Should I get Botox for jaw reduction or surgery? (Photo)

Question

I have a masculine and unproportional face structure. A small nose and barely pointed chin with of course a wide jawline. I just want my face to be more symmetrical? But I just want to be able to take a decent picture without my jaw taking away from my facial features. I would like to know what would be best to do. As you can see, my cheeks and jawline aren't one smooth v line shape, like the guy next to me... Sorry for the badoff guard picture, I DONT like taking pictures...

Ava T. Shamban, MD · Answer

Botox, if placed properly,
can help with decreasing the visible size of the jaw muscles, making your face
less "square" and more round.  Treating that specific area can
have some risks, so make sure you see a board-certified dermatologist and can
also discuss with you if you're a potential candidate for treatment.

Brian S. Biesman, MD · Answer

Botox and fillers can be used to recontour and re-proportion the face very effectively.  Often  very small corrections can lead to marked change in overall appearance.  I strongly recommend consultation with a physician who is highly experienced with facial contouring using both surgical and nonsurgical techniques.This is a somewhat complicated issue that can be readily handled by a physician with the correct expertise

Jason Emer, MD · Answer

I suggest seeing a facial contouring expert who does a lot of male aesthetic treatment.  There are many noninvasive ways to enhance the jawline with Botox and fillers.  But you want to find someone meticulous with skill.  Someone who uses cannulas would give you the best long term result with very little short term complications.   Best, Dr. Emer.

Martin Jugenburg, MD · Answer

Thank you for your question. Botox can be used for slimming the jawline. It appears as though you are a candidate. I will recommend that you schedule an in person consultation to be evaluated. In the consultation you will be able to discuss all the benefits of a masseter Botox treatment. Best.

Mats Hagstrom, MD (license on probation) · Answer

A few things about chin and jaw projection:While an excessively wide jaw or projecting chin can give me a masculine look, they also imply a strong sense of confidence. This is true for both men and women.It is a much better look than a meager look of the weak chin and thin, long face.Jaw reduction using Botox works by weakening the masseter muscle. As the muscle weakens, it shrinks just like any muscle on your body that gets no exercise.It will, however, only decrease the width of the jaw over the masseter, which is about an inch wide and sits just in front of the angle of the jaw.If you clinch your teeth back-and-forth, you can feel the muscle contract on the back of your jaw.As such, there are some limitations with the use of Botox. If the area of the masseter is the widest part, then Botox is more effective. If the corner of the jaw, the bony part, is the widest part, then Botox is less effective.Another major disadvantage is, of course, that Botox only lasts a few months. It also requires relatively high doses of Botox, making it a fairly expensive process.When Botox treatments are done back-to-back and patients are treated before the muscle has a chance to get activated, the results are longer lasting between treatments.Chin projection or anything in front of the masseter muscle cannot be treated with Botox.While surgery may seem tempting because it gives a permanent result, it is also a quite complex procedure.I would venture to say the great majority of plastic surgeons are not skilled at this procedure.Because this treatment is very popular among Asians, especially Koreans, many Korean plastic surgeons are particularly talented in this type of procedure. I'm sure there are many plastic surgeons or even oral surgeons who have experience and do excellent work with these type of procedures.As with any surgery, it is critical you find someone who has ample experience and true talents. In your case, this may be slightly more difficult to find, so please do your homework and look long and hard for the right person should you choose surgery.After this quite lengthy response, the bottom line for you is definitely try Botox first.Secondly, you have a very balanced, attractive face. I do not disagree with your concerns. However, in my aesthetic opinion, it is not enough to stand out as a deficit or something other people's eyes are drawn to as a deficit.If you were a family member, I would most likely try to talk you out of any procedure.Best of luck,Mats Hagstrom, M.D.

Francis R. Palmer, III, MD (retired) · Answer

You may wish to read the book that I wrote about the ideal shape of male and female faces and the aesthetic features that make up facial and body attractiveness.  This would help you evaluate your face following proven treatments and surgical procedures (in my practice for over 25 years).  You can also e-mail proper full face photos, non-smiling from the front and profile for further analysis.   Botox can reduce the size of an enlarged Masseter muscle and is safe, quick and highly effective while non-surgical and as such minimally invasive.  Why not try that first.  I typically inject 40-60 units of Botox or Xeomin to each Masseter muscle (of the jaw line) per treatment.  It can take 2 or 3 treatments that are typically spaced several months apart before the muscle size is reduced properly.  Hope this helps.

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