Addressing lower facial heaviness/skin laxity (photo)

Masseter and DAO Botox injections should help in your case. Masseter injections will make your face look slimmer and DOA injections will lift up corners of your mouth and together both treatments should improve the perception of lower face skin laxity.

If you're experiencing lower facial heaviness and mild skin laxity but want to avoid surgery, there are several non-invasive and minimally invasive options to consider:

Masseter Botox – While Botox in the masseter can slim the jawline by relaxing the muscles, it does not directly address skin laxity. It’s more effective for those with a bulky jaw due to muscle hypertrophy rather than sagging skin.

Injectable Fillers – Strategic placement of dermal fillers, particularly along the jawline and chin, can provide contour and lift to counteract heaviness. Hyaluronic acid fillers or biostimulatory fillers like Radiesse or Sculptra may help restore structure.

Ultrasound or Radiofrequency-Based Treatments – Treatments like Ultherapy (ultrasound) or Thermage (radiofrequency) stimulate collagen production and improve skin tightness over time. These are non-surgical and have minimal downtime.

Thread Lifting – A thread lift using dissolvable sutures can provide subtle lift and collagen stimulation, offering a non-surgical approach to mild sagging.

Microneedling with RF (Morpheus8, Profound RF) – This treatment combines microneedling with radiofrequency to tighten skin and improve texture by promoting collagen production.

Lifestyle Considerations – Maintaining a stable weight, proper skincare, and collagen-boosting treatments like retinoids and vitamin C can help in the long run.

If your concern is primarily skin laxity, a combination approach with skin-tightening treatments and collagen stimulation would be more beneficial than masseter Botox alone. A consultation with a dermatologist or aesthetic specialist can help determine the best personalized treatment plan for you.

masseter botox may actually make this worse because you will have less posterior support to lift up the lower face, thus potentially resulting in more laxity. The biggest thing that I see/suspect is that you may actually need MORE lower jaw support. I would think about possibly chin augmentation (implant or filler) and/or posterior jaw filler (don't know for sure without seeing side photos).

Hello, this is Dr. Hong from Fresh Clinic in Seoul, South Korea.
You’ve mentioned two main concerns: 1. Heaviness, and 2. Skin laxity.
Heaviness typically results from weight gain or muscle ptosis (sagging of muscles).Skin laxity can be caused by factors like poor hydration, natural aging, and other lifestyle-related issues.Regarding masseter Botox, I do not recommend it in your case. Reducing the masseter muscles could cause your cheeks to sag and create a 'bulldog' appearance, as the bulkier cheek tissue may descend towards the lower face.
If the heaviness is due to weight gain or excess fat, non-surgical weight loss or surgical options like liposuction may be viable solutions.
For skin laxity, the first step is evaluating your habits (supplements, diet, physical activity, hydration, and skincare routine). While treatments like skin boosters (e.g., Rejuran, but not PRP) combined with skin Botox can provide temporary improvement, long-lasting results are best achieved by maintaining a healthy lifestyle and consistent skincare.
Hope this information will help ^^

Good day G,
I would reccomend a combination of Ultherapy to lift and tighten the skin and muscles of your face along with Sculptra bioregenerative injections to your upper face and botox to your masseters. Good luck and be well.
Dr. Persky
Encino, CA

Two simple ways to overcome lower face laxicity is to look at the upper part of the face where there may be some volume loss, specifically under the eyes or the temporal fossa area. Secondly, start skin tightening with IPL or a combination of IPL and Morpheus, AKA Tight&Bright.
You should see great results!

At least from the one photo provided, there seems to be some volume deficit in the upper outer cheeks. Volume deficits in this location typically give rise to sagging and lower face heaviness and also to the development of under-eye hollows, whose early signs appear in the photo. The use of a robust HA volumizing filler for the cheeks in the hands of an experienced, expert injector can not only contour a more desirable Ogee Curve, but provide the necessary lift and support to both diminish the lower facial heaviness and smooth the transition between between the upper cheeks and the under-eye regions.
As a side note, the use of Botox to shrink the masseters when not absolutely necessary runs the risk of potentially increasing the lower facial sagging.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector expert and best of lucks.

Liposuction under local would make a huge improvement in sculpting for a trimmer lower face and is so easy to undergo. Be sure to get facetite and morpheus done at the same time for tightening the skin nicely. Don't waste your money on botox. It won't make any difference.

Morpheus is a non-surgical procedure utilizing a multi-modality approach by emitting needling combined with radiofrequency to the underlaying layers of the skin. This procedure addresses a number of concerns, including lower face laxity (jowls) as well as contouring and remodeling the face.
Skin needling paired with radiofrequency is designed to target skin, tissue, fat and collagen of the face. The lower face can be contoured due to Morpheus creating a mild slimming/fat reduction effect with contraction of the skin, to tighten and lift the jowls.
Due to this being a non-surgical option, it is recommended to undergo a course of three treatments, spaced 4-6 weeks apart, with maintenance at 6-12 monthly intervals thereafter to continue and preserve the facial rejuvenation process.

Morpheus may be paired with treating the masseter muscles with muscle relaxant to create even more slimming of the lower face.

Botox to the masseter muscles can help to slim the jawline but it does not tighten the skin. You may want to consider Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. I've included a video I hope you find helpful.