{"id":24564,"date":"2023-03-24T11:12:53","date_gmt":"2023-03-24T18:12:53","guid":{"rendered":"https://www.realself.com\/news\/?p=24564"},"modified":"2023-10-11T14:41:54","modified_gmt":"2023-10-11T21:41:54","slug":"masseter-botox-jowls","status":"publish","type":"post","link":"https://www.realself.com\/news\/masseter-botox-jowls","title":{"rendered":"Can Masseter Botox Lead to Jowling? Doctors Explain the Debate Going Around on Social Media"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>There&rsquo;s no denying that Gen Z continues to become more and more interested in cosmetic treatments. According to the <a href=\"https:\/\/www.aafprs.org\/Media\/Press_Releases\/New-Trends-in-Facial-Plastic-Surgery.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">American Academy of Facial and Plastic and Reconstructive Surgery&rsquo;s 2022 report<\/a>, 75% of plastic surgeons reported an increase in patients under the age of 30. <a href=\"https:\/\/www.realself.com\/nonsurgical\/botox\">Neurotoxin injections<\/a>, in particular, are incredibly popular among this group, including those performed in the masseter, or jaw. (A recent search revealed that &ldquo;masseter Botox&rdquo; videos on <a href=\"https:\/\/www.tiktok.com\/discover\/masseter-botox?lang=en\" target=\"_blank\" rel=\"noreferrer noopener\">TikTok<\/a> have more than 122 million views.) Injecting this area offers a rare combination of aesthetic and functional benefits&mdash;but are there drawbacks? Increased popularity of <a href=\"https:\/\/www.realself.com\/news\/masseter-botox-candidates\">masseter Botox<\/a> has also led to more talk about its potential long-term effects&mdash;namely, whether it can lead to lower-face jowling. So we asked doctors to weigh in on <a href=\"https:\/\/www.tiktok.com\/t\/ZTRvSVjRu\/\" target=\"_blank\" rel=\"noreferrer noopener\">the internet debate<\/a>, and here&rsquo;s what they had to say.<\/p><h2 class=\"wp-block-heading\" id=\"h-what-is-masseter-botox\">What is masseter Botox?<\/h2><p>It&rsquo;s the use of neurotoxin injections in the masseter, colloquially known as the jaw muscle. Just as it does anywhere else, the neurotoxin inhibits the activity of the muscle, which, in this case, has two different effects. From a functional perspective, it&rsquo;s great for people who have TMJ or who <a href=\"https:\/\/www.realself.com\/news\/botox-for-bruxism\">grind their teeth<\/a>, as it&rsquo;s very effective for addressing symptoms such as jaw pain and soreness, says <a href=\"https:\/\/www.realself.com\/dr\/babak-azizzadeh-beverly-hills-ca\">Dr. Babak Azizzadeh<\/a>, a board-certified facial plastic surgeon in Beverly Hills, California. From an aesthetics standpoint, it reshapes the lower face. &ldquo;By weakening the muscle, you essentially shrink it down and flatten it, which is why this is so good for narrowing this area and creating a more tapered jawline,&rdquo; he explains.&nbsp;<\/p><center><blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@jahszminn_4\/video\/7206968719598210347\" data-video-id=\"7206968719598210347\" style=\"max-width: 605px;min-width: 325px;\"> <section> <a target=\"_blank\" title=\"@jahszminn_4\" href=\"https:\/\/www.tiktok.com\/@jahszminn_4?refer=embed\" rel=\"noopener\">@jahszminn_4<\/a> Masster botox for TMJ disorder but comes with a nice side effect of slimming the face lol <a title=\"masseterbotox\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/masseterbotox?refer=embed\" rel=\"noopener\">#masseterbotox<\/a> <a title=\"masseterbotoxbeforeandafter\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/masseterbotoxbeforeandafter?refer=embed\" rel=\"noopener\">#masseterbotoxbeforeandafter<\/a> <a target=\"_blank\" title=\"&#9836; original sound - jahszminn_\" href=\"https:\/\/www.tiktok.com\/music\/original-sound-7206968719128578862?refer=embed\" rel=\"noopener\">&#9836; original sound &ndash; jahszminn_<\/a> <\/section> <\/blockquote> <script async=\"\" src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script><\/center><center><blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@aestheticsbydranj\/video\/7203736895375904006\" data-video-id=\"7203736895375904006\" style=\"max-width: 605px;min-width: 325px;\"> <section> <a target=\"_blank\" title=\"@aestheticsbydranj\" href=\"https:\/\/www.tiktok.com\/@aestheticsbydranj?refer=embed\" rel=\"noopener\">@aestheticsbydranj<\/a> Absolutely LOVE this treatment in the right patient! More examples on my ig\/website <a title=\"jawlineslimminglondon\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jawlineslimminglondon?refer=embed\" rel=\"noopener\">#jawlineslimminglondon<\/a> <a title=\"jawslimminglondon\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jawslimminglondon?refer=embed\" rel=\"noopener\">#jawslimminglondon<\/a> <a title=\"masseterbotox\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/masseterbotox?refer=embed\" rel=\"noopener\">#masseterbotox<\/a> <a title=\"masseterbotoxlondon\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/masseterbotoxlondon?refer=embed\" rel=\"noopener\">#masseterbotoxlondon<\/a> <a title=\"aestheticdoctor\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/aestheticdoctor?refer=embed\" rel=\"noopener\">#aestheticdoctor<\/a> <a title=\"jawbotoxresults\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jawbotoxresults?refer=embed\" rel=\"noopener\">#jawbotoxresults<\/a> <a title=\"aestheticdoctorlondon\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/aestheticdoctorlondon?refer=embed\" rel=\"noopener\">#aestheticdoctorlondon<\/a> <a title=\"jawbotoxlondon\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jawbotoxlondon?refer=embed\" rel=\"noopener\">#jawbotoxlondon<\/a> <a target=\"_blank\" title=\"&#9836; original sound - Dr Anjuli Patel\" href=\"https:\/\/www.tiktok.com\/music\/original-sound-7203736901286054662?refer=embed\" rel=\"noopener\">&#9836; original sound &ndash; Dr Anjuli Patel<\/a> <\/section> <\/blockquote> <script async=\"\" src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script><\/center><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Botox?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Botox\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-can-masseter-botox-cause-jowls\">Can masseter Botox cause jowls?<\/h2><p>There&rsquo;s a theoretical concern here: if the underlying muscle shrinks, then the overlying skin will have less support and can start to droop. What makes sense in theory doesn&rsquo;t translate in real life. All the doctors we spoke with agreed that there&rsquo;s absolutely no evidence nor is there a reason that masseter Botox injections&mdash;even those performed repeatedly, over time&mdash;will lead to jowling.&nbsp; Why? For starters, we&rsquo;re talking about slightly different areas of the face. &ldquo;The masseter muscle is a lot more posterior than where jowling occurs. It&rsquo;s located closer to the ear, whereas jowling shows up in front of that,&rdquo; explains <a href=\"https:\/\/www.realself.com\/dr\/hardik-doshi-brooklyn-ny\">Dr. Hardak Doshi<\/a>, a board-certified facial plastic surgeon in New York City. &ldquo;Jowling is an intrinsic part of aging that occurs due to poor skin quality and elasticity, not from repeated masseter Botox injections.&rdquo; Dr. Azizzadeh adds that changes in bone structure coupled with a dropping of the <a href=\"https:\/\/www.realself.com\/news\/buccal-fat-removal-age-safety\">buccal fat<\/a> pad (both of which happen naturally as we age) further contribute to the appearance of excess fullness&mdash;or jowls&mdash;right behind the chin.<\/p><p>Yes, it is possible that the skin could start to look more loose around the jawline if the underlying masseter is slimmed out, says New York City board-certified plastic surgeon <a href=\"https:\/\/www.realself.com\/dr\/mark-g-albert-new-york-ny\">Dr. Mark Albert<\/a>. The big caveat? &ldquo;Most people have enough elasticity to the skin that it can contract and conform to the changes the Botox is making,&rdquo; he explains. Plus while the Botox does change the anatomy of the muscle, it&rsquo;s really not to a degree that&rsquo;s significant enough to drastically stretch out the skin, adds Dr. Azizzadeh.<\/p><center><blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@drsamanthaellis\/video\/7132950438000774446\" data-video-id=\"7132950438000774446\" style=\"max-width: 605px;min-width: 325px;\"> <section> <a target=\"_blank\" title=\"@drsamanthaellis\" href=\"https:\/\/www.tiktok.com\/@drsamanthaellis?refer=embed\" rel=\"noopener\">@drsamanthaellis<\/a> <a title=\"botox\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botox?refer=embed\" rel=\"noopener\">#botox<\/a> <a title=\"masseterbotox\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/masseterbotox?refer=embed\" rel=\"noopener\">#masseterbotox<\/a> <a title=\"facialtreatment\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/facialtreatment?refer=embed\" rel=\"noopener\">#facialtreatment<\/a> <a title=\"cosmeticdermatology\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/cosmeticdermatology?refer=embed\" rel=\"noopener\">#cosmeticdermatology<\/a> <a title=\"dermatologist\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologist?refer=embed\" rel=\"noopener\">#dermatologist<\/a> <a title=\"dermatology\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatology?refer=embed\" rel=\"noopener\">#dermatology<\/a> <a title=\"dysport\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dysport?refer=embed\" rel=\"noopener\">#dysport<\/a> <a title=\"tmjdisorder\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/tmjdisorder?refer=embed\" rel=\"noopener\">#tmjdisorder<\/a> <a title=\"tmjtreatment\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/tmjtreatment?refer=embed\" rel=\"noopener\">#tmjtreatment<\/a> <a title=\"teethgrinding\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/teethgrinding?refer=embed\" rel=\"noopener\">#teethgrinding<\/a> <a title=\"jowls\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jowls?refer=embed\" rel=\"noopener\">#jowls<\/a> <a title=\"jawline\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/jawline?refer=embed\" rel=\"noopener\">#jawline<\/a> <a title=\"botoxtreatment\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botoxtreatment?refer=embed\" rel=\"noopener\">#botoxtreatment<\/a> <a title=\"skinexpert\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/skinexpert?refer=embed\" rel=\"noopener\">#skinexpert<\/a> <a target=\"_blank\" title=\"&#9836; Pieces (Solo Piano Version) - Danilo Stankovic\" href=\"https:\/\/www.tiktok.com\/music\/Pieces-Solo-Piano-Version-6777274113254754306?refer=embed\" rel=\"noopener\">&#9836; Pieces (Solo Piano Version) &ndash; Danilo Stankovic<\/a> <\/section> <\/blockquote> <script async=\"\" src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script><\/center><p>All that being said, if someone already has some jowling, masseter Botox can exacerbate the appearance of sagging skin in this area, says Dr. Albert. Similarly, those who are older and who have poorer skin quality to begin with may be more likely to experience this. However, given that it tends to be younger patients who are getting masseter Botox injections, this is really not a concern, he points out.&nbsp;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Botox?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Botox\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-not-everyone-is-a-good-candidate-for-masseter-botox\">Not everyone is a good candidate for masseter Botox<\/h2><p>What&rsquo;s more important to consider is whether this treatment is right for you. &ldquo;Not everyone who has a wide face is a good candidate for masseter injections. It&rsquo;s not always a big muscle that&rsquo;s the culprit. Things such as the jawbone, fat, thickness of the skin, and even size of the parotid gland can all play a role,&rdquo; explains Dr. Doshi. &ldquo;Injecting Botox into the masseters of someone who doesn&rsquo;t need it can certainly create an optical illusion of jowling,&rdquo; says Dr. Azizzadeh. The good news? While Botox in the masseter does tend to last a little bit longer than elsewhere on the face&mdash;about six months as compared to three or four, according to the experts we spoke with, thanks to the fact that both a greater quantity is used and the masseter muscle behaves slightly differently)&mdash;it&rsquo;s still not permanent. Any changes you do notice will self-resolve as the Botox wears off, Dr. Albert says.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There&rsquo;s no denying that Gen Z continues to become more and more interested in cosmetic treatments. According to the American Academy of Facial and Plastic and Reconstructive Surgery&rsquo;s 2022 report, 75% of plastic surgeons reported an increase in patients under the age of 30. Neurotoxin injections, in particular, are incredibly popular among this group, including [&hellip;]<\/p>\n","protected":false},"author":143,"featured_media":24567,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Does Masseter Botox Give You Jowls? | RealSelf News<\/title>\n<meta name=\"description\" content=\"We asked doctors to clear up the debate going around TikTok as to whether masseter Botox injections lead to jowling. Here&#039;s the truth.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https://www.realself.com\/news\/masseter-botox-jowls\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can Masseter Botox Lead to Jowling? Doctors Explain the Debate Going Around on Social Media\" \/>\n<meta property=\"og:description\" content=\"We asked doctors to clear up the debate going around TikTok as to whether masseter Botox injections lead to jowling. Here&#039;s the truth.\" \/>\n<meta property=\"og:url\" content=\"https://www.realself.com\/news\/masseter-botox-jowls\" \/>\n<meta property=\"og:site_name\" content=\"RealSelf News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RealSelf\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-24T18:12:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-11T21:41:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https://www.realself.com\/news\/wp-content\/uploads\/2023\/03\/RS_MassetterBotox-Jowls.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Melanie Rud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:site\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Melanie Rud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https://www.realself.com\/news\/masseter-botox-jowls#article\",\"isPartOf\":{\"@id\":\"https://www.realself.com\/news\/masseter-botox-jowls\"},\"author\":{\"name\":\"Melanie Rud\",\"@id\":\"https://www.realself.com\/news\/#\/schema\/person\/3bbda5060672dc5ec2a20fe3e395921d\"},\"headline\":\"Can Masseter Botox Lead to Jowling? 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Melanie has held beauty editorial positions at Shape, Good Housekeeping, and Health. She now writes for multiple digital and print publications and also consults and does editorial work for major beauty companies.\",\"url\":\"\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Does Masseter Botox Give You Jowls? | RealSelf News","description":"We asked doctors to clear up the debate going around TikTok as to whether masseter Botox injections lead to jowling. Here's the truth.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https://www.realself.com\/news\/masseter-botox-jowls","og_locale":"en_US","og_type":"article","og_title":"Can Masseter Botox Lead to Jowling? 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