Botox can be used to sculpt facial shape. Botox can be used reduce the bulk of the masster muscle, thus slimming or narrowing the outer jaw dimension. However, in those individuals with moderate jowls or thick neck, it is prudent not to inject botox in the masseter as shruken jaw will accentuate the saggy jowl or thickened neck appearance.
As such, the best ways use to botox to sculpt the face, in my experience, are the following:
1. Careful aesthetic analysis of the face, noting presence of moderage jowling or thickened neck. If they are present, it is bes to treat the thickened neck instead with botox, rather than injecting the jaw instead.
2. injecting primiarly the lower one third of the masseter. Injecting high up on the masseter often creates a hollow appearance below the zygomatic arch, making the face look gaunt and sunken.
3. confirming the jaw dimension is due to the muscle, not fatty or bone hypertrophy. Excess fat requires liposuction, whereas large bone requires reduction to get best results.
4. Volume sculpting of other parts of the face. Chin or apple cheek augmentation with fillers, when done appropriately, will often create a slender, more slimming looking face, in conjunction with botox as well.