Masseter Botox Candidate? (photo)

Hello, I am 23 and am in the performance business. I am of a healthy average weight but always seem to have chubby cheeks no matter how much weight I lose. I want to give the appearance of leaner face with sharper features that will translate better on stage and screen. I am looking into rhinoplasty but it is currently out of my budget. Am I a good candidate for masseter botox and fillers for chin augmentation. What non-invasive procedures do you recommend?

Doctor Answers 4

Jawline Enhancement with Botox and Fillers

Thank you for the great question and your photos. Botox can be used to decrease the volume of the masseter muscles in people with thick muscle or a square lower face. This treatment generally requires significant doses of Botox, since the muscle is large and strong.  Additional enhancement can be performed by adding soft tissue fillers along the jawline or in the chin area. In my practice, I do this with Radiesse, which is a thicker and longer-lasting product.


Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 76 reviews

Jawlines can be sculpted by slimming with Botox as well as increasing contour with fillers

Botox can make your jawline appear slimmer. This is by reducing the bulk of the muscle in the cheek called the Masseter. There are other muscles that help chewing so there is very little effect on chewing and eating. This procedure first became popular in Korea, where a slender jawline is a hallmark of beauty.

For people with small chins, of course a chin implant is best but chins can also be augmented and shaped with injectable fillers. Jaws that are too narrow can also be enhanced with fillers.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Botox in masseter - candidate?

Thank you for your question and for sharing your photos.  I do believe you would get a great result with this procedure.

Botox in the masseter region usually takes longer than in the standard areas to take effect. I tend to use anywhere from 15 units (conservative treatment) to 50 units (for someone with really strong masseters) on each side to get the desired result. It may start within the first week but I tell my patients to wait three weeks before doing a more thorough evaluation. The treatment typically lasts longer than the forehead/crows feet/frown regions. It is also a gradual onset of the return of masseter function. I have tried the masseter injections myself and space the treatments around 4 months apart, but use smaller doses to maintain the effect. I normally know the effects are wearing down when I start to clench my teeth more heavily at night when asleep. Once you stop using Botox, the masseter muscles will return to their original baseline when the effects of Botox wears off completely.

Botox for masseter reduction and nonsurgical chin augmentation

Based on your photos a combination of masseter reduction with Botox and chin augmentation with a filler (such as Radiesse) will be able to create a more tapered and feminine jawline for you.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 37 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.