What should I do if one side of the jaw muscle (masseter) on my face is larger than the other?

Oct 16, 2024 Source: Cainiu Health
Dr. Han Xuefeng
Introduction
One side of the jaw muscle (masseter) is larger than the other. Daily, you can gently massage the face to promote blood circulation and improve muscle condition. Avoid chewing food predominantly with one side of the teeth to prevent worsening asymmetry of the jaw muscles. If the asymmetry significantly affects facial appearance, it is advisable to visit a professional medical facility for cosmetic treatments to improve the condition.

For facial asymmetry caused by uneven masseter muscles (one side larger than the other), regular massage of the face may help promote blood circulation and improve muscle condition. Avoid consistently chewing food on one side of the mouth to prevent worsening of the asymmetry. If the asymmetry significantly affects facial appearance, medical aesthetic treatments such as botulinum toxin type A injections, autologous fat grafting, radiofrequency skin tightening, semiconductor laser lipolysis, or surgical resection can be considered at professional medical institutions.

Analysis of treatment options for facial asymmetry due to uneven masseter muscles:

Treatment

Botulinum Toxin Type A Injection

Autologous Fat Grafting

Radiofrequency Skin Tightening

Semiconductor Laser Lipolysis

Surgical Resection

Mechanism

Blocks the release of acetylcholine at the neuromuscular junction, causing the masseter muscle to gradually relax and atrophy

Fat is harvested from another part of the body, processed, and then injected into the cheek area on the side with the smaller masseter muscle

Uses thermal energy generated by radiofrequency to target the larger masseter side and surrounding tissues, stimulating collagen contraction and regeneration

Laser light of specific wavelengths targets the larger masseter side, rupturing fat cells and promoting their metabolic elimination, while providing mild thermal stimulation to the masseter tissue

An incision is made inside the mouth to directly remove part of the enlarged masseter muscle on the affected side

Indications

Facial asymmetry due to masseter muscle hypertrophy

Masseter asymmetry accompanied by cheek hollowing on one side

Masseter asymmetry with mild skin laxity

Masseter asymmetry with localized fat accumulation

Severe masseter asymmetry

Reference Cost

1,000–3,000 RMB per session

8,000–25,000 RMB per session

5,000–15,000 RMB per session

8,000–20,000 RMB per session

15,000–35,000 RMB per session

Advantages

Simple and convenient procedure

Improves overall facial contour harmony

Simultaneously enhances skin firmness

Reduces fat and shrinks the masseter muscle simultaneously

Pronounced improvement in masseter hypertrophy

Potential Risks

Local swelling, pain, bruising, etc.

Fat liquefaction, infection, nodules, etc.

Skin redness, pain, burning sensation, etc.

Skin redness, itching, pigmentation, etc.

Bleeding, infection, nerve injury, facial asymmetry, etc.

Duration of Effect

4–6 months

Long-lasting

1–2 years

2–3 years

Long-lasting

 Before undergoing any medical aesthetic treatment for uneven masseter muscles, it is recommended to consult a qualified physician to develop a personalized treatment plan.