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POSTED UNDER Botox REVIEWS

Botox for Reducing Masseter Muscle Made Me Look Jowly - Vancouver, BC

ORIGINAL POST

I'm forty-one and had my square jawline...

True2type
$800

I'm forty-one and had my square jawline slimmed with two botox injections appts spaced a month apart. As with all the botox I've had, it was very effective. The trouble is, the loss of volume there made me look jowly. I have, in effect paid good money to look older! Beware of this treatment if you are over forty or have some skin laxity in your face already!

Replies (49)

September 5, 2011
Omg, I have the same problem. I'm only 19. The Botox caused a pseudoherniation of the Buccal fat pad, allowing it to "slide out" into the peri-oral mound area. It only affects me on one side, but the effect is extreme. It's been nearly 4 months...of hell...and I'm hoping what I'm seeing is improvement. I'm so depressed because this is the biggest fück up I've ever made. I'm praying this goes away.
September 6, 2011
Gosh, I'm really sorry to hear that! What did your doc say about it? Could one of the Trueself docs chime in with some info? I'm assuming that, when the botox wears off, I'll regain the volume lost in the masseter area and all will be normal again--am I wrong?
February 23, 2015
Would you mind letting me know if your cheeks recovered? Hoping they have for you! I had botox in masseters 3 months ago and cheeks have dropped. Thanks
September 7, 2011
My doc (like most uneducated and egotistical docs) said it must have been there before and Botox can't do that and I'm imagining it. I've had two ENTs, a maxillofacial surgeon and a cosmetic surgeon all agree on it's existence, and MRIs and CAT scans of my head, as compare to last year, show that the fat in my left cheek has descended from it's original position. I'm not really sure how a doctor could continue to refute my "opinion." I'm praying this goes away. I have body dysmorphic disorder and my face is extremely important to me because I feel it is so ugly. Beauty is symmetry, so this asymmetry, logically, has made me uglier. I paid a great deal of money to make myself uglier. No one notices that, everyone thinks I'm beautiful, it doesn't matter. I FEEL it in my face. It is the entire focus of my existence. I can think of nothing else. I cannot smile. The urge to end my life is so strong i just don't know what to do with myself. I've given myself two years. If I am 21 and my face is still fucked up, I will kill myself. I can't believe this is happening to me. This is torturous. I can't believe this happened to me.
September 8, 2011

Hi True, 

I'm so sorry, I have not heard of that happen. I wonder if you body had an allergic reaction or something. Thank you for sharing you story, so others who have the same effects will know they aren't alone. Please keep us updated.

Thank you and enjoy the rest of the week!

-Britt 

September 8, 2011
Brit--it's actually not an allergic reaction. Truetotype and I are suffering these symptoms because our doctors either incorrectly determined the injection site (my doctor injected my buccinator muscle by accident, though this is as much my fault as his. I didn't realise my masseters were still so weak from my first treatment in september '10 because of my body dysmorphia. I didnt realise my face was already too thin. Inexperienced doctors are told to ask the patient to bite down and then inject whichever bulging points in the jaw are visible. Obviously this is extremely inaccurate and had my doctor had a solid understanding of facial anatomy/the decency to refuse to treat me [aka take my money] because of my somewhat obvious obsession with my face/the fact that my masseters were still so weak, this would not have happened. My masseters were so weak that they could not move, therefore couldn't flex and bulge. Only my buccinator muscle could. So, he injected that instead) or the botox may have been correctly placed in truetotype's case, but it spread into and affected her buccinator muscles. The buccinator and masseter hold in the Buccal fat pad. Normally, as we age, our muscles waste and the Buccal fat pad descends from it's youthful position into what we call "peri-oral mounds" and later, jowls. Since I'm only 19 my fat pad luckily only descended into the peri-oral mound area (this is the area on either side of the corners of our lips--peri-oral mounds are very noticeable when talking or smiling, but almost undetectable when relaxed. Since I'm only affected on one side, my smile is crooked and half my face lacks the definition it used to have). This complication is referred to as a "pseudoherniation of the Buccal fat pad." You may have heard of victims of "pseudoherniation of the peri-orbital fat pad." This frequently occurs when botox is incorrectly placed or spreads around the eye, thus paralysing the delicate muscles that hold that fat pad in. I've scanned these message boards for those patients' stories, and most of their complications seem to have resolved after 9-12 months, so this gives me great hope. The only problem is that the muscles found in the jaw are composed differently than those found in the eye, and seem to be much more reactive to Botox treatment. This is why they atrophy within weeks and why the eye muscles never reduce in size (at least to a noticeable degree). So, we two patients will are truly experiencing an entirely unknown and unfortunate undocumented complication of Botox treatment.

I've included so much information here because I've done 4 months of intense research and I want truetotype to understand exactly what is happening because I dont want her to seek any sort of surgical treatment for her new jowls. This may resolve on it's own and if so, she will look over-corrected. I do NOT want to I instill the same obsession I have with this complication in her. My obsession is unhealthy to the point of debilitating. I feel really embarrassed and sorry that I included so many of my raw emotions in my last post. It's just that I have so many happy things in my life and yet all I can ever think about is this. If this does resolve, I will be so grateful for the natural beauty I possess and will never again take that for granted. I can only hope that my obsessive research can help you and others. I just want to help.
April 15, 2014
Thank you so much for this! I've had the same experience and thought it was just normal. Didn't realise it was due to the doctor administering.
September 9, 2011
Gosh NYCkitten, I'm so grateful you've taken the time to go into such detail. It's given me some peace of mind about this and armed me with info I will take to my doctor (who's initial response, incidentally, was that this was all in my head--just infuriating). THANK YOU.
September 9, 2011
I'm so glad you found my info useful...obviously this is really affecting me but at least I'm not "the only girl in the world" with this extremely strange complication. Botox is so dangerous not because of it's chemical makeup but because of how it's experimentally used. We have no idea why the masseters shrink so profoundly and what the long-term effects of this are. No idea. We just know it doesn't kill people. I can't even deal with a doctor who says it's all in my head. That's the epitome of cowardliness and ignorance. Why are they not fascinated by what could be NEW knowledge in cosmetic enhancements? Why wouldn't they want to "discover" this? All of the NYC doctors I've gone to learn to treat me with a certain amount of fear because I can actually understand and reply with all the big words they use to confuse parents into saying, "well gosh, you're the doctor!" I'm not falling for that. This is why I want to be a doctor. To save people from doctors. If you don't mind, true2type, I'd like to stay in contact with you so we can update eachother on our conditions...is that alright?
September 9, 2011
*patients, not parents.

By the way I never asked you...are the jowls on both sides? My complication is unilateral. Also, how many units did you get in each side at each time?