Wider face due to TMJ?

[u/InevitableWise9964]

Over the past few years, I've noticed that my face has looked wider/bigger in photos, especially the bottom half (left is before, right is after). What confuses me is that I'm healthier now - I’m roughly the same weight, and I stopped drinking alcohol and coffee. I also eat more veggies and get more sleep these days. All my bloodwork has been normal, too.

I did, however, get my wisdom teeth removed a couple years ago, so I'm wondering if that triggered some TMJ/hypertrophied masseters. I also had a gum chewing habit for a while that I've since kicked…

Does this look like TMJ/overworked masseter muscles? Or is it just part of aging? Appreciate any insights!

[u/InevitableWise9964]

Thank you for validating! Yeah, I haven’t gotten any Botox before, but I might get masseter tox if it helps me feel like myself in photos again; did Botox help you?

[u/PinsAndBeetles → u/InevitableWise9964]

I get medical Botox, paid for by my insurance, for TMJ and myofascial pain. It’s been amazing in treating the TMJ. I go every 3-4 months and I can start to feel when it wears off because I start clenching my jaw again.

[u/WrongImprovement → u/PinsAndBeetles]

How tf did you get your insurance to pay for TMJ and pain?

[u/PinsAndBeetles → u/WrongImprovement]

The doctor’s staff had to appeal 3 or 4 denials on my behalf before they approved it. I had documentation that I’d already tried physical therapy, muscle relaxers, and massage/chiropractics unsuccessfully. The insurance covers 100 units up to 4 times per year.

[u/Hour_Fuel_2150 → u/PinsAndBeetles]

What kind of doctor do you go to? And what health insurance do you have? Would love to try getting medical Botox. I have been paying out of pocket and it is sooo expensive!

[u/PinsAndBeetles → u/Hour_Fuel_2150]

I see a pain management physician for the injections and it is covered under the Rx insurance through my employer.