BOTOX FOR JAWLINE CONTOURING AND MINIMALLY INVASIVE JAW REDUCTION

An attractive jawline has long been defined as one that is sharp and angular in profile and is heart-shaped or oval when facing forward. Non-surgical Botox reduction of masseters is an indispensable tool available for lower facial sculpting. Upon injection of the neurotoxin into the masseter muscle, botox for jawline reduction temporarily prevents the release of acetylcholine into the neuromuscular synapse and inhibits muscular contractions. Hence, the masseter muscle loses its strength and also its bulk and volume. During the first few days post-masseter botox, you will feel a decrease in tension in your bite. Over the ensuing 2-4 weeks, you will slowly start to notice how your lower face starts to assume its new slimmer-looking V-shape.

WHAT ARE THE MASSETER MUSCLES?

The bilateral masseter muscles mainly contribute to your ability to open and close your mouth. The masseter muscle spans from the mid to lower face from the angle of the mandible to the zygomatic arch and is the primary muscle responsible for the functionality of the lower jaw, such as chewing, alongside the temporalis and pterygoid muscles. When these muscles are overactive and overworked, they result in a square, boxy jawline. Masseter enlargement can happen due to multiple reasons, with stress grinding, and clenching being the main culprits. Many patients find this muscular hypertrophy unflattering, particularly women. However, a few precise masseteric Botox injections are optimal for jaw slimming without any risk that a surgical correction carries.

jaw muscle slimming after botox injections
24 year old female 4 weeks after getting botox injections for jaw muscle slimming

HOW THE MASSETERS INCREASE IN SIZE

There are a number of reasons why the size of this muscle may enlarge, including:

  • Bruxism – A condition associated with excessive teeth grinding and clenching of the jaw that is often caused by stress and genetics.
  • TMJ (temporomandibular joint dysfunction) – A common joint disorder between the mandible and temporal bones, causing headaches, tenderness, tightness, teeth grinding, and a wide array of other symptoms leading to the strengthening of the masseters, ultimately making them larger and wider. Research from the National Institute of Dental and Craniofacial Research found that approximately 10 million Americans suffer from TMJ.
  • Excessive chewing – Sometimes excessive chewing due to mandibular mechanics or the tendency to primarily use one or the other side of the mouth to chew, may result in an asymmetric jawline, as the muscles of mastication become stronger as we chew.
  • Genetics and ethnicity – Genetic predisposition is a common contributor to stronger or increased masseters. Research has demonstrated a correlation between the skeletal malocclusion of the mandibles and the changes in masseteric genetic and epigenetic expression.

WHAT IS BRUXISM?

Bruxism, more specifically sleep bruxism (SB) affects 8.6% of the general population and is known for involuntary clenching and grinding of the teeth and masseter muscle contractions, which can lead to several symptoms including chronic jaw pain, jaw twitching or clicking, inability to open your mouth or jaw all the way, tension, and various other aches and pains.

WHAT CAUSES BRUXISM?

Stress often contributes to bruxism, though certain medications, caffeine, and alcohol, various sleep disorders, and familial factors may also contribute to the development of bruxism.

DOES BOTOX HELP WITH BRUXISM?

Neurotoxins have been extensively researched and are clinically proven effective in treating bruxism and reducing the frequency of its episodes, as Botox paralyzes the masseters, relaxing and relieving the tension that causes all the negative symptoms linked to bruxism.

WHAT IS TEMPOROMANDIBULAR JOINT SYNDROME (TMJ)?

Temporomandibular joint syndrome, also called TMJ, is a condition prevalent in 30% – 44% of the population, primarily the younger population and women, in which the patient experiences severe joint and jaw pain or tenderness, earaches, lockjaw, ringing in the ears, and headaches. TMJ goes hand in hand with Bruxism as both are located in the jaw and masseter area with very relatable symptoms.

IS BOTOX EFFECTIVE AS A TMJ TREATMENT?

Yes! Botox for TMJ treatment is clinically proven to work as it reduces tension in the masseters upon injection, reducing the uncomfortable ailments associated with the condition. Because TMJ affects such a large percentage of the population, up to 26% of persons struggling with temporomandibular disorder seek medical care to treat it. 

Relieving TMJ pain

Alongside neuromodulator injections, Dr. Schwarzburg recommends reducing how much you chew gum or chewy candy since the masseters are instantly activated during chewing. As TMJ is often associated with grinding your teeth, mouth guards at night can exponentially reduce the harmful effects the disorder may pose on your teeth.

HOW BOTOX SLIMS THE MASSETER MUSCLES

When botulinum toxin, an exotoxin produced from clostridium botulinum, is administered via injection into the three primary muscles involved in TMJ including the temporalis muscle, masseter muscle and lateral pterygoid muscles, it blocks neurotransmitters from sending nerve signals to the neuromuscular junction. As a result, the strength and size of the masseters are reduced, and side effects such as chronic myofascial pain linked to conditions such as TMJ and bruxism are mitigated.

WHAT IS THE PROCESS OF NON-SURGICAL MASSETER JAWLINE SLIMMING USING BOTOX INJECTIONS?

Before the actual Botox jawline slimming procedure, you will first have a consultation with Dr. Schwarzburg at his private cosmetic dermatology clinic in NYC, where he will palpate the jaw muscles manually to examine their strength and your facial bone structure. You will also have the opportunity to discuss any questions, concerns, goals, and medical history relevant to the jaw slimming treatment.

Dr. Schwarzburg invented and refined his own injection technique to non-surgically relax the masseters to give the most jaw-slimming effect possible. His novel approach involves  4 injection points in each cheek to precisely inactivate the jaw muscles. Patients are asked to clench their teeth to isolate the strongest part of the masseter and the injections are performed when the masseters are fully contracted and are flush against the skin. Jawline injections are well tolerated by patients usually requiring no anesthesia or downtime at all.

NON-SURGICAL JAW REDUCTION WITH BOTOX

Either through stress or genetics, many patients end up with square-looking jaws. Non-surgical Botox jaw reduction procedure is the result of multiple research studies that confirm its efficacy in narrowing a wide jaw. This is a viable alternative to an invasive and risky surgery to achieve jaw slimming and reduction with no extensive downtime or complications.

non-surgical jawline masseter slimming with botox
25 year old female 4 weeks after Botox injections for non-surgical jawline slimming

MASSETER BOTOX VS. JAWLINE SURGERY 

Masseter botox is a non-surgical procedure in which a custom number of neurotoxin units is administered via deep intramuscular injection into the masseters. The outcome is a reduction in the size and width of the lower face alongside a more defined jawline.

Jaw slimming via surgical intervention requires breaking and shaving down the mandible to permanently reduce its size, which often involves high risks and irreversible complications. In some cases, arthrocentesis or arthroscopic surgery is needed to treat temporomandibular disorders, though they are predominantly only carried out as a last resort after failed attempts of minimally invasive alternatives. 

WHEN WILL I SEE RESULTS FROM BOTOX INJECTIONS IN THE JAW?

Functional paralysis, which is the reduction in bite strength and jaw clenching with almost immediate relief in discomfort and tenderness, usually takes 3-5 days to fully materialize. 

Jawline narrowing manifested by a more pronounced heart or V-shaped face usually becomes apparent within 2-4 weeks. This slow process of muscular atrophy ensures natural looking results that can leave people believing you simply lost a bit of weight in the face. 

DOES BOTOX REDUCE SAGGING JOWLS?

Jawline botox does not address sagging jowls, though it can be used in conjunction with non-surgical modalities such as a PDO thread lift that will do just that. 

Because Botox only addresses hypertrophied masseters, it has no direct impact on lifting the skin around the jawline and in some cases can even exacerbate the appearance of jowls. Ligamentous laxity and midface ptosis which are common hallmarks of an aging face can be effectively dealt through minimally invasive procedures such as PDO threadlifting.

WHY IS EVERYONE GETTING JAW-SLIMMING WITH BOTOX?

Temporomandibular dysfunctions and pains are common and are frequently treated using intramuscular Botox masseter muscle injections that are responsible for their symptoms. In addition to the medical application of the drug, Botox jaw treatment has become a common tool to soften and reshape the lower face and jawline, create symmetry, and gently sculpt a V-shape or heart-shaped lower face. Because of its minimally invasive nature and natural-looking results, neuromodulators are an appealing alternative to other methods of jawline sculpting.

CAN BOTOX COSMETIC BE USED TO SLIM AND CONTOUR YOUR FACE? 

Yes! Botox masseter injections cause them to relax by inhibiting the transmission of the electrical signal along the nerves, numbing the muscles, and decreasing the jawline bulk.

HOW LONG DOES A MASSETER BOTOX PROCEDURE TAKE? 

Botox jawline contouring procedure takes approximately 10 minutes. This is variable depending on the number of units injected and your overall pain tolerance. However, the duration of the treatment rarely exceeds 15 minutes as there are very few injection points needed to achieve optimal outcomes.

HOW MANY UNITS OF BOTOX ARE NEEDED FOR A NON-SURGICAL JAW REDUCTION?

Dr. Schwarzburg who practices in New York estimates that most patients need 20 to 50 units of neurotoxin per right or left side for a cosmetically appreciable Botox masseter jaw reduction. Some may need up to 70 or 80 units per each side, or different amounts if asymmetry of the mandible exists. Visible reduction of masseter hypertrophy usually requires 2-4 treatments over 1 year to accumulate the necessary decrease in muscular strength and size.   

IS THERE ANY AFTERCARE AFTER NON-SURGICAL JAWLINE REDUCTION WITH BOTOX?

After your Botox jawline slimming treatment, you can resume almost all daily activities except for heavy and strenuous workouts. Also, it’s important to avoid rubbing or massaging your lower face and cheeks for 2 days post-procedure to prevent non-targeted diffusion of neurotoxin. Post-procedural swelling is treated with a short ice pack application.

ARE THERE ANY SIDE EFFECTS ASSOCIATED WITH BOTOX INJECTIONS TO THE MASSETERS?

When administered by a board-certified physician jaw slimming Botox injections have a limited list of risks and side effects, including mild muscular tenderness and minor bruising which usually last for 1 – 3 days.

More serious side effects linked to jawline slimming using Botox include asymmetry caused by paralysis of the rhizorius muscle, which can occur if the toxin is injected superficially to the masseter muscle, often causing crooked or asymmetric smile. This uncommon complication will fade in 3-5 weeks post-injection.

The best way to avoid side effects is to have your jaw muscle reduction administered by Dr. Schwarzburg in NYC, a board-certified physician with expert knowledge of jawline anatomy and physiology.

IS BOTOX JAWLINE SLIMMING APPROVED BY THE FDA?

While it is deemed safe for jaw slimming by the FDA it is crucial to remember that it is considered an “off-label” procedure, meaning that only highly experienced and qualified doctors are allowed to perform this highly advanced procedure.

HOW OFTEN SHOULD I GET BOTOX FOR JAW REDUCTION

For the average patient, a single session is enough to observe a noticeable difference in the look of the mandible. Some patients, primarily those that are new to Botox in the masseters, require touch-up appointments in the following 3-4 weeks until the proper amount of toxin has been injected for optimal results. Research has shown follow-ups should be spaced at least 3-4 months apart to avoid developing neutralizing antibodies to the protein components of the medical compound.

WHAT WILL MY RESULTS LOOK LIKE?

Before your masseter Botox injections, you will likely be experiencing uncomfortable and lifestyle-limiting symptoms associated with TMJ and bruxism, such as teeth grinding, jaw clenching, headaches and migraines, soreness and tenderness, or simply have the desire to reduce the size of your jawline for cosmetic purposes. After your masseter Botox treatment, the above-mentioned symptoms will be minimized or fully eliminated, and the size of your chewing muscles and lower face will be reduced and evened out for a more snatched and draped look.

HOW MUCH DOES JAW NARROWING WITH BOTOX COST?

The total cost of Botox to slim down the masseters ranges $500 – $1000 per single session depending on the following fundamental factors:

  • The number of units that is needed to accomplish each individual patient’s desired results, which varies based on masseter strength
  • Your provider’s qualifications and knowledge of the complex masseteric anatomy
  • The geographic location of your provider – in order to successfully reduce the size of one’s masseters, the proper number of units must be injected. Practices located in larger cities such as New York or Los Angeles often have a higher per-unit rate than other providers located in more rural areas.

WHAT PROCEDURES CAN BE COMBINED WITH BOTOX TO IMPROVE MY JAWLINE?

Dermal fillers like Juvederm, Restylane, and Radiesse can be used to shape and define the angle of the mandible by creating the appearance of a more “snatched” chin and chiseled jawline.

For many patients adding minimally invasive fat reduction protocols, such as CoolSculpting for double chin and Kybella helps permanently eliminate submental and submandibular fat for an overall sharper and slimmer jawline.

In older patients, profound jawline slimming may result in unwanted jowling. Hence, PDO thread lifting may be desired to lift droopy jowls. PDO thread lifting works by precise insertion of barbed surgical sutures along the SMAS layer to anchor the overlying sagging skin in a more superior position, creating a lifted effect.

WHAT ARE THE PROS AND CONS OF NON-SURGICAL JAW SLIMMING WITH BOTOX?

The major advantage is that it is a minimally invasive alternative to surgical jaw restructuring with natural looking slimmed down jawline and is associated with a high satisfaction rate. The procedure carries few risks and side effects when done by expertly trained physicians.

However, serious side effects can occur if injected by unqualified providers. It is also not ideal for patients looking to lift sagging skin along the lower face. In older patients masseteric slimming may exacerbate jowling by shifting the skin more along the body of the mandible.

IS BOTOX FOR JAW SLIMMING COVERED BY INSURANCE?

While the medical application of botulinum toxin is covered by insurance on a case-by-case basis (for example, for TMJ or bruxism), it is not covered if used insofar for aesthetic purposes, such as jaw slimming.

WHO IS THE BEST DOCTOR FOR MASSETER REDUCTION IN NYC?

If you are looking to schedule your face slimming Botox, then Skinly Aesthetics on the Upper East Side of Manhattan, New York, is the place to be. Owned and operated by Dr. Schwarzburg, a board-certified physician with over a decade of experience, known for his extensive expertise and mastery in minimally invasive cosmetic procedures, Skinly offers top notch services performed exclusively by Dr. Schwarzburg himself. Skinly Aesthetics offers several minimally invasive cosmetic treatments to enhance and define your jawline, alongside an extensive list of body and facial enhancements.To schedule your one-on-one consultation with Dr. Schwarzburg, you can contact Skinly Aesthetics by calling or texting (212) 774-4264, or email us at info@skinlyaesthetics.com.