I have saggy skin after massetter and jaw botox. What can I do? (Photo)

Question

4 months ago i had jaw botox using dysport. I had 180 units in total on both jaws which i believe is the equivalent of 30-35units of botox on each side. I have now felt like my skin around my mouth and cheek area isnt as taut anymore, im not sure if i develop jowls as well as im not sure about what jowls really look like Please help analyse the pics ive posted below qnd help me figure out the best treatement for my current skin condition. Thank you

Donald B. Yoo, MD, FACS · Answer

Especially given your age and your skin elasticity, it is unlikely that Botox for masseter reduction caused you to have more skin laxity or skin "sagginess".  Also, when the effects of the Botox wear off you should return to your pre-treatment state, just 3-4 months older.

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question and images. I do not see significant amounts of excess skin from your images and given your age with time you may see some retraction of the skin. Like everything in life there are positives and negatives to all procedures. Theoretically, if you reduce the volume of deep structures in the face (masseter muscles) you could produce some redundancy in the overlying skin. More commonly this is associated with bony reduction rather than soft tissue but can potentially occur with either. Your options include replacing the lost volume with fillers or utilising some skin tightening techniques. I would encourage you to try non surgical forms of skin tightening such as ulthera. good luck.RegardsDr Guy Watts

Shalini Gupta, MD · Answer

Probably the best course would be to wait and let the effects wear off and see if things return to normal, which I believe they should.  If there is still an issue then consider an injectable filler treatment along the jawline for better definition or a procedure such as Ulthera or Exilis Ultra which help tighten the skin.

Brian Arslanian, MD · Answer

Hi therethanks for the question and sorry about your concerns.  I think it would be highly unusual for someone your age to have that type of problem.  I don't see anything significant in your photos.  Theoretically, by reducing the size of the muscle, the stretched skin might not shrink down around the smaller face and muscles.  This usually happens in older patients or those that rapidly lost the volume in their face or body.  Your situation is not like that.  I would need to see and examine you to give you an accurate assessment, but I have not seen this problem before in someone like you.  Hope this helpsGood Luck

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I have saggy skin after massetter and jaw botox. What can I do? (Photo)

Answers (4)

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