If one side of your jaw looks larger because the masseter muscle is bigger or more active on that side, Botox can relax it and create a slimmer, more balanced appearance over time (usually 2–3 months for full results).
However, if the asymmetry comes from bone structure rather than muscle, Botox alone won’t correct it. A consultation with an injector experienced in facial balancing is the best way to tell what’s causing the asymmetry&mdash;and whether Botox, filler, or other treatments might help.

Hi! I have noticeable jaw asymmetry – one side looks sharper and the other side looks bulkier, even when I’m not clenching. I also sometimes get jaw pain and a clicking sensation. Would asymmetric masseter botox help balance this out?

Can masseter botox fix jaw asymmetry? (Photos)

Botox

It’s very unlikely that your crooked smile is from nerve damage. Botox works by temporarily relaxing muscles, and when a neighboring muscle (like the risorius, which helps pull the corners of the mouth outward) gets affected, it can cause a lopsided or “frozen” smile.
A few key points:
Timing: Botox typically starts working within hours to days, so noticing it the same day isn’t unusual if some spread occurred quickly.
Migration vs. technique: It’s more often due to diffusion or placement rather than true migration weeks later.
Nerve damage signs: Permanent nerve injury is extremely rare with Botox and would usually come with other symptoms like numbness, weakness in unrelated muscles, or pain &mdash; not just a temporary asymmetric smile.
Recovery: Effects of Botox gradually wear off over 3–4 months, so your smile should return to normal as the product metabolizes.

Hi, 3 months ago I had my second Botox treatment for bruxism. 4 weeks after I went back to evaluate, and the doctor added some more. The same night I noticed the left corner of my mouth was frozen, and since then I have not been able to curve the corner of my mouth when I smile. My doctor said the Botox probably migrated to the risorius muscle, but that it is weird that I saw an effect on my smile the same day. Does this mean something else is causing the crooked smile, such as a damaged nerv?

Could my crooked smile after Botox be caused by nerve damage? (photo)

Forehead dents or volume loss can often be corrected with hyaluronic acid fillers or collagen-stimulating fillers, depending on the depth and cause.
Since your dent disappears when the underlying vein is more prominent, this suggests it's related to volume deficiency or soft tissue changes rather than a fixed scar or deep skin condition.
In experienced hands, careful filler placement can:
Restore smooth contour
Minimize shadowing in photos
Improve overall symmetry
Because the forehead is a high-risk area for vascular complications, it’s essential to see a practitioner who is very skilled in forehead anatomy and filler techniques.
If morphea or another skin condition is still a consideration, it's best to ensure it’s stable and cleared by a specialist before proceeding with filler.

I went to my dermatologist last year for a body check and brought to their attention a dent that was more noticeable across my forehead (diagonal, beginning in the top left and coming down to the middle of my forehead). They thought it could be morphea and sent me to a specialist. This dent was noticeable in pictures dating back to 2017. It inflates with a vein below it. When the vein is puffed up the dent is gone. I'm seeking a doctor experienced with forehead filler and correcting this.

Forehead Volume Loss Dent. How can this be corrected? (Photos)

Dermal Fillers

It’s understandable to feel frustrated when cosmetic treatments don’t deliver the outcome you expected. Here’s what may be contributing to your concerns:
1. Masseter Botox Effect
Masseter Botox reduces the bulk of the jaw muscles over time. In some individuals, especially those with naturally lean faces, this can create a hollowed or sunken look in the lower face as volume decreases. It typically takes a few weeks to see the full slimming effect, which may accentuate asymmetry if facial volume is already imbalanced.
2. Cheek Filler Placement
With only 0.7 mL total used for both cheeks, the volume may have been too subtle to achieve noticeable lift or balance. If the filler wasn't evenly placed or if your natural facial structure is asymmetric, it could emphasize differences rather than correct them.
3. Lip Flip Contribution
While unrelated to the cheek or jaw, a lip flip can subtly change facial proportions and draw attention to other areas&mdash;especially if the lower face is undergoing structural change from Botox and filler.
What You Can Do
Reevaluation by your injector is key. A touch-up or adjustment (e.g., adding more volume to the deficient side or dissolving uneven filler) may help restore symmetry. Masseter Botox wears off gradually over months, so its effects aren’t permanent. If the hollowness persists, strategic filler placement or skin-tightening treatments may help restore balance.
A conservative and customized plan going forward can help you feel more confident in your results.

So i have a before and after of 22 units per side masseter botox, 4 units daxxify lip flip and 0.7 in total cheek filler. How did my face end up worse? One cheek is almost caved in as well. I look like a picasso.

Masseter botox and Voluma cheek filler. How did my face end up worse? (Photo)

If you're looking to enhance the shape of your jaw and create a more defined or square appearance, jawline filler can be a good non-surgical option. Fillers can add structure, improve symmetry, and contour the jaw to better suit your goals, especially if you're self-conscious about your side profile.
Since you have a slight underbite and are undergoing orthodontic treatment, it's smart to coordinate aesthetic enhancements with your dental plan. In some cases, chin filler is also used to balance the lower face and improve facial harmony.
If you're seeking more dramatic or permanent changes, surgical options like **jaw implants** or genioplasty may be worth exploring in the future, but fillers are often a good starting point with less downtime.

I’m so insecure about the lower half of my face. I have a slight underbite and I am hoping with braces that will help but I hate my side profile specially my jaw. The shape of it I just do not like and I would like to make it more square looking. I was researching filler thinking that could help get me the desired look I want.

What would help my jaw shape? (Photos)

SculpSure

Mahmood Siddique, DO

Innova Skin & Laser Center

Liudmila Evdokimova, MSPAS, PA-C

Laser Hair Removal

Dr.Siddique  always takes his time and is thorough with his appointments and very personable. I recommend him to anyone. He will spend several extra minutes getting to know you and has a great bedside manner.

Always a Great Experience

If you are seeking relief from migraines, I wholeheartedly recommend Dr. Siddique. I have suffered for migraines for quite a few years, whiplash from ‘rear end’ car accident, also tmj was dislodged years ago. I no longer have to deal with this burden as Dr. Siddique was able to exactly locate the necessary areas to administer botox. I no longer pop pain pills, over the counter or otherwise. 
The botox has been a lifesaver, and much gratitude to Dr. Siddique, who also happens to be my fantastic primary care physician! 
Highly, highly recommend.

Botox/pain Free from Migraines

Botox for Migraines

Since turning 64, I wanted to do something special for myself. Upon my 1st visit with Dr. Siddique, I knew I was in good hands. He answered all my questions/concerns in a very kind and professional manner. Dr. Siddique studied my face intensively and made all the right recommendations. You will no doubt see that Dr. Siddique takes his work very seriously and truly does amazing work. I could not be happier with this doctor and his amazing staff.&nbsp;As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.

Feel and Look Amazing!

Facial

Just finished EPAT Therapy with Sleep and Wellness Medical Associates for my chronic shoulder pain and couldn't be happier with the results. The affect over the sessions administered were steady, cumulative and extremly effective. Thank you so much to Dave,  all the staff and Dr. Siddique.

EPAT Therapy for chronic shoulder pain & couldn't be happier with the results

Cannot say enough wonderful things about the whole office, but wanted to spotlight Isabel. I have been receiving Emsella and Emsculpt treatments for a few months now and Isabel has been my provider. She is professional, compassionate, and accommodating to my needs. She always explains everything she is doing, makes sure I am comfortable and is genuinely concerned about my well being. I was dealing with Urinary Incontinence for a few years now, which is a sensitive matter. The treatments worked and are non-invasive! Highly recommended! Thank you Isabel for being with me on my journey, and sharing all my progress your the best! KC

Non invasive help for incontinence

Emsella

I cannot express enough how wonderful Dr. Siddique is! From getting cheek fillers all the way to general practice care. I had cheek fillers done by him and I was so pleased! He made my cheeks look like they did 10 years ago. I felt so much better about myself. He listens to your cares and concerns and gives you the options best for you. He thinks outside the box and genuinely cares about you as a person. If you are thinking about going to his practice, make the call now. You will not be sorry!

Made my cheeks look like they did 10 years ago

Cheek Fillers

Dr. Siddique and his whole staff are friendly, professional and a pleasure to work with! Dr. Siddique took the time to go over all my options. I was looking for a treatment without injections and no significant down time. I chose the PicoSure with PRP. I have completed 2 treatments and have one left. I am thrilled with the results so far. The lines around my mouth, upper lip and jowls are practically gone! 
I would recommend Dr. Siddique to anyone! I look forward to working with him in the future!!

The lines around my mouth, upper lip and jowls are practically gone!

PicoSure

Wonderful clinic, very helpful staff, fast service. Great experience. They were able to get me in quickly and processed all details quickly and called in my medications right away. I am very happy with the services provided.

Wonderful Urgent Care and Providers

CoolSculpting

Dr. Siddique is interested in your health, not just responding to illness and/or injury, but keeping you healthy. He practices a whole person approach that improves quality of life and prevents illness. His bedside manner is fantastic, spending an hour with a patient and listening. The ease of having so many resources like lab-work, ultrasounds, x-rays, etc, under one roof is extremely convenient, but the real stars of the Sleep and Wellness facility is the staff. Each one is kind, helpful, and talented. It is a positive practice that promotes patient-doctor communication and  overall health.

Integrative Medicine at It's Finest

I'm really happy with the wonderful cooperative staff and the results that I have achieved after fat transfusion and the PRP along with NAD. This has helped me achieve a desired result. I feel younger and healthier. I want to know if I can carry on with the NAD periodically. I appreciate the time Dr. Siddique spends with his patients.