Dr. Anand says that because of this, some patients may need “a one-and-a-half-inch needle to get to the muscle bulk in this area, especially with male patients and really wide patients.”
This is compared to the usual 13 mm needle.
While most injectors concentrate exclusively on the masseter, she says not to overlook the parotid gland.
“[The parotid gland] also contributes to the swelling in this area, especially in male patients in their 40s,” she says, noting that it is imperative to ensure injections in this area are extremely superficial.
In her practice, she does this procedure every two to three months to get the best results.
“If you keep dosing the muscle and you keep debulking the muscle constantly, the muscles stay debulked for a longer span of time,” she says. “That way you need less frequent injections and less dosing.”
In just four weeks, Dr. Anand says that patient will see a noticeably slimmer facial shape.
“The results are amazing, and your patients are going to love you forever,” she says.
Firestein GS, Budd R, Gabriel SE et al. Kelley and Firestein's Textbook of Rheumatology (Tenth Edition) E-Book. Elsevier Health Sciences; 2017. Pages 756-767.