Can you make your jawline and neck area more define with Botox? (photo)

In asia one of the most common ways to give an elongated jawline and soften the posterior jaw is to inject botox into the masseter muscle, which may be an option for you.  Please only go to a physician trained in doing this and who has done it often like myself, otherwise you can have difficulty chewing and holding food in your mouth for 3 months after treatment if it is not injected properly.  Also, botox under the jaw can help give a neck lift and tightening by working on the platysma muscle.  I typically add filler, radiesse or sculptra, or in a combination of both, to build collagen and stimulate the jaw to tighten and give contour, this works very well.  On top of it all we typically do Fraxel and Thermage or Ultera to address both the texture of the skin and to tighten the skin.  Most of our patients in their 50s, look in their 30s.  We would gladly take care of you in the office.  I wish you the best, Dr. Emer.

Botox, as well as the two other available neuromodulatoers, Dysport and Xeomin, have in fact been used to improve the jawline and neck for many years. Almost twenty years ago, I was already routinely using Botox to treat the ropey, vertical cords on the neck. A few years later, the so-called "Nefertiti Lift" (named after King Tut's stepmother who possessed the perfect chiseled jawline) came on the scene. In this procedure small droplets of Botox are not only instilled into the platysma muscle of the neck, but along the jawline, with the intention of not only tightening the neck, but of directly straightening and defining the jawline itself. More recently, it has become fashionable, particularly among individuals of Asian background wishing to soften the broadness or sqaureness of the lowermost portion of the cheeks, to have the masseter (chewing) muscle injected with Botox. All of these techniques are sophisticated uses of neuromodulators and are best left in the hands of board certified core aesthetic physicians with extensive experience  in their use within the lower face and neck.

A combination of Botox and Thermage would yield the best result for you.  Injecting Botox into the masseter muscle can help slim your face.  Thermage would tighten it up as well and help treat the slight double chin and rejuvenate your jawline.  Please consult a board certified dermatologist with a great deal of experience with both procedures for the best results.