Dr. Clara Yu
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To promote health and beauty.
Happy Father’s Day to the best daddy ever!
Paradoxical masseter muscle hypertrophy (PMMH) 1-2 weeks after Botox to masseters.
Why it happens
1. Partial denervation
• Botox weakens some fibers, but not all
• Remaining fibers overcompensate → hypertrophy
2. Uneven injection pattern
• Deep vs superficial imbalance
• Missed posterior or inferior fibers
3. Dose too low for muscle size
• Common in strong bruxers / square jaw patients
4. Anatomy variability
• Masseter has multiple compartments
• If only one layer is treated → others enlarge
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How to fix it
1. Touch-up Botox
• Inject the bulging segment specifically
• Usually:
• 5–15 units per side (targeted)
• Focus on deep + superficial layers of the bulge
• Improvement seen in 2–4 weeks
03/27/2026
Wow what a difference a year makes. Such a big boy 👦
12/26/2025
Merry Christmas 🎄 and Happy Holidays 🎉
12/10/2025
Who needs a professional photo shoot when we have AI 😂
My heart ❤️ my love 💕 my everything 🌎
10/13/2025
It’s scary 😱 how time flies! This is 2 years apart. As much as I love his face now I miss his baby face 👶
08/14/2025
Happy Anniversary to the best partner anyone could ask for! 🎉💕😘 Excited for our next adventure 🫶
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Long Beach, CA
90802
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