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Masseter reduction is a procedure aimed to reduce the size of the masseter muscle to create a narrower jaw. Masseter muscle reduction involves the use of neurotoxin, which is injected into the masseters. Dr. Gary Linkov is a board-certified plastic surgeon in New York City who performs masseter Botox injectionGetting 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 masseter reduction 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 reduction 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?

Masseter reduction is 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 a 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.

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. Masseter reduction 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?

Masseter 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. Masseter reduction is an FDA off-label use of neurotoxin.

What Are the Contraindications for Masseter Reduction?

While it is a generally safe procedure, there are certain people who should not receive masseter reduction. 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 reduction. 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 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 from $600 to $1000 per treatment.

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.

City Facial Plastics: Dr. Gary Linkov
635 Madison Ave #1402E
New York NY 10022
(212) 439-5177

What Dr. Linkov's Patients Say
City Facial Plastics

5.0 / 5.0

Based on 47 reviews

Alla K.

Dr. Linkov is really good and so easy to talk to, thank you!

Tyler D.

Thank you so much for your time, Dr. Linkov, appreciate the extra attention!

Elizabeth G.

Everything you would want in a physician - extremely thorough, thoughtful, intelligent, a great listener, and pays extreme attention to detail.

Carolina F.

Dr. Linkov is the best!!! He is extremely professional and knowledgeable!!! I recommend Dr. Linkov 100%.

Alex S.

Dr. Gary is a true professional with great eye and bedside manner. He’s the one I refer my family, patients and friends to.

Suzy S.

Highly recommend! Dr. Gary helped me with painful lip scar tissue after an accidental fall a year earlier. I’ve known Gary for 20 years and since the first day knowing him he’s grown as a medical professional with an innate sense of detail and kind demeanor. Excellent client follow up and post treatment care.

Marina S.

Dr. Gary is a fantastic NYC plastic surgeon who treats me and to whom I would recommend all my friends and family. He has a very conservative approach to fillers and I was extremely impressed with the way he filled my nasolabial lines that had been bothering me for years. It was painless, and I did not experience any bruising at all. Getting this done gave me so much confidence - I wish I worked with him years ago!

Rachel G.

Wow is all I can say! Fantastic doctor that gives you an extremely pleasant, professional, and realistic experience. Would highly recommend and give 6 stars if I could.