Face Seems Bigger and Distorted After Botox for Square Jaw Reduction?

Hi i had 40 units of botox for square jaw reduction 2 months back. For the first month, right side of my face swelled up and muscles were really tight making my face appear bigger and distorted. At the second month, its muscles are looser. However, i have observed the mandible or ramus just below the ear or right in front of my neck to have got much bigger and longer with an oval shaped thing attached which seems to be a lypmh node. Jaw appears wider and bigger as well. Any way to rectify this?

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3 Doctor Answers | Asked by Nivesh

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Hypertrophic masseter and bulky cheek improved by botox for better jaw line

Larger cheeks, or jaw lines that are not sharp might be caused by hypertrophic or enlarged hypertrophic muscles. This is not to say that all large cheeks are caused by this. Botox injections can relax the enlarged muscles and create a thinner lower cheek but if adjacent muscles also relax, there might be an undesired consequence of unrelated muscle weakness, drooping of adjacent tissues and an unwanted change in contour. Botox for this condition should be done by experts,... more

Reduction of the Jaw Muscles with Botox or Dysport

Thanks for the question. Jawline reduction by injection of Botox or Dysport into the masseter muscles is a treatment I perform quite commonly in my office. This is a wonderful treatment for making the jawline slimmer and it takes approximately 5 minutes to perform in the office. I inject between 20 and 40 units per side. The idea is that the muscle is weakened mildly such that it shrinks in size. This is an advanced technique of Botox/Dysport injection so it should be performed by physicians... more

Botox Side Effects- Masseter Injection

The masseter muscle is treated for square jaw reduction. This muscle is below the parotid gland. Because of this, an injection must go through this saliva gland to reach the muscle and complications can occur including infection, injury to the saliva duct or hematoma. These should all be short-lived, so continued symptoms after months should be concerning. If your physician is a facial plastic surgeon, I would recommend going back to them for evaluation.... more