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Am I a Good Canidate for Botox Masseter Reduction?

I was wondering if I am a good candidate for Botox Masseter reduction?  if Not, What Procedure is Good for my Problem Area? Please Help Me! For some reason my skin gathers more on the right side of my face along the jawline when I smile then the left side of my face. It doesn't matters how I smile or angle my head, Its still very noticeable. Not sure if its excessive skin, normal asymmetric, neck fat, face fat or sagging loose skin, Etc. What ever the problem, I would like opinions on how to treat it. Pictures are included to show a general area of my face.

Doctor Answers 9

Asymmetry of facial skin treated with many different devices such as Ultherapy, Fraxel, Pelleve, Fillers, Botox

Sorry but no photographs are included with your test. Please see a plastic surgeon or dermatologist to evaluate your face in person. Seeing your skin and muscle and fatty layers working together in different poses and with muscle contraction can help determine the best treatments for you. Botox, fillers, nonsurgical tightening procedures such as Pelleve, Thermage, Ultherapy, rejuvenation with volumization of deep fillers or fat injections, surgical lifting procedures, skin resurfacing procedures with lasers such as Fraxel or Portrait Plasma, etc.

Manhattan Dermatologic Surgeon
5.0 out of 5 stars 34 reviews

Botox for facial shaping

We do not have access to your photos currently.

However, your question is best addressed by an in person evaluation by one that may be able to offer good, viable options.  We suggest more than a couple of consultations.

Although Botox and Dysport work very well in reducing muscle mass and bulkiness for the Masseter muscle, it would not be appropriate to address what you are suggesting.  Sometimes a combination of dermal fillers with other modalities goes a long ways towards a tailored treatment plan.

A good  practitioner will be able to provide balanced information and honest feedback.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

BOTOX is very helpful when someone clinches their jaw

BOTOX is very helpful when someone clinches their jaw and they have a very pronounced masseter causing the face to look square.  By injecting BOTOX you can soften the angle of the mandible and jaw, but it doesn’t help loose skin.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
5.0 out of 5 stars 43 reviews

Skin gathering

What you see is the natural assymetry almost all individuals exhibit due to variations in muscle attachment, size and emotive tendencies. You absolutely should not do and kind of surgery as it is not indicated and you do not have any kind of disfigurement

Botox for Masseter reduction for loose facial skin

 I'm not certain your Masseter muscle is enlarged, on the right side because your hair is blocking view of that area of your face.  I do see the excess skin which by itself would not indicate anything more than excess skin.  Excess skin can be removed with various types of treatnments and procedures based on your goals.  You may want to have a couple of consultatioons with plastic and cosmetic surgeons.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 14 reviews

You Don't Need Anything


Please don't do anything with your beautiful face.  I certainly don't see any problem.  If you look at the one left oblique (semi profile) photo, you have the same smile line configuration on the left as on the right.  Many people feel like they have to have plastic surgery just because so many people do.  Please don't get caught up in the hype.  You are a beautiful and perfectly normal looking woman.


Botox for masseter reduction works

looking at the photos provided, I can't be certain that the fullness is secondary to masseter hypertrophy. Normally it's bilateral and due to grinding, chewing gum or some other jaw "exercise". unilateral fullness may be related to your parotid gland. You should see a physcian (ENT?) to make the diagnosis before settling on a treatment.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

Botox Can Help Shrink The Jawline

Jawline reduction by placing Botox into the masseter muscle works.  This procedure is popular in some Asian groups and there is not much harm from trying.  The botox is placed deep, but with very small needles.  The number of units required varies from 10-40 units per side, so it is useful to start small and see how much you like it.  The more units used, the higher the costs.

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 3 reviews

Very difficult to be accurate without an actual physical examination.


Masseter BOTOX will reduce the fullness of the lower outside of the face.  This may or may not make the chance your are looking for.  I think one issue you have is this seems to be an area that your body hold a little more fat.  When you put your chin down or smile this area bunches up.  Even a small reduction in body fat is likely to reduce the fullness of this area.  You can experiment with this by reducing your caloric intake about 10% for a couple of weeks.  If this does help, you can decided if you want to make long term changes in your diet to maintain this improved appearance.  Don't starve yourself to accomplish this however, small changes like eliminating salad dressing, reduced portion size, and limiting evening snacking are often helpful strategies.  This is even more effective when combined with prolonging your usual workout to increase the metabolic side of the equation.  If this is too successful, the face can actually be too thin, the opposite issue.  Because your issue is very subtle, I don't think you need to over do it.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.