Dr. Dean Kane Q & A 
Q. I had 25 units of botox injected to each masseter muscle last year, but never saw any significant difference. It did shrink slightly, but not by enough. Do I need to get more injected this time?
A. Without photos and / or a proper examination, it is tough to suggest what you will need and if 25 units of Botox per masseter was a proper choice for you.
There are many reasons for a disharmony or imbalance of the upper, mid and lower face including:
- masseter hypertrophy,
- a wide jawline
- fat distribution of the cheeks, jawline and neck
- narrow cheek width
- narrow temple width
If the right diagnosis is masseter hypertrophy, a single dosing of Botox will probably not reduce and atrophy the muscle. You may need several sessions.
Please review your desires with a Board Certified Plastic Surgeon to provide the best options for you.
All the best!
This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
