Step-by-step: What happens during a masseter slimming session

By Dr. Aaron Stanes

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Masseter slimming is often described as a quick, low-downtime treatment — but for patients, the most common source of concern is not the result, it’s the process itself. What actually happens during the appointment? How is the jaw assessed? What does the treatment feel like? And how do clinicians decide how much to treat? Or if treatment is even reasonable?

This guide walks through a masseter slimming session step by step, from consultation to aftercare, so you know exactly what to expect and why each stage matters.

Step 1: Consultation and assessment

Every masseter slimming session should begin with a clinical consultation, not the injections themselves. This is where suitability, safety, and outcomes are determined.

Your clinician will assess both function and structure of the masseter muscles, because masseter slimming affects a muscle that plays a key role in chewing, clenching, and facial balance.

This assessment typically includes:

  • Feeling the masseter muscle at rest and while clenching
  • Assessing muscle size, symmetry, and thickness
  • Looking at facial proportions, jawline support, and skin quality
  • Discussing symptoms such as jaw tension, teeth grinding, or TMJ discomfort
  • Clarifying whether your goal is functional relief, aesthetic slimming, or both

This step is critical. Not everyone with a wide lower face benefits from masseter slimming, and not all facial fullness is muscle-related. A thorough assessment helps avoid over-treatment, imbalance, unnecessary treatment, or poor outcomes.

After suitability is determined, the clinician will explain to you how masseter slimming treatments work.

Step 2: Treatment planning and dosing strategy

Once suitability is confirmed, your clinician will plan the treatment approach. Masseter slimming is not a one-size-fits-all procedure.

Key decisions are made based on the following factors:

  • How strong each masseter muscle is
  • Whether both sides require equal treatment
  • Whether a conservative, staged approach is more appropriate
  • How the treatment may affect jawline support and lower-face balance

In many cases, clinicians start conservatively, especially for first-time patients. Gradual change produces more natural results and allows muscle response to be assessed before further treatment.

This planning stage is one of the biggest differences between safe, refined masseter slimming and outcomes people later describe as “facial slimming gone wrong”.

Step 3: Preparing for treatment

Before treatment begins, the skin over the jaw area is cleaned thoroughly. Injection points are identified based on your individual muscle anatomy rather than fixed landmarks.

Most patients do not require numbing, as masseter slimming doesn’t cause much discomfort. However, comfort options can be discussed if you are particularly sensitive or anxious.

At this point, your clinician may ask you to clench your teeth again to clearly identify the active muscle borders and ensure accurate placement.

Step 4: The treatment process

The treatment itself is relatively quick, usually taking only a few minutes once preparation is complete.

Small, precise injections are placed directly into the masseter muscle. The sensation is commonly described as:

  • A brief pressure or pinch
  • Mild aching that settles quickly
  • A feeling of fullness or heaviness that fades over hours

Most people are surprised by how manageable the treatment feels. There is no cutting, no stitches, and no disruption to surrounding facial structures.

Immediately after treatment, the area may feel tender or slightly tight, but this is temporary.

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Step 5: Immediate post-treatment checks

After the injections, your clinician will:

  • Clean the skin
  • Explain what sensations are normal in the coming days
  • Outline when results are expected to begin

You’ll be able to speak, smile, and move your jaw normally before leaving the clinic.

Step 6: Aftercare guidance before you leave

Masseter slimming requires very little downtime, but early aftercare helps ensure even muscle relaxation.

You’ll usually be advised to:

  • Avoid massaging or manipulating the jaw area initially
  • Refrain from alcohol and makeup for 24 hours

Most people return to work or daily activities immediately.

Following the post-treatment care instructions helps reduce the chance of side effects, and optimise your results.

Step 7: What happens over the following weeks

Masseter slimming does not work instantly. Results emerge gradually over the following weeks. Understanding what to expect after masseter slimming helps set realistic expectations.

In the first few days, you may notice mild jaw fatigue or tenderness, particularly when eating firmer foods. This settles as the muscle begins to relax.

Over the following weeks:

  • Jaw tension often reduces first
  • Clenching feels weaker or less frequent
  • Gradual slimming of the lower face may become noticeable over 4 weeks

Visible changes are subtle and progressive. The functional improvement is felt before aesthetic changes are seen.

Step 8: Review and follow-up

A follow-up appointment may be recommended to assess response, particularly if:

  • You had very large masseter muscles
  • Conservative dosing was used initially

Further treatment is planned based on how your muscles responded, and your particular concerns and goals, with most people scheduling repeat sessions every 3-6 months.

Want to know more about masseter & facial slimming?

Learn more about facial slimming treatments in our complete facial slimming treatment guide.

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