Will Botox and/or jaw reduction make me look more feminine? (Photo)

Thank you for the photos; there are many treatment options to provide a more feminine appearance. Placing filler in the cheeks and zygomatic arches will help diminish the appearance of prominent masseter muscles. Similarly, filler can be added to your nose to change the projection and shape and provide a more feminine nose. There are permanent options as well. Good luck 

Your  Masseter muscles can be slightly reduced using Botox. However, if you want to have facial feminization a rhinoplasty with a more feminine nose would do far more than any treatment of your muscle. Your nasal hump can be removed and the tip refined etc. to give a more attractive and feminine face. 

You may like that effect.  In my opinion though, the biggest impact on your appearance would come from fixing your upper eyelid ptosis.

Thank you for your post. Based on your photos and concerns, I believe you would be a good candidate for a Botox treatment in the Masseter muscle. Over time you will notice significant improvement and in turn experience the slimming of your lower face. Each patient's needs vary but I typically begin with 15-20 units per side and see how they do. It's best to have a thorough in person consultation with a board-certified plastic surgeon in your area to discuss all of your treatment options. Best of luck!
Dr. Dhaval M.Patel
Double Board Certified Plastic Surgeon
Chicago-Water Tower Place, Oakbrook, Hoffman Estates, Orland Park

It is best to have an in-office examination to evaluate your jawline. Slimming and feminizing your jawline depends on the underlying bone and the muscle, skin, and fat on top. If your jaw has poor definition, using filler to augment the appearance of the bone can increase definition. If you have good structure but bulky muscles, these muscles can be thinned with Botox injections, particularly in the back of the jaw. Loose skin can be treated with energy devices such as Ultherapy. Fat can be treated with liposuction or Kybella. Kybella in the jawline area is considered off-label. Kybella in general takes at least 2 or more treatments to see full effect and can initially make the area appear more puffy from swelling and inflammation. Hope this helps!!!
Johnson C. Lee, MD Plastic Surgery
@drjohnsonlee

I agree that neuromodulator injection to the masseter muscle will help slim the jawline. I also agree with the experts here regarding the rhinoplasty. I think that rhinoplasty will make a bigger impact in terms of achieving your goal of appearing more "feminine."

Hello,Nowadays we have non-invasive procedures for face sculpting and improvement.For nose, non-invasive nose job: Fillers do a great job to improve contouring of the nose without risk and cost of surgery.based on the photo, it seems if you add some volume to your cheek apple, by injecting fillers, you may see significant improvement. Other options such as fat grafting also available to improve look. All the bestSee an ExpertRay Bayati, MDSacramento Area, California

First of all, don't be too hard on yourself. You are a very beautiful woman! I don't think there is anything wrong with your hairline. Your jaw is slightly wider and could likely be softened with some botox. Jaw surgery is a relatively invasive approach but is effective. I would try botox in the masseters to see how you like it as that is noninvasive, not expensive, and wears off over 3 months or so. Also, with time, botox relaxes the muscles and they will actually atrophy (weaken and shrink from not being used). An in person consultation would help to determine how much is masseter vs bone. Good luck! 

Thank you for your question,
Botox can be used to relax the muscles in the jaw, creating a more feminine face shape. However, the best way to determine if Botox is right for you to achieve this is through a consultation with a certified professional. Best of luck!

Thank you for your question and for sharing your
photographs vianey21. I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The
most common areas of treatment are in the upper face. These include the
horizontal lines seen on the upper forehead when one raises the brows, the
vertical lines seen between the brows when one frowns (frown lines), and the
crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and feel the muscles. However, I hope the information
provided here is useful.Botox can be placed in the masseter muscle in
the lower face to contour the lower face and address pain associated with TMJ.
In this area 20-40 units of Botox are used per side. Depending on the reason
for the enlargement of the muscle, permanent results may be achieved. For
example, some people have a habit of grinding, clenching, or biting their teeth
subconsciously. Often times this happens in their sleep when they are not aware
of it. Botox placed in this muscle will relax the muscle and the grinding,
clenching, and/or biting will decrease. This will reduce the size of the muscle.
If the brain gets accustomed to this and the person stops grinding, clenching,
or biting, then the muscle will not become enlarged or as enlarged again. However,
if the habit starts again, the muscle will likely get larger.Botox
and fillers are two dermal (skin-related) products are both very popular for
their anti-aging features. Unlike Botox, which relaxes muscles to smoothen out
wrinkles associated with facial expression, fillers restore lost volume in
various areas of the face and body. Common fillers include the Juvederm family
(Juvederm Ultra, Juvederm Ultra Plus, Voluma, Vollure, and Volbella), the
Restylane family (Restylane, Restylane Lyft, Restylane Silk, Restylane Refyne,
and Restylane Defyne), Belotero, Radiesse, Sculptra, and Bellafill. With age
changes occur in the bony structures as well as fat pads, both of which
contribute to a youthful appearance. Over time bones move and change shape
while fat pads get smaller by losing volume and move downward. Fillers restore
such lost volume. Common areas of volume loss include the temples on the sides
of the face, the upper cheeks, the tear trough area under the eyes, the
nasolabial folds which go from the sides of the nose to the corners of the mouth,
the marionette lines which are the continuation of the nasolabial folds to the
jawline, the chin, and the jawline. Often times combining fillers with Botox
treatments yields superior results.When used in combination, Botox and fillers can significantly improve the shape of the face. A desirable appearance for a female face includes a wider portion at the level of the upper cheeks with the face narrowing down at the bottom, which resembles the shape of a heart. When Botox is placed in the masseters the lower face may thin out. If a filler such as Voluma is placed in the upper cheek it will restore the youthful apple of the cheek and provide a harmonious balance to the entire face.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In
addition to these risks, with Botox there is also a risk that the product spreads
or diffuses to nearby structures. Spread to nearby muscles can lead to side
effects such as the temporary appearance of droopy eyelids or a temporary
asymmetric smile.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific
recommendations. Good luck!