Feminizing square bony female face: I'm concerned with my large masseter muscles and long rectangular face. (Photo)

Thank you for your question and photo. I do believe that you would benefit from masseter Botox injection for narrowing your lower face and jaw. You appear to be an excellent candidate. I also believe that you would benefit from fillers to add volume and projection to your cheeks and to widen your midface for a more rounded or heart shape. Be sure to consult with an experienced and qualified, board certified injector from one of the core specialties. Best of luck!Dr. Polo

First, you don’t look old or masculine. Your jaw is strong, but it’s difficult to tell from the photo whether the shape of your jaw is caused by bulky masseter muscles or by bone. If it’s muscular, Botox could relax the muscles to slim your face. If it’s bone, you could soften the lines with dermal fillers, such as Sculptra and Voluma. Start consulting facial plastic surgeons who can soften your look. I hope this helps.

Botox, Dysport, or Xeomin in your masseter muscle can help you get a more heart-shaped face. You can also soften the lines of your jaw with dermal fillers. Consulting with a board-certified dermatologist will give you a better idea of the possibilities that are open to you.

Botox can help soften the jaw muscles. By softening the jaw muscles, the face appears sharper and leaner, and less rectangular. Botox in the masseter muscle softens the jaw line for a more feminine appearance. 

You have an attractive face, but I see your point on the masseter and lower face area. Start with Botox for masseter injections. The muscle has to atrophy and so it takes time for the shape to change and your best result may not occur until the second set of injections. I also suggest you consider some fillers to change the shape of your face. You need a formal consultation to know exactly what to do...

Yes, Botox combined with radiofrequency can be used to slim the jawline. Botox results resolve in 3-4 months. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Dear emh5531,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. We recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon who can perform a thorough examination and discuss with you the best treatment options to address your goals. Neurotoxins like Botox can often be injected to the masseters to help narrow the lower third of the face in a subtle way. The addition of fillers to the cheek or midface area may also have promote more attention to the eye and cheek areas.  

Facial feminization in the female? NO Surgery! Your face is pretty and not abnormal to other people. Botox may be worth a try if you are adamant. 

Even if your square jaw is due to bone, not muscle, a board-certified dermatologist will be able to help you soften your look. Botox can be used to relax the muscles, as you know, which could slim down your face if the squareness is caused by bulky masseters. If it’s the jawbone itself that is wide and angular, using dermal fillers like Restylane Refyne and Defyne can soften your look by creating more gentle curves. You may even do best with a combination of Botox and fillers. Botox and fillers last about 6 months in the jaw.The only way to determine which is best for you is to meet in person with a board-certified dermatologist who can examine your jawline and help you find the best solutions to get the softer, more feminine look you desire. 

You are very young to get started on this path. You have a beautiful smile and I believe you are being very critical of yourself. You do appear to have strong masseter muscles. Botox can relax these muscles giving a more tapered appearance to the lower face which can be perceived as more feminine.