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A 28 year old woman who was disturbed with what she termed “a chubby face".

What is your diagnosis?

botox to thin face

Normal variation in facial contour.

A 28 year old woman who was disturbed with what she termed “a chubby face” . She reported that having a wider than desirable face was common in her family. She said her sister living in China had BOTOX® injections into her cheeks and they were greatly reduced. She wanted the same treatment but could not travel to China.

In actuality, the masseter muscles tend to be prominent either due to genetic predisposition or just cosmetic desire of the patient to be smaller. Reduction of the masseter muscles softens the appearance of a “square jawline” producing an overall slimming effect of the face.

I do injections of onabotulinumtoxin A (Botox® or Dysport®)directly into the masseters every 3 months. This produces a mild atrophy that reduces the appearance of the ‘square jawline’. Usually takes 2-4 treatments. The masseters are so strong I have not had any problems or complaints concerning post treatment chewing.

The after picture was taken 1 month after the 3rd injection.


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