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Medical condition · Chadds Ford | Glen Mills, PA

EmFace and Botox for TMJ pain and jaw tension.

Chronic jaw tension, TMJ disorder, and bruxism (teeth grinding) respond well to a combination approach: Botox to relax the overactive masseter muscle, and EmFace to rebalance the muscles around the jaw joint. Many patients see significant relief within weeks.

How the treatment works

The mechanism — plain language.

The masseter muscle is the primary chewing muscle. In patients with chronic jaw tension, TMJ disorder, or nighttime grinding, the masseter becomes overactive — leading to jaw pain, headaches, and over time, a wider lower-face shape.

Botox injected into the masseter weakens the muscle’s overactivity. The muscle still functions for normal chewing, but the chronic clenching is reduced. Most patients report relief within 2 weeks.

EmFace uses synchronized muscle stimulation and radiofrequency to rebalance the muscles around the jaw joint. It supplements the Botox effect with targeted muscle re-education.

The two treatments are complementary. We typically start with Botox masseter relief and add EmFace to extend and maintain the result.

Clinical evidence

What the research shows.

Multiple clinical studies have demonstrated Botox masseter injection as effective for TMJ disorder and bruxism, with significant reduction in jaw pain reported by patients across multiple trials. EmFace specifically targets the jaw-area muscles with a treatment protocol that is well-tolerated and has shown clinical benefit in published case series.

Is this right for you?

Who qualifies.

  • Chronic jaw pain or tension
  • Diagnosed TMJ disorder or signs of bruxism (worn teeth, morning jaw pain, headaches)
  • Failed conservative treatment with night guards or over-the-counter pain management
  • Wider lower face shape from chronic masseter overactivity (often patients seek this for both function and aesthetics)

Not the right approach if:

You have active neuromuscular conditions, you’re pregnant or breastfeeding, you have severe TMJ damage that requires surgical evaluation, or your jaw pain has a different identifiable cause (dental misalignment, sinus infection, etc.) we’d want addressed first.

Medical oversight

Reviewed and supervised
by a board-certified plastic surgeon.

This is medical care — not cosmetic. Every plan at Contoured is reviewed and approved by Dr. Benjamin Lam, DO, a board-certified plastic surgeon and clinical associate professor at PCOM. That oversight isn’t standard at most medspas. It is here.

Dr. Benjamin Lam, medical director Medical Director · Plastic Surgeon

Dr. Benjamin Lam, DO

Board-certified plastic and reconstructive surgeon. Past-President of the Plastic & Reconstructive Surgery Section of the American College of Osteopathic Surgeons. Director of the Plastic & Reconstructive Surgery Fellowship at the Philadelphia College of Osteopathic Medicine.

Read Dr. Lam’s full bio →

Amy Litz, founder and owner Founder · Lead Provider

Amy Litz

Twenty years inside the injectable and body-contouring industry — first as a sales rep and CoolSculpting trainer, now as the lead provider at Contoured. Personally performs the majority of medical-application treatments under Dr. Lam’s oversight.

Read Amy’s full story →

Common questions

What patients ask before starting.

Will Botox in my jaw change how my face looks?
Over months, yes — slightly. The masseter muscle softens with repeated treatment, which slims the lower face. Most patients find this is a welcome side effect (cosmetic jaw-slimming is itself a popular Botox use). If you don’t want any facial-slimming effect, we use a lower dose and discuss expectations upfront.
How quickly will my jaw pain improve?
Most patients report meaningful reduction in jaw tension within 1–2 weeks of Botox masseter injection. EmFace effects build over a 4-session series with full result at 3 months.
Can I still chew normally?
Yes. The dose is calibrated to reduce overactivity, not eliminate normal function. You may feel some chewing fatigue for 1–2 weeks while the muscle adjusts.
Will this stop my nighttime teeth grinding?
Botox masseter significantly reduces bruxism for most patients. Many report fewer mornings of jaw pain and reduced wear on dental work. We typically recommend continuing with your night guard during this — the combination is often what delivers the most lasting relief.
Is this covered by insurance?
Botox for TMJ/bruxism is off-label and typically not covered by medical insurance. The treatment is generally self-pay. We provide written pricing at consult.
Does Dr. Lam supervise this?
Yes. Both Botox masseter and EmFace treatments for TMJ are reviewed and approved by Dr. Lam before any injection.
Treatment used for this

The clinical pathway.

Physician-supervised. Conservative. Reviewed.

Ready to discuss treatment?

Text us or call. Every first visit is a free 30-minute consultation where we evaluate whether this treatment is right for your specific case.

Text us Schedule online Or call (610) 787-9154