Dr. Xu's Real Cases: Masseter Hypertrophy Treatment
The following four cases were personally assessed and treated by Dr. Dan Xu at our Toronto Markham clinic and are shared with written Media Release Form authorization. Because masseter hypertrophy has varied underlying causes — habitual clenching, bruxism, genetics, or prior over-injection — individual responses differ significantly. Actual results depend on your personal assessment at consultation.


Case 1 · Real Masseter Hypertrophy Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- BTL Exilis Ultra 360 + neurotoxin jaw slimming / masseter reduction + dermal filler + jawline lifting (multiple sessions within 3 months)
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- 9-12 months later for filler top-up
Case 01: Masseter hypertrophy — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Real Masseter Hypertrophy Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- Botox® + masseter reduction / face-slimming injections + Dysport® + Xeomin® and 6 additional items (multiple sessions within 3 months) — 9 items total
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- Botox Masseter + buccal fat pad management
Case 01: Masseter hypertrophy — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Masseter Hypertrophy — Real Patient Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting + 15 additional treatments (multiple sessions within 3 months) — 17 items total
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly clinical assessment
Case 06: Masseter Hypertrophy Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol · Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham

















































