Long Face - Can Botox Make It a Little Bit Round or Square?

Botox can thin out the face more, as it is used in reducing hypertrophic masseter muscles of the cheek. If the platysma muscle in the neck below the side of the jaw is injeced to lift up the skin, the angle of the jaw may become more defined, but it won't round out the face. You may need fat injections, Radiesse or Sculpra for panfacial volume augmentation.

Botox would not be a good option for making your face appear less long or thin. Fillers could be useful in providing cheek fullnes and longer term results could be achieved with fat grafts. Facial implants are another alternative.

Hi Desert R,

Botox will not shorten your "long" face.  Properly placed volume in your face, such as Sculptra can change the shape of your face from the long rectangular face of aging back to the oval, heart shaped face of youth.  Good luck and be well there in Kuwait.

Dr. P

Botox won't change facial shape. On;y surgery will change the shape of the face, normally requiring implants made of silicone.

Dear DsrtRose

Quite the opposite, BOTOX is used to shape the jaw line.  The effect for people with round faces is to make the face more angular.  In looking at your photo, volume in the form of fillers at the top of the cheek will help balance your face.  This is what I would recommend for you.