Masseter Botox for Migraines

Imagine the hours you could gain back if you didn’t have to bring everything in your life to a halt to deal with a migraine headache. The use of Botox for chronic and episodic migraines, along with tension headaches, has been studied extensively since 1986. Full FDA approval for the use of Botox for headaches was gained in 2010, and neurologists have been using neurotoxins since 1986. A meta analysis demonstrated that using Botox (and similar products) can reduce chronic migraine by up to 78%, thus increasing quality of life and significantly decreasing the frequency of migraines. [Source:] The use of neurotoxins, such as Botox and Xeomin, is well-tolerated, beneficial, and safe for long-term use in adults.

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At Skincare and Moore, your safety and satisfaction are our top priorities. With over thirty years of combined professional experience, our dedicated team curates your individual treatment plan with the highest level of attention to detail, no matter the service. From a simple facial to natural-looking Botox injections, we strive to create an environment in which you feel comfortable and cared for. If you have any questions or concerns about treatment plans or services, please schedule a consultation with our team via our website, phone, or email.

What is masseter Botox for Migraines?

The masseter is a strong muscle located in the cheek and extends to the jaw. This muscle is injected with Botox to reduce sustained contraction. For migraines, masseter muscles can require up to 20 units per side, though most adults require less. Additional benefits to having masseter Botox include decreasing the grinding or clenching of teeth and the alleviation of TMJ symptoms.

How does Botox help with Migraines?

Botox works two different ways when used for migraines or trigger point muscle pain – inhibition or modification of neurotransmitters. The neurotoxins inhibit the neurotransmitter, acetylcholine, thereby relaxing the muscle. [Source:] New studies have theorized that neurotoxins also modify neurotransmitters that are responsible for the transmission of pain sensations.

In simple terms, Botox and other neurotransmitters restrict the electrical activity of your muscles to the mechanical function. When this occurs, the muscle movement is restricted, thus reducing the amount of movement. Masseter Botox for migraines works by reducing the muscles involved in the masseter, temple, and back of neck where most headaches originate.

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Where do you inject Botox for migraines?

Botox in the frontalis:

The forehead is another important area for migraine treatment. The forehead often contracts in both migraine and tension headaches, and the muscle can have mini spasms. The normal dosage for migraine headaches (not cosmetic Botox) is up to 20 units at four different injection sites.

Botox in the Corrugator and Procerus Muscle

Overuse of the corrugator and procerus muscles result in vertical lines appearing between the eyebrows, often known as the “Elevens.” Botox will also lift the medial eyebrow, causing the eye to appear more open and alert. Typical dosage to reduce the appearance of the Elevens can be up to 15 units with three injections.

Botox in the Temporalis

The temporalis muscle begins adjacent to the outer edge of the eye and continues into the hairline. This muscle works in conjunction with the masseter and due to its location and frequent use, plays a significant role in the development of tension headaches. When injecting the temporalis muscle, the masseters should also be injected for control of migraines. Typical dosage is up to eight injections and up to 40 units.

Botox in the Occipitalis

The occipitalis muscle is located at the back of the head, and its primary function is to move the scalp toward the back of the skull. Spasms or overuse of the occipitalis muscle causes tension headaches. As an essential part of migraine control, we inject Botox at the back of the head, and typical dosage is up to 40 units, with up to eight injection sites.

Botox in the Trapezius

The trapezius muscles are a pair of muscles in the upper back responsible for stabilizing and moving the scapula. The trapezius connects to the occipitalis and should be injected at the same time as the masseter and occipitalis for migraine treatment. Typical dosage is 30 units, with six separate injection sites.

Botox in the Cervical Paraspinal muscle

The cervical paraspinal muscles run the length of the back of the spine and are responsible for the majority of the spinal column’s movement. When this group of muscles spasms, movement of the neck and head are hindered and contributes to migraine headache pain. The cervical paraspinal muscle is the last injection site for migraines, with the typical dose being up to 20 units at four different sites.

How long do Botox injections last for migraines?

The duration of treatment efficacy depends on several factors, including how you respond to Botox, how frequent your migraines are, and severity of your migraine pain. On average, you can expect to have pain relief for about 3 months, with regular treatment resulting in prolonged efficacy. If used routinely prior to migraines returning, we can use less Botox and can rotate injection sites.

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What is the success rate of Botox for migraines?

The success rate of masseter Botox is unique to the individual and there are factors that may impact your results. The success rate for Botox for migraines is 65% with a three treatment minimum. [Source:] The average treatment result length is approximately 3 months for the first year of treatment and often lengthens once migraines are controlled using Botox. It is important to note that migraines are different from tension headaches, and we treat them differently.

Botox for TMJ:

The masseter muscle, located adjacent to the lower part of the ear, allows us to chew and open our mouths. To treat TMJ with Botox, the masseter muscle is injected with between 1-20 units of Botox to disengage the muscle.This alleviates symptoms such as;

  • Sore cheeks and jaw
  • Swelling in your face
  • Pain around your neck and ears
  • Clicking noise in your jaw when you open and close your mouth
  • Headaches or migraines
  • Clenching and grinding your teeth (bruxism)
  • Ringing in your ears
  • Neck and/or shoulder pain
  • Shocking type of facial pain

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Additional Benefits of Masseter Botox

The masseter muscle also has a significant effect on the shape and width of your face. Due to its frequent use in chewing and when speaking, the masseter muscle can become bigger, resulting in a wider face and jaw shape. By injecting Botox into the masseter, muscle activity is reduced, which relaxes the muscle and gives the appearance of a slimmer jaw.

What does Botox do to facial muscles?

Botox relaxes facial muscles by interfering with the chemicals that cause muscle contraction. The effects of Botox injections usually last 3-8 months, with peak results lasting 3-4 months. The level of facial muscle activity has a significant impact on the longevity of the effect of Botox. For example, a lip flip typically lasts three months, because we constantly use the muscle to talk, eat, and smile. On the other hand, using Botox in the neck muscles tends to last longer (5-8 months) because the muscle is used less frequently. Hydration, exercise levels, and metabolism also have an effect on the longevity of Botox.

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What to expect from your Masseter Botox appointment?

The masseter Botox treatment is a quick, walk-in procedure that requires very little preparation. Before you arrive for your visit, please remove all makeup and be prepared to have the treatment area photographed. Come hydrated and refrain from drinking alcohol 48 hours prior to your first injection. Botox, Xeomin and Dysport can take seven to fourteen days to produce visible results. In your Masseter Botox migraine treatment series you can expect two appointments:

At your first appointment, you will have your consultation with your Botox provider (Book your free consultation with Skincare and Moore here). Your professional injectionist will examine your jawline and discuss your reason for wanting the procedure. They will also thoroughly examine your medical history to see if an underlying condition may prevent you from getting Botox.

During your treatment appointment, your provider will begin by cleaning your skin. They will mark the area between your cheekbone and your lower jawbone on both sides at the location of the masseter muscle. The treatment itself lasts only a few minutes, during which they will inject Botox into the target muscle. The amount of Botox depends on the size of the masseters and the issue being treated.

After the injections, the marks will be removed and your professional injectionist will go over aftercare instructions and any questions you may have.

What are the potential side effects of Masseter Botox?

Some individuals experience mild side effects such as bruising and tenderness at or around the injection site, which typically fades within a few days after the treatment. [Source:] Small bumps at the injection sites are common and usually fade within 20-40 minutes. Migration of Botox has been experienced by some individuals, and if you metabolize Botox quickly, you may require more frequent touch ups. The overuse of Botox can result in laxity and cause drooping of the muscle. At Skincare & Moore, we understand that each person is unique and we provide you with a thorough consultation prior to providing Botox services.

Masseter Botox Aftercare

In order to optimize the results of your Botox treatment, you must create an appropriate healing environment. The treatment area must be kept clean and left alone in order to avoid unnecessary contamination, therefore avoid touching, rubbing, or applying pressure to the treatment site. Keeping the area free of makeup for twenty-four hours after treatment will also ensure the site remains clean. Though there is no downtime associated with most Botox injections, it is best to refrain from exercise and excessive sun exposure following treatment. Botox requires at least twenty-four hours to settle, so in that time it is best to avoid other skin treatments such as massages, scrubs, and dermal fillers. If you find yourself with any questions or concerns in the days following your treatment, contact us immediately.

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Do’s and Don’ts after Masseter Botox injections:


  • Sleep on your back for the next 48 hours to avoid Botox migration.
  • Leave the injection site alone
  • Stay upright for three hours after the injection
  • Drink plenty of water
  • Call us if you have any concerns about your Botox treatment
  • You may shower and do most other regular daily activities.


  • Do not lie down in the first three hours after a Botox injection
  • No alcohol for 24 hours after the treatment
  • No touching, rubbing or manipulating the injection area for 24 hours after the treatment
  • No straining, heavy lifting, or vigorous exercise for 24 hours. It takes the toxin two hours to bind itself to the nerve which relaxes facial lines. We also do not want to increase circulation to the area or “migrate” the Xeomen/Botox to an undesirable area. Potential migration side effects are most commonly over-relaxation of a muscle, eye drooping, loose mouth, or double vision.
  • Do not sleep on your side or face towards the pillow for 48 hours.
  • Avoid manipulation of injection sites for 24 hours. You will be shown how to care for your injected area. When touching the face, use a soft, gentle touch.
  • No facials, dermabrasions, peels, radio-frequency, light therapy, excessive sun or facial manipulation for 2-3 weeks.
  • Don’t take Advil, Vitamin E, Ginger, Ginkgo, Biloba, Ginseng, and Garlic (supplement) for 2 weeks since this may increase the risk of bruising.

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Looking For A Masseter Botox Provider?

Booking a consultation at Skincare and Moore is an excellent first step, as we will be able to sit down one-on-one with you and provide details and guidance for your unique, personal circumstances. Our team has over thirty years of combined professional experience, an extensive knowledge base, and expertise in both the visual and medical components of aesthetics. In addition to beautiful results, our clients receive valuable education on treatment plans and aftercare instructions, and can turn to our dedicated team at any time with questions or concerns.
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Ready to take your frist step? Book your free consult Here Book your appointment or call us at 1(720) 503 – 1100