Permanently reduce masseter muscle in Asian patient?

It is impossible to give you good advice based on such a photo!? Generally, muscle reduction can be done surgically as well as reduction of the underlying bone. Replacement of chin implant is a possibility. However, you will benefit from a detailed clinical evaluation by a board certified plastic surgeon and discussion about your goals and options. Good luck.

Surgical reduction of the lower half of the masseter muscles is best done by electrocautery through intraoral incisions as opposed to actually trying to cut out the muscle. By cauterizing the internal surface of the face, some permanent loss of muscle mass results from the thermal injury.Non-surgical repeat Botox injections can also be done which can create a more permanent result in some patients. Removing your existing chin implant and treating the chin by a width reduction genioplasty can be done at the same time.