
TMJ / Masseter Tox Treatment
Relieve Jaw Tension & Slim the Jawline with Precision Neuromodulator Injections
- ExpertiseTop 1%Injector in the country
- ExperienceOver 11,000Patients treated
- Excellence590+Five star reviews
Why Choose Dr. Avaliani for TMJ / Masseter Tox?
Jaw clenching, teeth grinding, and TMJ pain are incredibly common, and often undertreated. At the same time, an overactive masseter muscle can create a wide, square jawline that many patients wish to slim. Dr. Avaliani uses precise neuromodulator injections (BOTOX, Dysport, or Daxxify) to address both the functional discomfort and cosmetic concern in a single quick treatment.
Jaw Anatomy Expertise
Deep understanding of masseter muscle anatomy: Dr. Avaliani precisely targets the muscle belly while avoiding surrounding structures for safe, effective results
Board-Certified Physician
11+ years of aesthetic medicine experience with thousands of neuromodulator treatments performed: every injection protocol is designed and supervised by Dr. Avaliani
Dual-Benefit Treatment
Relieve TMJ pain, jaw tension, and teeth grinding while simultaneously achieving a slimmer, more contoured jawline, two goals addressed in one session
A Reputation Built on Results
5.0-star rating with 565+ verified patient reviews and a proven track record of successful TMJ and jawline slimming treatments
Personalized Approach
Personalized dosing based on your masseter muscle size, severity of symptoms, and aesthetic goals, never a one-size-fits-all approach Dr. Avaliani will evaluate your jaw, assess masseter muscle activity and thickness, and design a personalized treatment plan that addresses both your functional symptoms and cosmetic goals.
What Is TMJ / Masseter Tox?
TMJ / Masseter Tox is a non-surgical treatment in which a neuromodulator (BOTOX, Dysport, or Daxxify) is injected directly into the masseter muscles, the powerful jaw muscles responsible for chewing, clenching, and grinding. By relaxing these overactive muscles, the treatment relieves TMJ pain, reduces teeth grinding (bruxism), eases chronic jaw tension and headaches, and creates a slimmer, more contoured jawline.
At Dr. Avaliani’s practice, every TMJ / Masseter Tox session is performed with expert precision. The neuromodulator is injected directly into the masseter muscle at carefully mapped points using small needles. Over the following 2-4 weeks, the muscle gradually relaxes and reduces in size, alleviating jaw pain while refining the lower face contour.
How TMJ / Masseter Tox Works
The treatment follows a precise, well-established protocol:
- Dr. Avaliani evaluates your jaw, assesses masseter muscle size and activity, and maps injection points
- The neuromodulator (BOTOX, Dysport, or Daxxify) is injected into the masseter muscle at multiple precise points
- The neuromodulator blocks nerve signals to the masseter, causing the overactive muscle to gradually relax
- Over 2-4 weeks, the masseter muscle softens and shrinks, relieving tension and slimming the jawline
- Results last 3-6 months, and maintenance treatments help sustain both therapeutic relief and cosmetic improvement
Conditions We Treat
TMJ Pain & Jaw Tension
Chronic pain, soreness, and tightness in the temporomandibular joint (TMJ) caused by an overworked masseter muscle. Neuromodulator injections relax the muscle, reducing pressure on the joint and relieving persistent jaw discomfort.
Teeth Grinding (Bruxism)
Involuntary clenching and grinding of teeth, especially during sleep, that causes tooth wear, jaw soreness, and headaches. Masseter Tox reduces the force of grinding by relaxing the muscle, protecting your teeth and jaw.
Square or Wide Jawline
An enlarged masseter muscle creates a square, wide, or masculine-appearing jawline. Neuromodulator injections gradually slim the muscle, producing a softer, more tapered, V-shaped facial contour.
Jaw Clenching & Headaches
Habitual jaw clenching puts excessive strain on the TMJ and surrounding muscles, often triggering tension headaches and migraines. Masseter Tox breaks the cycle by preventing the muscle from clenching with full force.
Facial Slimming
Patients seeking a slimmer, more refined lower face without surgery. Masseter Tox is one of the most effective non-surgical facial slimming treatments available, creating a more elegant and balanced facial profile.
Masseter Hypertrophy
An abnormally enlarged masseter muscle caused by chronic clenching, grinding, or heavy gum chewing. Neuromodulator injections reduce the muscle’s size over time, restoring a natural facial proportion and relieving associated discomfort.
Our TMJ / Masseter Tox Options
Dr. Avaliani offers multiple FDA-approved neuromodulators for TMJ and masseter treatment. Here’s what makes each option unique:
BOTOX®
The gold standard neuromodulator for masseter reduction and TMJ relief. BOTOX (onabotulinumtoxinA) has the longest track record and widest clinical evidence for jaw muscle relaxation. Results typically appear within 1-2 weeks and last 3-4 months. Ideal for first-time patients and those seeking a proven, reliable option.
Dysport®
A fast-acting neuromodulator (abobotulinumtoxinA) that can produce noticeable jaw relaxation within days. Dysport spreads slightly more than BOTOX, which can be advantageous for larger masseter muscles. Results last 3-4 months. An excellent choice for patients who want quicker onset of relief.
Daxxify®
The newest FDA-approved neuromodulator (daxibotulinumtoxinA-lanm) offering significantly longer duration: results can last up to 6 months or more. Daxxify uses a novel peptide stabilizer instead of human albumin. Ideal for patients who want fewer maintenance visits per year.
Call us today to schedule your TMJ / Masseter Tox consultation with Dr. Avaliani and take the first step toward a pain-free, slimmer jawline!
Does It Hurt?
Your comfort options (we tailor this to you)
TMJ / Masseter Tox is very well tolerated. Dr. Avaliani uses small, fine-gauge needles to inject the neuromodulator directly into the masseter muscle. Most patients feel only slight pressure or a mild pinching sensation. The entire treatment takes approximately 10-15 minutes. Results develop gradually over 2-4 weeks as the muscle relaxes, and effects last 3-6 months.
There is virtually no downtime after masseter Tox injections. You can return to all normal activities immediately. Minor tenderness at the injection site may last a few hours. Dr. Avaliani recommends avoiding rubbing or massaging the jaw area for 24 hours to prevent the product from migrating. Most patients notice jaw tension relief within the first week.
Feel Calm. Stay in Control. Look Amazing.
Learn about your comfort options ›- Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
- Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
- No downtimeWalk out feeling great and drive yourself home. No recovery time required.
Is TMJ / Masseter Tox Right for Me?
Ideal Candidates
You may be a good candidate if you:
- Experience chronic jaw pain, TMJ discomfort, or temporomandibular joint dysfunction
- Grind your teeth (bruxism) during sleep or clench your jaw during the day
- Want a slimmer, more contoured jawline without surgery or downtime
- Suffer from tension headaches or migraines triggered by jaw clenching
- Have masseter hypertrophy causing a wide or square lower face
- Want a quick, non-surgical treatment that addresses both pain relief and cosmetic improvement
What Does TMJ / Masseter Tox Cost?
Pricing Information
The cost of TMJ / Masseter Tox depends on the neuromodulator selected, the number of units required, and the severity of the masseter hypertrophy. Price Range: Typically 25-50 units per side, depending on muscle size and treatment goals During your consultation, Dr. Avaliani will evaluate your masseter muscles, discuss both your functional symptoms and aesthetic goals, and recommend the ideal neuromodulator with transparent pricing. Many patients notice significant improvement after a single treatment, with optimal results after 2-3 sessions.
View before & after gallery
Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.
Before and after imagery to be added for this treatment.
TMJ / Masseter Tox Treatment frequently asked questions
What is TMJ / Masseter Tox?
TMJ / Masseter Tox is a non-surgical treatment in which a neuromodulator such as BOTOX, Dysport, or Daxxify is injected into the masseter muscles to relax them. This relieves jaw clenching, teeth grinding, TMJ pain, and tension headaches while simultaneously slimming the lower face for a more contoured jawline.
How does masseter Tox slim the jawline?
The masseter is a thick, powerful muscle that can become enlarged from chronic clenching or grinding. When the neuromodulator relaxes this muscle, it gradually decreases in size over several weeks. As the muscle shrinks, the jawline appears slimmer and more tapered, creating a softer, V-shaped facial contour.
How many units are typically needed?
Most patients require 25 to 50 units per side, depending on the size and strength of the masseter muscle. Dr. Avaliani carefully assesses each patient’s anatomy during consultation and recommends a precise dosage tailored to their specific needs and goals.
How long do results last?
Results from BOTOX and Dysport typically last 3 to 4 months. Daxxify can last up to 6 months or longer. With regular maintenance treatments, many patients find that the masseter muscle gradually becomes smaller over time, allowing longer intervals between sessions.
Will masseter Tox affect my ability to chew?
No. Dr. Avaliani uses precise dosing that relaxes the overactive portion of the masseter muscle without affecting normal chewing function. You will still be able to eat, speak, and smile normally. The goal is to reduce excessive clenching force, not eliminate normal jaw movement.
Can masseter Tox help with bruxism?
Yes. Masseter Tox is one of the most effective treatments for bruxism (teeth grinding). By relaxing the masseter muscle, the treatment significantly reduces the force and frequency of grinding, protecting your teeth from wear and reducing associated jaw soreness and headaches.
Is the treatment painful?
Most patients describe the treatment as very comfortable. Dr. Avaliani uses small, fine-gauge needles, and the injections take only a few minutes. You may feel slight pressure or a brief pinch at each injection point. No topical anesthetic is typically needed, though it can be applied if preferred.
How soon will I notice results?
Jaw tension relief often begins within the first week as the muscle starts to relax. Visible jawline slimming develops more gradually over 2 to 4 weeks as the muscle decreases in size. Maximum results are typically visible at the 4 to 6 week mark.
Are there any side effects?
Side effects are minimal. You may experience mild tenderness, slight swelling, or small bruising at the injection sites, which resolve within a day or two. Serious side effects are extremely rare when the treatment is performed by an experienced physician like Dr. Avaliani.
Who is not a good candidate for masseter Tox?
Patients who are pregnant or nursing, have a known allergy to botulinum toxin products, or have a neuromuscular disorder such as myasthenia gravis should not receive this treatment. Dr. Avaliani will review your medical history during consultation to ensure you are a safe candidate.
Luxury treatments. Flexible payment options.
Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.




