What does masseter Botox cost?
The chewing muscle is the strongest muscle in the face – and needs correspondingly more botulinum toxin. What that costs and how intervals lengthen over time.
Masseter Botox for teeth grinding or a slimmer face in Essen: from €400 at VIVA DERM, billed under the GOÄ.
How the price is formed.
Why the price is higher: each side usually needs 20 to 40 units, two to three times as much as a wrinkle zone. Over time the intervals often lengthen because the muscle shrinks – in the second year two treatments are enough for many. The bite splint remains sensible for tooth protection and is an insured service.
How the price is formed: VIVA DERM is a private practice; every service is billed under the German medical fee schedule (GOÄ). The invoice lists codes for consultation, examination and injection plus the material costs – the product and the amount used. Flat rates or package prices are not permitted for medical services; hence all figures here are 'from' prices.
What the price includes: the medical examination and consent talk, the treatment itself by the physician, anaesthesia (numbing cream if needed), aftercare information and the check-up after about two weeks. Not included is additional material if more is needed along the way – that is discussed beforehand.
Why 'cheaper' is rarely cheaper: offers far below market level usually mean less product, unknown preparations or treatment without a physician. Discount campaigns and vouchers for medical treatments are impermissible under German advertising law. A reputable price names product and amount – and includes the check-up.
Insurance and tax: aesthetic treatments are self-pay services; neither statutory nor private insurers cover them. You receive a GOÄ invoice, payment by card or bank transfer. We deliberately do not offer instalments – a treatment should be affordable without debt.
Guide prices under the GOÄ.
| Service | Guide price | Note |
|---|---|---|
| Masseter both sides | from €400 | bruxism or face shape |
| Follow-up after 4–6 months | from €400 | often longer intervals over time |
| Per year | about €800–1,200 | 2–3 treatments in the first year |
| Combined with a wrinkle zone | + from €190 | |
| Check-up | included | |
| Consultation without treatment | €50 | credited |
All figures are guide prices ('from'). Invoicing follows the German medical fee schedule (GOÄ) individually; the actual amount depends on findings, amount and effort and is stated in writing before treatment. Consultation without treatment: €50, credited against a treatment.
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Important note.
This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.
Frequently asked questions.
Does insurance pay for masseter Botox?
Generally not; the treatment is off-label and self-pay. The bite splint, by contrast, is covered by insurers.
Does it get cheaper over time?
Not per treatment, but the gaps often get longer – so yearly costs fall.
Sources and further reading.
- NHS: Botox injections – patient information
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
- BfArM – Federal Institute for Drugs and Medical Devices
- European Medicines Agency (EMA)
- NHS: teeth grinding (bruxism)
- § 630e BGB – duty to inform before treatment (German Civil Code)
- GOÄ – German scale of medical fees (official text)
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)