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Masseter Reduction

HomeMasseter Reduction

Masseter reduction is a procedure aimed to reduce the size of the masseter muscle to create a narrower jaw. This procedure involves the use of neurotoxin, which is injected into the masseters. Dr. Linkov has successfully performed numerous muscle reduction procedures on patients not only from around New York City but from all over the United States and the world.

Masseter Reduction
  • Top-rated New York facial plastic surgeon

As a world-class NYC facial plastic surgeon, Dr. Linkov utilizes his experience and innovative technique to provide his patients with exceptionally perfect results they desire. Getting the new shape of your jawline is easier than ever.

What Is Masseter Reduction?

Masseter reduction is a non-surgical procedure in which neurotoxin is injected into the masseters. The masseters are a set of muscles that span the mid to lower face and are responsible for chewing. Injection of neurotoxin like Botox or Jeuveau into these muscles helps to reduce their activity, and this reduction in activity can have both cosmetic and functional benefits.

One of the most interesting uses of neurotoxin is masseter reduction. It is well known that neurotoxins such as Botox and Jeuveau are injected just under the skin to reduce the appearance of facial lines and wrinkles. Sometimes, neurotoxin is directly inserted into the deeper muscles such as the masseters to have an even more pronounced impact on facial shape and function.

Who Is a Good Candidate for Masseter Reduction?

People seek out masseter reduction in NYC for either aesthetic or functional reasons. The most common aesthetic and functional reasons for this procedure with neurotoxin are discussed below.

Aesthetic Benefits

A square-shaped jawline can be due to either the structure of the underlying facial bones or enlargement of the masseters. This type of jawline is typically associated with a more masculine appearance. Masseter reduction with neurotoxin can help narrow the jawline resulting in a more feminine look. Additionally, masseter muscle Botox can make the face appear thinner.

Functional Benefits

Enlargement of the masseters can occur in people with a tendency to grind or clench their teeth. This habit can not only change the shape of the face, as mentioned above, but also result in significant facial pain. Temporomandibular joint dysfunction (TMJ) is a disorder where the temporomandibular joint, located in front of the lower part of the ear, becomes inflamed often due to excessive teeth grinding and clenching. By temporarily weakening the masseter muscle with masseter Botox, symptoms of TMJ can significantly improve.

What Is the Relevant Anatomy for Masseter Reduction?

The masseter muscle is a relatively deep muscle located on both the left and right side of the face. It spans from the bones directly in front of either ear to the lower part of the jawline. There are additional facial muscles that lie near the masseter, such as the risorius. These neighboring muscles are responsible for smiling, and may be impacted with masseter muscle reduction if proper technique is not used.

How Long Does Masseter Reduction in Manhattan, NYC Last?

Masseter muscle Botox results vary based on the reason for the reduction. If the jaw surgery is performed for functional reasons such as improvement of TMJ symptoms, one can typically feel an improvement within 2 weeks of the initial injection and results last about 3 to 6 months. If the masseter slimming is performed for cosmetic reasons, it typically takes at least 2 treatments before a noticeable change in facial shape is apparent; however, these results can last longer than 6 months after repeated treatments.

How Is Masseter Reduction Done?

This surgery performed in the office without any anesthesia. The first step in masseter muscle reduction is to mark the areas that will be injected. There are typically 2 injection points on each side of the face. Before injecting, the leading plastic surgeon in UES, Manhattan Dr. Linkov will clean the area with an alcohol pad. Local anesthesia is not used because the needle is very thin and there is minimal to no pain.

Dr. Linkov, as the best board-certified plastic surgeon in Manhattan, NY, will then inject the 4 marked areas with neurotoxin, injecting the neurotoxin first deeply and then superficially. Masseter reduction Botox or Jeuveau? Either masseter Botox or Jeuveau are effective neurotoxins for this procedure. A total of 20 units of neurotoxin on each side is typically required to achieve the desired effect.


Dr. Linkov performed submental liposuction on me and I couldn’t be happier with the results! He has amazing bedside manner: he took the time to listen to my concerns and explain them thoroughly; he made sure that I left with no questions. In addition, Dr. Linkov told me that I should expect a subtle change as opposed to something drastic. I love how honest he is about the procedure, unlike some other doctors who advertise drastic change and not delivering them. Even tho Dr. linkov said that the results would be subtle, I am so happy to with the results which really have tightened up the jawline and gave me more definition. I can’t thank Dr. linkov enough!
Yujiao Zhang

What to Expect on the Day of the Procedure?

There are no special precautions you need to take in anticipation of your masseter muscle reduction. The reduction of jaw muscles is performed in the office without any anesthesia. The procedure itself usually takes about 20-30 minutes, including time taken to mark the areas for injection.

What Is the Recovery From Masseter Reduction?

Botox jaw reduction is a quick and minimally invasive procedure. People are able to walk out of the office after masseter muscle Botox having experienced little to no discomfort during the procedure. There may be a very small amount of bleeding or bruising, but this is rare and resolves within a few days. There are no restrictions on eating or other activity after the masseter reduction.

What Are the Risks of Masseter Reduction?

Masseter muscle reduction is a relatively low-risk procedure, however, there is a risk of muscles other than the masseter being affected by neurotoxin masseter Botox or Jeuveau injection. This can be due to direct injection into other muscles or local spread of the neurotoxin effect. If certain superficial facial muscles, such as the risorius, are involved, temporary smile distortion can occur. If other surrounding deeper muscles are affected, dysfunction in speech or swallowing can result. Jaw muscle reduction is an FDA off-label use of neurotoxin.

What Are the Contraindications To Masseter Reduction?

While it is a generally safe procedure, there are certain people who should not receive jaw slimming botox injections. The contraindications to the procedure are the same as the contraindications for all types of neurotoxin. These include:

  • Known allergy or previous hypersensitivity reaction to neurotoxin such as Botox or Jeuveau
  • Skin infection over the site to be injected

While they are not absolute contraindications to neurotoxin, Dr. Linkov generally does not perform masseter reduction or other procedures involving neurotoxin for the following groups of people:

  • History of certain diseases that can affect the nervous system and muscles, such as myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease)
  • Pregnancy
  • Breast-feeding

What Are the Alternatives to Masseter Reduction?

Injection of neurotoxin like masseter Botox or Jeuveau is a very reasonable option for most people desiring masseter slimming. For people who desire a permanent change in facial shape, masseter reduction surgery is an alternative option. This type of surgery is a major, invasive surgery and involves surgically removing a piece of the masseter and/or underlying bone in order to permanently alter facial structure.

Are Patients Satisfied After Masseter Reduction?

Patients are extremely satisfied after masseter reduction injections. Those who undergo masseter muscle Botox for pain related to underlying TMJ disorders report significant reduction in masseter muscle pain and improvement in quality of life within 2 weeks after their first treatment. People who have received masseter reduction for face thinning and reshaping report long-term results after their first 2 to 3 treatments. Female patients in particular find it to be a great option to feminize the face.

What Is the Cost of Masseter Reduction in New York?

Masseter muscle reduction cost varies based on the office location and the qualifications of the person performing the injection. For a facial plastic surgeon or dermatologist performing masseter reduction in NYC, the cost can range.

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Who Is the Best Masseter Reduction Doctor in NYC?

Dr. Linkov is a board-certified facial plastic surgeon located in NYC. Having completed his surgical training specifically in plastic surgery of the head and neck, Dr. Linkov is extensively familiar with the anatomy of the face, making him an expert at masseter reduction injections. If your jaw has become wider and squared, masseter muscle reduction can restore a more feminine heart or oval face shape. Contact City Facial Plastics in Manhattan’s Upper East Side to learn more about this procedure and to schedule your consultation with Dr. Linkov. You can review some of Dr. Linkov’s masseter reduction before and after photos from real patients below.

Masseter Reduction Before and After

If your jaw has become wider and squared, masseter reduction can restore a more feminine heart or oval face shape. Contact City Facial Plastics, located in Midtown, Manhattan, to learn more about masseter reduction and to schedule your consultation with a top-ranked facial plastic surgeon in New York Dr. Gary Linkov.


Dr. Linkov is a great guy and is very knowledgeable. When it comes to FUE (including body hair transplant), it’s all about the experience of the doctor and technicians. Dr. Linkov has a very experienced team that allowed me to fully recover in 6 days.

Dr. Gary Linkov, MD

Dr. Linkov is a double board-certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head & Neck Surgery. A native of New York, Dr. Linkov graduated as a salutatorian from Cornell University and received his Medical Degree at Columbia University College of Physicians and Surgeons. Dr. Linkov conducted advanced head and neck cancer research at the world-renowned Memorial Sloan Kettering Cancer Center. Dr. Linkov is a former Adjunct Assistant Professor at New York University (NYU), where he taught Rhinoplasty.

Dr. Linkov is a top-rated facial plastic surgeon in New York who specializes in lip lift, facelift, rhinoplasty, and hair transplant. He has been named one of the top 5 lip lift surgeons in the United States, is listed in the prestigious SuperDoctors New York™ registry, and has appeared on the Dr. Oz Show, where he discussed the state-of-the-art hair transplantation procedure.

Page Updated on Jul 11, 2022 by  Dr. Gary Linkov  (Facial Plastic Surgeon) of  City Facial Plastics in New York.
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