Masseter reduction via Botox caused jaw line to lose definition. Should I do Kybella or just Voluma on jaw line? (Photo)

Thank you for your question regarding nonsurgical procedures to slim the face.  There are a few modalities that may help you achieve a slimmer lower half of your face.  The first is the use of Botox in the masseter muscles.  These muscles can become large if you area grinding or clenching your teeth or just genetically.  By relaxing the muscles with Botox, over time they will relax and diminish in size.  This will result in a smoother and less sharp angle of the jawline.  Secondly, fillers can also be used strategically, and in addition to the Botox, can help contour the jawline to the shape you desire.  Lastly, some are using Kybella (off label) to melt fat in the lower face (jowls) as well as using it's on label use to melt fat under the chin.  This can also be used in addition to the other treatments discussed above.  
To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Hello and thank you for your question. Dermal fillers can be injected along the jawline to create a sharper and more defined angle, providing a more sculpted and youthful appearance. A weak or recessed chin can contribute to an unbalanced jawline as well. Dermal fillers can be used to augment and enhance the chin, improving overall facial harmony and defining the jawline. Fillers can also correct minor jawline asymmetries, providing a more symmetrical and aesthetically pleasing appearance.

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hi and thank you for your question! Kybella is FDA-approved for reduction of fat under the chin, and in your case, the issue does not seem to be related to excessive fat and hence Kybella is not likely to help. For a better defined jaw line, injection of fillers would be a great option and you can see great results at skilled hands. I hope it helps and good luck!

Thanks for the detailed question and all the photos. By the looks of the photos it doesn't seem that you have a lot of adipose tissue around your jaw line which is what Kybella works on. It would be best to use a filler to try to sculpt the jaw line. Practitioners in our practice have had great results when using Sculptra along the jaw line, if you were willing to consider a different product. For more information on injectables please visit our webpage. 

Kybella will dissolve fat and is intended for submental fat; not to contour the jaw.  Voluma could be placed in areas where you want a more defined jaw.

An examination of you would be helpful to give you the best advice, but just judging from the pictures you provided, I would not recommend Kybella for you.  It does not appear to me that you have a significant amount of fullness under your chin.  I think adding Voluma along your jawline would be more helpful in trying to accomplish your goal.  

Along the jaw at the posterior angle the structure that gives definition is either the bone or the masseter. Since you reduced yours the stronger jawline was lost when the support decreased. You can re-establish the support with a filler like Voluma placed along the bone. Look for a provider experienced in the Y lift method of injection as I think that will help you achieve your #goaljaw. 

you can't always get what you want. You made the masseters go away and now you want more fill where the masseters were, Kybella is not the right thing to do. Filler might be, but you are going in circles.