How do I achieve a V line with Botox? (Photo)

Question

Hello, I'm around 42kg and I've had botox on my masseter to reduce my square jaw and I wanted a V-Line without getting more chin fillers. when I first got Botox I only asked for half the dose because I don't have a lot of facial fat and I was afraid my cheeks will shrink in. But even with half of the dose, my jaw became uneven and my cheeks shrunk and hollowed. I wanna know what the right injection points are to achieve a nice V line without shrinking in my cheeks ?

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. When injected into the masseter muscle, Botox should adequately slim your jawline to achieve a more V-like contour. Dermal fillers are also a favorable solution for contouring the jawline and creating an elegant, well-defined appearance. If you’ve been unsatisfied with injectable solutions, you can also consider a microneedling treatment such as Profound RF to encourage your body’s collagen production and provide a lifted, tightened effect on your neck and jaw. 
I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to review your treatment history, discuss your concerns with you, and help you decide on the best course of action.

Ryan Rebowe, MD · Answer

In general, getting neurotoxin for facial slimming will involve injecting the lower 1/3 of the masseter muscle along the jaw line. This should, over time, reduce the bulk of the muscle and produce facial slimming. However, this will only be along the jaw line and should not have much, if any, pronounced effect on the cheeks. Other things, like weight loss or gain, can accentuate or change these features. Different types of hyaluronic acid or other fillers may be able to help correct these issues.

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Anil R. Shah, MD · Answer

Another way to enhance the jawline is by adding a bit of jaw filler to help enhance the natural anatomy of the jaw. That is typically the next step after trying masseter botox and chin filler. Its also best to schedule a consultation to have your anatomy evaluated and then a treatment plan is made from there.

Camille Cash, MD · Answer

Often the best result is seen with a combination of masseter Botox injections and jawline filler. The masseter Botox will reduce the fullness of the jaw and fillers can be used to sculpt the contours of the face.  See an expert injector near you to learn more.

How do I achieve a V line with Botox? (Photo)

Answers (5)