Masseter Botox to even out lips and jawline? (Photos)

Question

I was looking at getting Botox, as my lips and jaw is crooked. My left side of my face does click and pop and can cause migraines, and I was going to a TMJ specialist to see about a night guard as well. Would Botox or fillers be good? My lips look uneven, as so does my jaw.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Botox can help out patients with TMJ disorders but be sure to seek out a specialist in consultation to get the best advice.

Tanya T. Khan, MD · Answer

Hi, Botox can definitely assist with TMJ symptoms. Sometimes having TMJ worse on one side may cause one side of the face to look bigger than the other (overactive TMJ). I would let that work first and then look at how the jawline maybe changes. For the lip, you may consider filler to even out areas.

Jason Emer, MD · Answer

botox can make your jawline slimmer but often makes it sag. make sure you are a good candidate.

most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift.  an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done.

For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined

Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma.

See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

John L. Burns Jr., MD · Answer

Botox will relax the masseter muscle which if overactive can cause TMJ symptoms.  Botox can cause some atrophy of the muscle which slims the face.

Sheryl D. Clark, MD, FAAD · Answer

Hello HuhThatsWeird432:

Yes, Botox would be helpful in your situation. My patients experience immediate relief form pain and clenching, and the facial asymmetry improves within a few weeks, sometimes not correcting fully until a few treatments have taken place.

I do hope this is helpful to you!

Sheryl Clark MD FAAD

Masseter Botox to even out lips and jawline? (Photos)

Answers (5)

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