Jaw slimming (masseter Botox) after previous maxillofacial surgery using titanium plates

Question

I am interested in getting Botox injected into my masseter muscles to slim my jawline a little bit. 4 years ago I had Maxilofacial surgery to fix an underbite and have permanent titanium plates and screws to hold together my jaw. I am wondering if I am still able to receive these injections with these plates and screws? My jaw muscles are constantly tense and I’m worried that if I inject Botox to relax the muscles what if my jaw becomes weakened or something!?

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

Damien Grinsell, MBBS, FRACS (Plast) · Answer

hi Katie. You dont have to worry about your jaw - it will be healed and be as good as new. You can safely have botox to thin your masseter and can do everything else normally. regardsDamien

Milan Doshi, MS, MCh · Answer

Thank you Katie for your question.You can take masseter botox for jow thining even in the presence of plating.Best of luck ,Dr Milan Doshi ,Mumbai ,India

Amanda Maloney, MD, FRCSC · Answer

Hi Katie:
Thank you for your question. I perform this treatment for many patients, probably 50% for facial slimming alone and the other 50% for facial pain in the masseter region or headache triggered by jaw clenching. It is a really effective and very predictable treatment with very little risk and no downtime. There should be no problem in receiving Botox injections after the jaw surgery that you describe. It is important to see a provider who does these injections correctly as it is important to use a different length needle than the standard Botox syringe as it is key to inject into the muscle which is quite deep. 
Hope this helps!
Dr. Amanda Maloney, FRCS(C) ENT specialist and aesthetic medicine physician.

Jaw slimming (masseter Botox) after previous maxillofacial surgery using titanium plates

Answers (4)

Answer: Botox for facial slimming (and pain)

Answer: Botox for facial slimming (and pain)

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Jaw slimming (masseter Botox) after previous maxillofacial surgery using titanium plates

Answers (4)

Answer: Botox for facial slimming (and pain)

Answer: Botox for facial slimming (and pain)

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.