Buccal fat removal or masseter Botox or both? (Photo)

Question

Should I try Botox first to see if it will help? Or just go for the buccal fat removal and then if still not happy do Botox?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. If you are unsure about surgery, Botox is a great option to slenderize the jawline. When injected into the masseter muscle, its size is reduced to provide a slimming effect to the lower third portion of the face. Results from Botox generally last 3-4 months.
If you’re interested in a more permanent result, a buccal lipectomy procedure removes the buccal fat pad from the face to reduce fullness and define the contour of the cheekbones and jawline. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your aesthetic goals and help you decide on the best approach.

Mansher Singh, MD, FACS · Answer

Based on your front view, you are a good candidate for buccal fat reduction. It's hard to tell about botox to masseter without more pics and info. However, you can always stage them since they address different portions of the face

Gurkan Kayabasoglu, MD · Answer

Hello. First of all, since there is no return of any surgery, I recommend Botox injection instead of buccal fat removal, which is non-invasive. You will already see the effect after a month and you will decide whether you are happy or not. If it is not enough for you, you can have surgery. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Omar Lazos, MD · Answer

If you're seeking to get more cheekbone definition and a more contoured mid cheek, buccal fat pad removal is a good option to achieve a more noticeable and permanent result but if you're undecided,  doing botox to the masseter is a good option to start and see if you like the subtle result before committing to the surgical procedure.

Alan Gonzalez, MD, FACS · Answer

Hello @katiegreggs, thank you for your question.I suggest you consider both options, because Botox applied on the masseters is not the same as a Bichectomy. Botox is applied to the masseter so that the masseter loses strength and the lower jaw line does not appear as thick, and a Bichectomy is performed to reduce chubby cheeks, as it removes the fat from the inner pannicle of the cheek. The best course of action is to consult one or several board certified plastic surgeons for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

Darryl J. Blinski, MD · Answer

Seeing the 1 frontal posted photo I do not see buccal fat. I see jowling with laxity of mid face and cheek/malar hypoplasia, along with temple indenting. Best is virtual consult with...... Offering options of 1-stitch FaceLift, HA fillers to temples, cheeks, threading with newer PDO threads, or combination of all the previous mentioned options.

Buccal fat removal or masseter Botox or both? (Photo)

Answers (6)

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