I Had Jaw Reduction Botox 2 and a Half Months Ago but Now my Jaw is the Same and my Cheeks Have Really Sunken In. What Happened?

asked 4 months ago by tomata
Latest answer by Julio Garcia, MD
Question viewed 242 times
Tags: cheeks, jaw line, sagging, 2 months post-op, sunken

I had botox for jaw reduction 2 and a half moths ago. I really hate the results. The jaw is the same but my cheeks have sunken in and I feel that the skin around my mouth area has sagged as if there is no muscle to support it and it feels 'heavy'. What do you think went wrong? Is it possible he injected the botox in the wrong muscle? Thank you

5 answers to I Had Jaw Reduction Botox 2 and a Half Months Ago but Now my Jaw is the Same and my Cheeks Have Really Sunken In. What Happened?

Jaw Reduction with Botox

As panel members suggested, it's difficult to provide feedback without viewing photos. We would encourage you to discuss your concerns with your injector so that he may provide more thorough information as well as treatment options. Most patients that undergo this treatment find the results very satisfying. However, dosing and technique are important as is with each procedure with Botox.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox and jaw reduction

What you are describing is unusual but might be that the Botox affected the surrounding muscles enough to weaken them and allow less robust support of the tissues, thereby allowing them to sag. As the Botox wears off, that effect should reverse itself though.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Botox to masseter

You will get slight sagging from botox to the masseter if you are over age 40 or so and the botox dose was high. Also, if the injection is close to the cheekbone area (as opposed to down low along the bottom of the jaw angle) you will get more hollowing.

Charles S. Lee, MD
Los Angeles Plastic Surgeon

Jaw reduction with botox?

Botox can be used for masseter hypertrophy which make shte jaw look larger. However, this requires multiple treatments for the muscle to atrophy. It doesn't just happen over night.

Steven Wallach, MD
Manhattan Plastic Surgeon

Had Jaw Reduction Botox 2 and a Half Months Ago but Now my Jaw is the Same and my Cheeks Have Really Sunken In

Without an examination much less a photograph it is impossible to answer your question with anything resembling precision. Botox paralyzes the muscle it is placed in. If the intent was to make the chewing, Masseter, muscle less prominent, it APPEARS that attempt failed and instead the Botox MAY have weakened the muscles responsible for lifting the corners of the mouth paralyzing them ("skin around my mouth area has sagged as if there is no muscle to support it and it feels... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

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