Squareness of the jaw is more consistent with a masculine appearance than a feminine one and it is an increasingly requested procedure to try and change jaw shape. Many patients especially of Asian background are particularly unhappy with the square shape of their jaw. A major cause of jaw squareness is bulkiness of the muscle at the corner of the jaw called the Masseter. In other patients overactivity of this Masseter muscle can result in ‘bruxism’ otherwise known as teeth grinding. Some patients with strong Masseters also develop jaw pain just in front of the ear because of stress on the TMJ (Temporomandibular joint).
Reducing the size of the Masseter muscle can change the shape of the jaw. The same product that is used in Anti-Wrinkle injections is used to inject the Masseter muscle. Through a small number of tiny injections (4-5 injections on each side) the bulk and strength of the Masseter muscle is reduced.
This is a non-surgical treatment that can safely and quickly be performed as a lunch time procedure. The injections are not painful and are very effective in reducing the square appearance of the face and will also weaken the jaw muscle to control teeth grinding and improve jaw pain.
It depends on the bulk of the muscle and how many units need to be injected but most patients require 20-25 units per side. Expect to pay $600-$800 per treatment.
For facial shaping, treatment may need to be repeated every 3-4 months. When patients are having treatment for teeth grinding this is usually done every 6 months.
Yes, you can still chew gum, however, we recommend that you don’t. If you are concerned about bulkiness and strength of your jaw muscle then chewing gum is like exercising this muscle and will increase the size and strength of the muscle. Chewing gum will mean the results of treatment do not last as long.
Normal chewing should not be affected as there are 4 pairs of muscles used in chewing not just the Masseters. Chewing something tough like a steak may take a little longer whilst the product is working.
No specific preparation is necessary.
Normal activities can be resumed immediately. Expect that you may have more difficulty chewing something very tough like a steak.
Before and after images are presented purely as a reference point of the results that can be achieved. Everyone is unique and outcomes will vary and realistic expectations need to be discussed on a case by case basis.
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