Weak chin & chubby cheeks. is masseter Botox a good way to improve symmetry? (Photos)

Hello and thank you for your question! Masseter tox would definitely help to slim the back of the jawline, but you are correct in your fear for potential jowling. However, since you are also considering chin filler, that could mitigate the issue somewhat (if it happens). Additionally, the "chin shadow" area can be filled to help enhance contour. Discuss your concerns with your injector ahead of time so that you have a plan in place, and all is well! I hope this helps!

Genie Alexander, RN BSN for Anna Petropoulos, MD, FRCS '
Center for Classic Beauty
Boston & Danvers, MA

Botox and chin filler are a nice start. Liposuction of the jowls and submental area would also be of benefit to facial contouring. I also feel that you are a buccal fat removal candidate. I do not think that the fullness of your face can be reduced without addressing the deeper fat compartments of your face. Buccal fat removal will have the most impact on what you are trying to achieve and in your particular face there will be no long term issues with skeletonizing the face.

Liposuction of the jawline and submentum (under chin) will make a huge improvement of your face and is easy to undergo. You see an improvement in just 24 hrs! It is done under local and really will make the biggest improvement for you.

Hello there BA,
Yes, I would treat you with masseter botox and chin filler. Once things have settled after 3 to 4 weeks then you may consider filler in your upper lateral zygomatic area. Most importantly make sure to select an expert master physician injector. Good luck and be well.
Michael A. Persky, MD
Encino, CA

Thank you for submitting your photos and your concerns. Based upon your photos, I do believe injecting Botox in the Massenter muscle can help your face achieve a slimmer face in the lower face. It will slim the face so the face is less square. Many of my Asian patients like this effect. The effect will be balanced and symmetric. I do think it has a net positive effect on the "chubby cheeks" since the lower face is not as wide. I don't think this will provide more symmetry however since your face is fairly symmetric. In terms of your chin, I cannot tell unless I see your chin profile to be able to tell if you could benefit from a chin filler. I would recommend you come in for in consult consultation to have full face evaluation to have the best overall recommendations.

It is not likely that Botox and selective liposuction will change the shape of your face in an oval, longitudinal face. More aggressive lipo-contouring with direct excision of fat deposits in the cheeks, masseter, jawline and anterior neck would be more appropriate. A face lift approach and incisions may be needed to address all these areas accordingly. In person consultation or a teleconference with a board certified plastic surgeon with broad experience in facial rejuvenation is recommended. Good luck.

Thank you for your question and for providing photos to help assess your concerns. From your description, it sounds like you're looking to achieve a more balanced and symmetrical lower face, and you're considering masseter Botox and chin filler as potential treatments.

Masseter Botox can indeed be effective for reducing the width of the lower face if you have hypertrophy (enlargement) of the masseter muscles. This treatment can slim the jawline and contribute to a more oval facial shape, which might help balance your facial proportions.

Chin filler can enhance the projection and definition of the chin, contributing to improved facial harmony. When combined with masseter Botox, chin filler can help create a more balanced and aesthetically pleasing lower face.

However, it's important to consider the following:

Chubby Cheeks and Jowling: If you have concerns about chubby cheeks or potential jowling, it's crucial to approach these treatments carefully. While masseter Botox can slim the jawline, it might accentuate fullness in the cheeks if not balanced properly. Similarly, chin filler needs to be administered judiciously to avoid exacerbating any tendency towards jowling.

Overall Facial Assessment: A comprehensive assessment by an experienced dermatologist or aesthetic physician is essential. They can evaluate your facial structure, skin quality, and specific concerns to recommend the most appropriate treatments.

Alternative Treatments: Depending on your individual anatomy and goals, other treatments might also be worth considering. For instance, cheek fillers or buccal fat removal can address chubby cheeks, while skin tightening treatments can help with jowling.

Given your concerns and desired outcomes, I would recommend scheduling a consultation with a board-certified dermatologist or facial plastic surgeon. They can provide a personalized treatment plan that addresses all aspects of your facial aesthetics.

Dear BAsailor,
Masseter reduction would likely be helpful for your jaw width. Seriously consider a buccal fat pad reduction, which you look to be a perfect candidate for. Good luck!