Achieving a slimmer, more balanced facial appearance can involve a combination of treatments, depending on the underlying causes of asymmetry and fullness. Since you've had success with masseter Botox, which reduces muscle size and can help contour the jawline, here are additional options to consider: Dermal Fillers: Purpose: Fillers can be used to enhance facial symmetry by adding volume to areas that appear smaller or less defined. They can also help contour the cheeks and jawline for a more balanced appearance. Recovery: Minimal downtime, with possible swelling or bruising. Duration: Results typically last 6-18 months, depending on the type of filler used. Buccal Fat Removal: Purpose: A surgical procedure to remove excess fat from the cheeks, which can help create a more defined, slimmer face. Recovery: Swelling and bruising are common, with downtime of about 1-2 weeks. Considerations: Best suited for individuals with fuller cheeks who desire a more contoured look. Ultherapy or Radiofrequency Treatments: Purpose: Non-invasive treatments that use ultrasound or radiofrequency energy to tighten and lift the skin by stimulating collagen production. Recovery: Minimal to no downtime, though some redness or swelling may occur. Results: Gradual improvement over several months, lasting up to a year or more. Facial Contouring Surgery: Purpose: Surgical options such as chin augmentation or cheek implants can address structural asymmetries for a more balanced facial appearance. Recovery: Involves more significant downtime and recovery compared to non-surgical options. Continued Masseter Botox: Purpose: Regular treatments can maintain a slimmer jawline, especially if muscle size is a significant factor in facial fullness. Frequency: Typically every 3-6 months, depending on individual response. It's essential to consult with a board-certified dermatologist or plastic surgeon to discuss your concerns and goals. They can evaluate your facial structure, provide personalized recommendations, and develop a treatment plan tailored to your needs. Photos and an in-person examination will help them determine the best approach for achieving the desired results.