Do I need jaw filler or masseter Botox? (Photo)

Question

I am interested in having a procedure done but am unsure of what it is I need - I feel my lower face (jaw/chin region) is asymmetrical - is this something that could be fixed with Botox or filler? Thankyou

Alexander Rivkin, MD · Answer

Hi and thanks for your question. From your picture, I think you are a much better candidate for Botox than fillers. I would guess that you like your slimmer side better and would like to have the more full side be reduced to match. This can be accomplished with careful injections of Botox into the fuller side.  I think that the asymmetry is caused by clenching or grinding on one side more than the other, which will be relieved with Botox. Your asymmetry is not that obvious, but I understand how you could be bothered by it. To my eye, a slimmer jawline would be feminize your face and that would be a big aesthetic benefit. Injecting fillers into the slimmer side would make your jaw bulkier and would masculinize your face. This, it seems to me, would be an aesthetic negative for you. Hope that helps and feel free to call my office with any questions.

Anil R. Shah, MD · Answer

Without standardized photos it is hard to evaluate your concern, I strongly advise you to seek a consultation with an experience injector who understands your facial anatomy.  Without a proper consultation it is hard to advise specifically what plan of treatment to take. Some options available for patients with Jaw/Chin region lower face asymmetrical can be:1.Chin Augmentation- surgical approach ( Projection and symmetry)2. Buccal Fat Removal- slimming of face  3. Masseter Botox-non-surgical ( Lower face symmetry and slimming of face)4. Kybella-non-surgical ( define Jawline and Chin, slimming of face)5.Filler-non-surgical ( Filler on Jawline to define, Chin filler to project/Symmetry , help with symmetry ) 
Best,
Dr. Anil Shah MD FACS

Mark Hamilton, MD · Answer

Thanks for your question and sending images. I believe all of the above may be an options- botox, filler or an implant. This really depends on your goals and your anatomy. I would consult with a board certified facial plastic surgeon to have a thorough examination and explore your options. Hope that helps!

Richard W. Westreich, MD · Answer

Depending on your goals, fillers, botox, and/or skin tightening may be the answer. Chin implant is another great permanent option to consider. From your photos, your lower 1/3 could benefit from slight vertical augmentation. If I assume the side view can tolerate some projection, then filler or implant is the right answer. If any minor joweling is still present, then I’d recommend some form of skin tightening (facetite, fractora, or Morpheus).

Camille Cash, MD · Answer

To select the appropriate treatment you need to understand the effects of the treatments.  Botox injected into the masseter muscle will cause a slimming effect to the jaw by softening the appearance of that muscle.  If your masseter muscle is not hypertrophied then injecting this area will not be helpful.  Fillers such as Juvederm Volux are designed for the jawline.  With proper injection technique this area can be given more definition, creating a more precise contour.  See an expert injector near you to learn more.

Oakville Plastic Surgery &amp; Medspa · Answer

Hello,Botox & Fillers in combination can certainly help with your concerns.Botox would be placed in each side of the jaw to relax the muscle in this area creating an overall slimmer jaw appearance. Filler could be placed afterwards to help with any asymmetries to balance out the one side to match the other.

Monika Soni, MD · Answer

It is extremely difficult to assess what the cause of the asymmetry is from this photo. I would recommend consulting with an advanced injector, because I do feel confident that an increase in symmetry can be made.

John A. Fry, MD · Answer

Thank you for your question and photo. A thorough assessment in person by a professional experienced in lower face rejuvenation would permit the best plan for treatment. Often the best results for the lower face come from a combination of treatments. Botox for the masseter can slim the lower face into more of a V shape but only to a mild degree. This technique requires a lot of units and can be modified to improve subtle asymmetry. Using fillers for jawline definition can also help correct asymmetry. I often combine jaw and chin fillers with PDO threads for an enhanced result. Good luck!

Mabrie Facial Institute | San Francisco · Answer

Hi izzy1990,
Thank you for your question and your photo. 
  
Treating the lower face with Botox versus fillers can accomplish different goals. Botox or Dysport to the masseter muscles can help slim the face giving it more of a v-line shape. Fillers can be added to the jawline and chin to help sculpt and correct asymmetry, creating a well-defined jawline. Sometimes a combination of both treatments is best for patients, I recommend an in-person consultation with an advanced injector to see which treatment path is best for you. 
  
Our practice has created a video where we review treating the lower face with Botox/Dysport, I hope this information helps in your research!

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! It is extremely difficult to assess what the cause of the asymmetry is from this photo. I would recommend consulting with an advanced injector, because I do feel confident that an increase in symmetry can be made. Good luck! Sarah RN BSN

Do I need jaw filler or masseter Botox? (Photo)

Answers (18)

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