Avoid This Masseter Botox Pattern

[@drneslihan]

That's why i always use long needle for masseter injection. Thank you for these great informations ! From now on, i will drive a line to the mental crease instead of oral commissure !

[@ChelseaJadeC]

Hi doctor, would you recommend full length of the needle depth? Thank you

[@michellekluczinske]

Can you please discuss the studies showing botox causing bone loss? I know the human study was small, short-term, and related to the masseter and jawbones, but I'd love to hear your thoughts especially regarding botox in other common facial areas.

[@DrTimPearce]

The theory is when you have less pressure going through the bone because you have weakened the muscle you can get a reduction in bone loss. I’m not aware of it happening anywhere else on the face.

[@missbeaussie]

It's not the botox itself it's the lack of use of the muscle. Same reason they encourage weight bearing exercise to avoid osteoporosis.

[@oonaghmulvihill5453]

Thanks for this doctor! Can I just ask, when you are marking up then from the mental crease, do you still draw to the tragus/ear lobe?

[@bodyjewels]

I would so very much love your advice, I het thus done at usf every three months. Each time they do it different ,and I end up with jowel flab.. Driving me crazy. I need cogs almost to pull the skin back. I am about to DIY it myself.

[@yummieyummy]

Hi is it normal that my injector only injected into only one spot on my muscle, rather than multiple spots? (30 units dysport each side)

[@DrTimPearce]

Probably not the average treatment, but it could be right for you- were you happy with the result?

[@hajranoorkhan64]

Thanks 👍

[@mstarburst]

I've had masseter botox 1 month ago, I've been injected 3 separate times over the month, 30 units each side, the muscle has stopped contracting so much but I haven't noticed any slimming effect is this normal?

[@rj3899]

Might take longer for slimming effects, the muscle needs to have been relaxed for a while for slimming to happen. For me it took 2 months to notice a difference. Also, maybe you need a top up as well if it's still not smaller.

[@m.ferrari9857]

It may take several treatments over a course of time. Once you get the therapeutic dosage, return every three months. Think of it like a deeper set wrinkle. It needs treatment over time to soften. You also don’t want to overly freeze the muscle. I imagine this is the reason for bone loss ( an assumption). Also it’s not always a drastic difference to face shape, with anything else there are several factors to your facial anatomy and resulting appearance. Hope that helps!

[@missbeaussie]

I mean...can I show my dentist this? I won't be the one injecting it.

[@DrTimPearce]

Of course. Kind regards Mary. Clinical advisor for Dr Tim

[@lsteven8443]

Is 60 units per side normal?

[@kawaiiplastic5808]

Yes

[@kawaiiplastic5808]

Especially in Asia. But I just had 60 on each side I’m in Cali. I always do a large amount at once

[@tommylandrix6070]

That is a lot. I get 25

[@lsteven8443]

@@tommylandrix6070 i got another type of botox which is equal to 23 units and it didnt work much

[@tommylandrix6070]

@@lsteven8443 Ooh hmm good to know