Innova Skin & Laser Center

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—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.

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.

Yes, fillers can be helpful for addressing early signs of aging in the lower face. In your late 30s, volume loss and changes in facial structure can create shadows or folds that make the face appear older, even with good skin quality.

Strategic filler placement in areas like the chin, jawline, nasolabial folds, and cheeks can:

* Restore facial balance and contour
* Soften lines or folds
* Provide a more lifted and refreshed appearance

Other non-surgical options like biostimulatory fillers or skin tightening treatments (e.g., RF-based or microneedling with RF) may also enhance results depending on your specific anatomy and goals. A tailored approach based on facial structure typically yields the most natural outcome.

I recommend a combination of treatments to address smile lines and forehead wrinkles effectively.

Here are some of the best options:
For treating smile lines and forehead wrinkles, two popular options are:

Botox: This relaxes the muscles, effectively reducing the appearance of both smile lines and forehead wrinkles.
PDO Thread Lifting: This procedure lifts and tightens the skin, also stimulating collagen production for a smoother look over time.

These treatments can be customized based on your specific needs, so I recommend consulting with a qualified professional to find the best option for you!

I’m sorry you’re experiencing these frustrating changes in your skin after Botox. While it’s less common, some individuals report increased oiliness in the treated area after Botox injections, especially on the forehead. This might happen because Botox temporarily relaxes the sweat and oil glands in the injected area, sometimes leading to a slight shift in how oil is produced and distributed across the skin.

Here’s what you might expect:

Temporary Effects: The good news is that Botox’s effects are temporary, usually lasting around 3-4 months. As the Botox wears off, the oiliness should gradually decrease, returning your skin to its usual balance.

Managing Oiliness in the Meantime: In the meantime, you might try oil-absorbing sheets, mattifying skincare products, or a light moisturizer designed for oily skin to help reduce the appearance of excess shine.

Consulting with Your Provider: If this is a significant concern, speak with your provider about alternative options. Botox can be tailored to your needs in future treatments, potentially adjusting the dose or injection sites to avoid this reaction.

While increased oiliness post-Botox is usually temporary, do keep your provider informed if it persists after the effects have worn off, as they may have other options to help balance your skin.

Wishing you the best.