Dr. Matthew Innes · Board-Certified Dermatologist · TheFrugalDerm.com

Botox for Medical Indications
Masseter · TMJ · Migraine & Headache

Therapeutic neurotoxin treatment for jaw clenching, bruxism, TMJ pain, and chronic headache

Nurse line: 801-776-7129  ·  After hours (Dr. Innes): 801-414-8443  ·  Website: thefrugalderm.com

Where Is My Procedure?

Dr. Innes performs procedures at three locations. We will have confirmed your specific location verbally at your appointment. If you're unsure, text us before you come.

Location 1
Tanner Clinic
Same office as your consultation. No new directions needed.
Same place as your visit
Location 2
Transcend Total Body Rejuvenation
1649 Antelope Dr., Suite 200
Layton, UT 84041
In Katie's Place, across from Holy Cross Hospital on Antelope Drive. 2nd floor — Suite 200.
2nd floor — Suite 200
Location 3
Vive Wellness & Aesthetics
836 S. Angel Street, Suite 100
Layton, UT 84041
Corner of Layton Pkwy & Angel St. Enter Central Davis Dental, tell them you're here for Vive — they'll direct you downstairs.
Basement level — Suite 100
Not sure which location? Text 801-776-7129 and we'll confirm.

Pricing

$11/unit
Medical indications rate — intentionally accessible.
Dr. Innes is a headache and TMJ pain sufferer himself. Because these treatments typically require more units than cosmetic injections, he prices this at $11/unit to make it accessible to patients who are genuinely suffering and could benefit. Botox Bank credits apply at this same rate.
💪
Masseter Treatment
Jaw slimming · Teeth grinding (bruxism) · TMJ pain · Jaw tension

The masseter is the large chewing muscle on either side of the jaw. Injecting neurotoxin here is one of the most versatile and underutilized treatments we offer — and one of the most satisfying for patients who have struggled with jaw-related symptoms for years.

What It Treats

  • Teeth grinding and clenching (bruxism) — reduces muscle activity so you're not waking up with jaw soreness, headaches, or wearing down your teeth
  • Jaw slimming — a hypertrophic (enlarged) masseter creates a boxy, square jawline. Relaxing it over several treatments gradually slims the lower face and creates a softer, more oval facial contour
  • TMJ pain and jaw tension — many patients report significant relief from chronic jaw discomfort

What to Expect

  • Requires 10–50 units per side (20–100 units total) — the exact amount depends on muscle size and treatment goals
  • Results for clenching and grinding often noticed within 1–2 weeks
  • Results for jaw slimming develop slowly over 4–8 weeks as the muscle gradually atrophies — full effect may take 2–3 treatment cycles
  • Duration is typically 4–6 months — slightly longer than cosmetic areas because the masseter is such a large, active muscle

Before & After

Before Your Appointment
  • Clean face — no makeup or skincare on the jaw area
  • Let us know if you take blood thinners or fish oil/vitamin E
  • Avoid alcohol for 24 hours before if possible
After Your Appointment
  • Stay upright for 4 hours
  • Avoid vigorous chewing (tough foods, gum) for 24 hours
  • Avoid rubbing or massaging the injection sites
  • Avoid strenuous exercise the day of treatment
  • Tenderness and firmness in the jaw for 1–2 days is normal
🧠
Migraine, Tension Headache & Head/Neck Pain
Off-label therapeutic use · Abbreviated targeted protocol · $11/unit
⚠ Important Note on Insurance

Insurance will not cover Botox for migraine when performed by a dermatologist. If insurance coverage is your priority, you should see a neurologist or pain management specialist who can bill and document this appropriately. Dr. Innes is happy to refer you in that direction if that's the right path for you.

For patients who want to pursue this out of pocket — whether because they don't meet insurance criteria, prefer not to navigate that process, or simply want to get started sooner — Dr. Innes offers it at $11/unit.

Dr. Innes' Approach — Abbreviated, Targeted Treatment

The standard FDA-approved migraine protocol involves injecting approximately 155 units across 31 fixed sites around the head, neck, and shoulders. Dr. Innes takes a different approach.

In his experience, a significantly abbreviated treatment targeting your specific problem areas often produces meaningful improvement — without the cost, time, and needle pokes of the full protocol. Rather than following a fixed map, Dr. Innes will evaluate where your headaches originate, where you carry tension, and what your primary symptoms are, and prioritize those areas first.

If your initial treatment helps but you want more coverage, there's no reason you can't return for additional units or locations. The goal is to find the minimum effective treatment for your situation — not to follow a protocol for its own sake.

How It Works

Small doses of neurotoxin are injected across targeted sites in the forehead, temples, scalp, back of the head, neck, and/or upper shoulders — interrupting the pain signaling pathways and muscle tension patterns involved in headache generation.

What to Expect

  • Treatment is tailored to your symptoms — units and sites vary by individual
  • Improvement often begins within 1–2 weeks of the first session
  • Results typically build over 1–3 treatment sessions
  • Treatments are typically repeated every 10–12 weeks
  • If the initial treatment helps but doesn't fully address your symptoms, Dr. Innes can expand coverage at your next visit

Before & After

Before Your Appointment
  • Clean skin on the scalp, forehead, neck, and shoulders
  • Let us know if you take blood thinners or fish oil/vitamin E
  • Avoid alcohol for 24 hours before if possible
  • Be ready to describe where your headaches start, where you carry tension, and your typical headache pattern — this guides treatment planning
After Your Appointment
  • Stay upright for 4 hours after treatment
  • Avoid rubbing or massaging any injection sites
  • Avoid strenuous exercise the day of treatment
  • Mild soreness at injection sites for 1–2 days is normal
  • Most patients can return to normal activities immediately

When to Contact Us

💬 Routine Questions & Scheduling

Text 801-776-7129 during business hours.

⚠ After-Hours Concerns

Text Dr. Innes directly: 801-414-8443

Seek Emergency Care If You Experience:
  • Difficulty swallowing or breathing — very rare; call 911
  • Significant weakness or drooping well beyond the treated area
  • Any concern that doesn't feel right
Effective relief where you need it most — less tension, more living.

Questions? Text 801-776-7129  ·  After hours: 801-414-8443

Schedule online at thefrugalderm.com

Dr. Matthew Innes · Board-Certified Dermatologist · @thefrugalderm