Will Botox in my masseters make my already long face appear even longer? (photo)

Question

Im thinking of getting botox in my masseteers cause of TMJ. The thing is, I have really long face and big chin (unfortunately) and I am scared that botox in the massateers will make my face appear even slimmer and longer and therefore my prominent chin will look even bigger. Also Im concerned it will overall make me look older. I have uploaded a picture of my lower face. What do you think? Thanks in advance for answering! :)

Kevin Tehrani, MD, FACS · Answer

Thank you for your very smart question and posting an appropriate picture. You’re correct to note that making your masseter muscle smaller will not benefit your facial harmony. Botox injections for TMJ don’t necessarily have to be done in the masseter, in fact best done in the Pterygoid muscle inside the mouth which won’t change your facial anatomy at all.  Please look for an advance injector to provide this small dose of Botox for you.

Nelson Lee Novick, MD · Answer

When Botox is used for shrinking hypertrophied (enlarged ) masseter muscles, a procedure much sought after often for purely aesthetic reasons by many Asian women for tapering the lower face, the results are typically quite gratifying. However, when used for TMJ, especially in Caucasian faces, there is a real concern for creating the kind of laxity you describe. The good news is that an appropriately selected, robust volumizing filler, such as Voluma XC or Neauvia Intense Flux, injected after the masseter treatment into that region can help to retaper the lower face and redefine the jawline. In experienced hands, this should take no more than about ten minutes to perform. So, vis-a-vis the Botox for the TMJ, if you need it, have it done, and then, if necessary, that treatment can be followed by the injectable volumizer. Best of luck to you.

Jason Emer, MD · Answer

botox Is good for facial slimming but often can make the face look a litlte saggy after, so if you do this consider fillers, threads, or morpheus long term to keep you skin and contour in check.  Also do at home dermarolling daily (see link to emeragecosmetics.com for our at home dermarolling protocol).  Best, Dr. Emer.

Tanveer Janjua, MD · Answer

It is ok to go ahead. The atrophy of masseters can be compensated with fillers. You might not even see a big change in the size of masseters. Also think of Kenalog in TMJ, works great if you have TMJ pain. Watch the video below. RegardsDr. J

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Nothing replaces an in-person examination but it doesn't appear that you have significant masseter hypertrophy so I do not think that treatment will result in a significant change to your facial proportions.  Hope this helps.

Will Botox in my masseters make my already long face appear even longer? (photo)

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Answer: Will Botox in my masseters make my already long face appear even longer? (photo)

Answer: Will Botox in my masseters make my already long face appear even longer? (photo)

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Will Botox in my masseters make my already long face appear even longer? (photo)

Answers (9)

Answer: Botox in masseters

Answer: Botox in masseters

Answer: Will Botox in my masseters make my already long face appear even longer? (photo)

Answer: Will Botox in my masseters make my already long face appear even longer? (photo)

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Everything you need to know about Botox for TMJ

Our mission is to create a world where every investment in modern beauty is Worth It.