Can Botox make your temples more narrow and make the temple bones smaller?

Question

I'm a female and I have a wide forehead and temples and I know there's alternatives like hairs transplant and hairline lowering. However, can I use Botox to shrink the temple muscles?? If not, is there any other procedure to help reduce your temples. Maybe liposuction??

Michael P. Morrissette, DDS, FACS · Answer

Botox does not cause muscles to atrophy; You can inject Botox for many years and it does not cause the muscles to atrophy. Once you no longer inject Botox, the muscles resume their normal function. Also, it does not affect the underlying bony structure. With aging, it is common to see a hollowing in the temporal region. This can be improved with temporal injections of HA fillers, fat, or temporal implants. There is a concept of the "triangle of beauty" and that begins with a wide projection of the temporal area and zygomatic bones. In most cases, a wide temporal region is associated with a more youthful appearance. Best.

Charles S. Lee, MD, FACS · Answer

Most definetly yes, botox can shrink the temple muscles. Typically 15U on each side will work for up to 6mo. It can have some minor affect on the strength of your bite, especially if combined with botox to the jawline (these are the two main chewing muscles). I would caution against doing this for most patients because atrophy of the temples is usually unattractive and can make one look aged.

Andrew Campbell, MD · Answer

Botox can be used in the temples to shrink the temporalis muscles, but it won't change the temple bones, so it depends on where you are wide as to whether it will help. If you are wide up high in the bony area, then Botox won't help. If you are wide where the temporalis muscle is, then it may. Also, it will take a significant amount of Botox to do this, and it will need to be repeated every 3-4 months. An examination would determine whether liposuction in the area could help, but it is doubtful. If you have a receding hairline and that is giving you the look of a wide temple, then follicular hair grafts would be your best option. Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Jason Emer, MD · Answer

Yes, you can use Botox to decrease the size of the temples. This can be used in combination with filler to the forehead or jawline to give you a more proportional face and thus making the temples less noticeable.  Best, Dr. Emer.

Lee B. Daniel, MD · Answer

Over time, a skilled plastic surgeon can use BOTOX® injections to reduce the size of your temporalis muscle. This can make your temples appear smaller and less prominent. However, no injectable or filler can change the location of your hairline nor can it alter the size or placement of your facial bones. Having an in-person consultation with a board-certified plastic surgeon in your area can help you determine what can be achieved using medical spa treatments.

Hardik Soni, MD · Answer

Thank you for your question. Yes, Botox can be used to decrease the size of the temples. It can be used in with filler to the forehead or jawline to give a more symmetrical face making the temples less noticeable. I recommend finding an expert injector in your area to determine the best treatment plan for you. Best of Luck!

Julie Edween, DO · Answer

eviestar415

With the appropriate dosage and repeat injections, over time it is possible shrink the temporalis muscle through a process of muscle atrophy.  Botox will not change the temple bones or your hairline.  Short of placing hair grafts, there are not many options to address your concerns at this time.  Good luck!

Johnson C. Lee, MD · Answer

Botox can be injected into the temple muscle (temporalis)  to shrink the muscle. This, however, will not affect your hairline or the actual underlying bone structure. As we age or become chronically ill, our temples naturally lose volume and we begin to look more skeletonized. Attempts to aggressively shrink the area may make you look older or unhealthy. Hope this helps!Johnson C. Lee, MD Plastic Surgery

Steven F. Weiner, MD · Answer

This can be done with injections in the temporalis muscle. I do this routinely for TMJ. It will reduce the muscle bulk in the area. At least 20-25 units are needed per side. The boney structure won't change so I'm not sure if you will be happy or not.

Melvin Elson, MD · Answer

Botox treats muscles and the temple appearance is mostly due to bone and will not be affected by Botox. See a board certified plastic or facial plastic surgeon for evaluation and what can be done

Can Botox make your temples more narrow and make the temple bones smaller?

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