Would masseter Botox or buccal fat removal be the better option to help me achieve a more symmetrical look? (photos)

Question

I have some asymmetry to my face that I want to correct. What will provide me with the best results, Buccal fat pad removal to just the one side or would masseter Botox work. I am worried about howling from masseuse Botox and also that it may not give significant results.

Camille Cash, MD · Answer

From your photos it appears you are a candidate for masseter Botox. The treatment is done in the office with final results seen after two weeks.  The effects are temporary, lasting 3 to 4 months typically, and fading gradually.  This would be the preferred way to begin as buccal fat removal is permanent and more  aggressive.

Anil R. Shah, MD · Answer

Hello Charming629789! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. It is difficult to determine based on the photos. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Eric M. Joseph, MD · Answer

If you like to chew gum, or if you grind your teeth, you may perhaps have Masseter enlargement. You can tell for yourself by pushing on the full area and clenching your teeth. If the area bulges, it is certainly your masseter muscles. If that is the case, I would suggest using a neurotoxin like botox on both sides not just one. I hope this helps! Sincerely, Dr Joseph

Liliya Slutsker, MD · Answer

Thank you for your question!How long ago have you noticed this assymetry?Have you had any dental procedures?If it’s a masseter muscle, neurotoxin will help.If it is in fact asymmetrical fat pad, liposuction might help.If it is an inflammation of buccal mucosa, or blocked salivary gland , needs treatment.Or it is congenital and been there for a long time?It would be the best advice to get a consultation and determine a cause of assymetry, and go for less invasive procedure.All the best!Dr.Liliya

Would masseter Botox or buccal fat removal be the better option to help me achieve a more symmetrical look? (photos)

Answers (4)

Answer: Facial assymetry

Answer: Facial assymetry

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Would masseter Botox or buccal fat removal be the better option to help me achieve a more symmetrical look? (photos)

Answers (4)

Answer: Facial assymetry

Answer: Facial assymetry

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Recommended reading

Everything you need to know about Botox for TMJ

Our mission is to create a world where every investment in modern beauty is Worth It.