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Hello, hope you are well. The answer to your question depends on how masseter 'removal' or 'reduction' will be accomplished. As always, the devil is in the details. The most straightforward way to reduce the masseter is with botulinum toxin injections (Botox, Xeomin, Dysport, etc)--this causes gradual atrophy of the muscle which allows it to shrink down with no incisions or down time. That's a safe way to preserve the SMAS and accomplish your goal. Although I wouldn't necessarily recommend it, if a surgical reduction is proposed, it could theoretically be done transorally (through the mouth) without violating the SMAS in the process. A transfacial approach could also be done theoretically, but it would violate the SMAS and put the facial nerve at higher risk (definitely not recommended given the alternatives). Best,Dr. Tower
When you are not smiling your facial balance looks good. Facial changes when animating are difficult to change. In your case, some minor changes can be made to both the vertical height and horizontal projection with chin shaving. A Ct would be helpful to determine your vertical chin height.
My recommendation would be a genioplasty for the chin and jawline contouring. A genioplasty would bring your chin down and elongate the jawline. It would also round out the chin to create a softer appearance. Jawline contouring will slim down the jawline, creating a rounder look. However, there...
Jaw reduction surgery involves the removal of bone and reshaping of the jawline to achieve a more desirable facial appearance. While this surgery can improve facial symmetry, it can also potentially affect your ability to withstand blows to the face, such as those that occur in MMA or kickboxing...
