I have a very square face and jawline, what procedure would make it look less square? (Photos)

In general, Botox can be injected into the masseter muscle to reduce the width of the lower face; a strong masseter muscle contributes to a “squared off” look.  It works by decreasing the jaws ability to clench, and overtime can give a slimming appearance to the face. When injected into this muscle, it takes minimally 5-10 days to notice a decrease in clenching of the jaw, however it can take 3-4 weeks to notice a slimming appearance to your jawline.

Another option to consider is enhancing the midface to offset the lower face.  This can be done with fillers, ALMI fat and PRP injections.

To know what’s best for you, a physical examination is necessary. The best thing you can do is go to a board certified plastic surgeon who can assess your face and decide which route is best for you! Good luck!

In Good Health,

Dr. Ellen Mahony

Thank you for your question. Botox can help soften jaw muscles. Injecting Botox into a muscle causes it to relax and shrink in size. When we use this information and apply it to the masseter (chewing muscle), it causes the muscle to become smaller and therefore results in a thinner facial appearance. When combined with facial fillers, which can be used to enhance the cheekbones, we can help you achieve a contoured look. If you feel your jawline is too masculine, this method can also be used to reduce the jawline for a softer, more feminine appearance.

This will depend on the final results you want. Botox and radiofrequency can slim the jawline. Fillers and/or Sculptra can be used to improve jaw shape. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you have masseter hypertrophy, this can be improved with botox injection into the masseter, which can soften the angle of your jaw.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Bone (mandible), muscle (masseter), and soft tissue (parotid gland and fat) can all contribute to lower facial width and a square-shaped appearance to the face, and it is difficult to determine the contribution of each based on photos alone.  A proper consultation is therefore required.  Bone can be reduced with different shaping techniques that reduce either the outer surface of the mandible or the lower aspect of it near the jawline.  In some cases, a simultaneous chin augmentation may also aid in creating the illusion of a sharper jawline.  Botox can be an effective way of reducing the size of the masseter muscle and/or parotid gland, although both are considered off-label uses of the product and require a provider who is knowledgeable in these techniques.  Lastly, if excess fat is the issue, targeted and conservative liposuction of the lower cheek and jawline area may further reduce lower facial width and help one achieve their desired facial shape.  As always, seek proper consultation before treatment and best of luck!

It's hard to make a recommendation without evaluating you in person. That being said, I think you are a good candidate for Botox or Dysport injection to the masseter muscles. The treatment would reduce masseter muscle bulk and slim the lower face. 

Although I can't make a definitive recommendation from a photograph, it appears that you are a candidate for botox (or xeomin or dysport) injection in the masseter.  The masseters are the muscles that bulge at the outer corners of your jaw when you clench your teeth.  Some people have large masseters related to TMJ but others just have it genetically.  Either way, relaxing those muscles with a toxin will slim and soften the squareness of your jaw.  It helps turn a square face into more of a heart.  The procedure may be done alone or with facial fillers depending on your needs.One warning -- at about 2 - 3 weeks after injection, you may have difficulty chewing.  That isn't permanent.  You are just used to the muscles being very strong.  It resolves and you will be able to eat normally despite the muscles remaining weaker.  Most importantly, please see a board certified dermatologist or plastic surgeon for your evaluation and procedure.  While the procedure is relatively quick, getting a good outcome is dependent on your physician having an expert eye, knowledge of anatomy and of the drug.  You also want to find a physician willing to answer your questions and see you in follow up.I hope this answer was helpful.  Best wishes

Dear Meganjayne0011,As mentioned by other respondents, there are essentially 3 components involved with jaw angle width, the jaw bone, the chewing muscle and the salivary gland.  Actually, all 3 of these structures can be addressed depending on whether they are pathologic or normal variants, and the extent of their contribution to the jaw structure.  This would require an examination, possible Xrays and maybe even a CT scan or MRI scan.  Start with an American Board of Plastic Surgery board certified plastic surgeon, preferably one with craniofacial fellowship training, or at least familiarity with craniofacial techniques.  He/she will determine which of the structures is contributing to your jawline and how to best address each.  Good luck!

Hi.  I think Botox would work well to soften the angular jawline.  I also feel you might benefit from some dermal fillers to achieve a little reshaping and enhancement to the chin area.  

Your issue appears more to be bone than muscle or soft tissue. see a board certified plastic or facial plastic surgeon for an evaluation