine needle are used to relax and shrink the masseters, causing a slimmed lower face the is more oval and less square appearing.
The consultation for antiwrinkle injections for masseter improvement
History-taking is very important in the treatment of masseteric hypertrophy. The following should be explored:
Is there a genetic component? ie are there others in the family who have a square jawline
Has the patient had treatment before?
Were they happy every time?
Did the effect of the muscle relaxing injections last well?
Which area came back first?
How is the patient’s metabolism? Do they exercise? Are they very muscular? Do they have trouble putting on or losing weight?
What in the neck is bothering the patient? Is it the appearance, TMJ dysfunction or orofacial pain.
Does the patient have Bruxism ie teeth grinding?
Have they every had any complications with muscle relaxing injections before
Does the patient want a more natural appearance, with some squareness left, or do they want the maximal effect possible?
What is the age of the patient?
The examination for treatment of masseters
The doctor will examine the face and jaw and neck. In particular, she will look at many features, such as:
Where the masseters are. How large they are. How straight is the jawline
Whether there is an asymmetry
How is the elasticity of the skin.
The doctor will also feel the size of the masseters by getting the patient to chew while touching the masseter area.
Choosing the dose of toxin for masseters
The doctor will assess the face and neck and decide on the best dose after taking a history and examining the patient.
If the patient has a history of poor longevity, or needing high doses or wanting maximal effect, then a higher dose may be suggested.
If the patient is over 40 or has less elastic skin, then a treatment plan, with multiple treatments of smaller doses may be required
If a patient has a history of complications with muscle relaxing injections, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen.
Pain relief during treatment of masseters
There is very little pain with injections for masseters. Ice is usually the only pain reliver
A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.
Most patients do not bother with numbing cream because it takes so long to work and because the treatment isn’t very painful anyway.
Ice is always used to decrease pain and to reduce the risk of bruising.
Very rare patients will use Penthrox for horizontal forehead line treatments
Nitrous oxide (Happy Gas) is available for use during injectables
What happens during the masseter treatment itself?
The neck and face will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment
The doctor will feel the masseter and then inject 1-5 injection sites [er side. Then pressure with gauze will be applied.
The procedure itself takes less than 5 minutes.
How do I look afterwards?
Sometimes there is nothing to see. Sometimes there can be redness, small lumps, which can look like mild acne and usually resolve quite quickly.
Most people could come during their lunch break during work and go back without their coworkers noticing anything
Side effects and risks of masseter treatment
In general, treatment of the masseters is low risk.
Headache happens in around 10% of new users.
Bruising occurs in a significant number of cases.
Asymmetry: Often one side is better treated than the other, this is usually because the patient is asymmetrical to start with. In some patients they have a much stronger masseter on one side compared to the other. Often it is the side that is favoured for chewing.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
There is a low risk of the smile being affected, and smile assymmetries can also occur.
If too large a dose is chosen in an older patient, then the skin isn’t as able to retract as quickly and sagging along the jawline can appear to worsen. To avoid this, multiple smaller treatments are recommended.
Who is unsuitable for treatment of masseters?
Most people are suitable for masseters, but as stated above, with older patients, a series of treatments should be followed, with smaller doses, so that the jawline will be able to retract.
Instructions for care afterward
No makeup for 4 hours
No massage that day
No heavy exercise that day
No lying down for 4 hours
Lay off the acid face/neck products for 24 hours
What to expect after masseter treatment?
The effect of the injections will not start to occur for 2-8 days.
The maximal effect of the drug will be at8 weeks, so a review should not be booked before 8 weeks. If at that time, further treatment is necessary, it should be performed. Photographic evidence of improvement should start to occur at 6 weeks.
Also, results will always be best with masseters after multiple treatments as the masseter atrophies
What if I get asymmetry at some time before the 8 week point? Do I call the doctor?
No. No need to call the doctor. Sometimes asymmetry will occur because one side just comes on quicker than the other. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be treated at the 8 week review appointment. There is no point in coming in early for treatment of asymmetry. Masseters are often asymmetrical to start with and will need multiple treatments to achieve improvement in symmetre
What do I do if at 8 weeks post treatment one side is better treated than the other?
This is not uncommon, at your 8 week review appointment, further treatment may be administered
How long will the treatment last?
The answer to this is very individual and depends on the patient’s metabolism, the dose, the placement etc.
Typically this is what happens:
At 8 weeks, there is a maximal effect
at 16 weeks 80% of movement should be back.
For most patients, this is very close to what occurs
When should I have my next treatment for muscle relaxing injections in masseters?
Second treatment should be at 8 weeks if the patient would like the jawline smaller.
How much does it cost for the muscle relaxing injections in masseters for jawline slimming?
$360-$1150, it will cost less if combining with treatment using the same drug in other areas of the face. Commonly in the reducing phase of treatment, cost is approx $830
before and after bruxism treatment
This patient has always hated her round face, so we regularly slim her masseters to give her a more oval look
Injections to Slim Jawline
Don't forget your jawline slimming...