Botox: Can It Effectively Slim a Square Face?

Botulinum toxin

Hello, doctor: I found information online about botulinum toxin, and I heard that getting botulinum toxin injections can improve a square-shaped face.
However, I understand that multiple sessions may be required.
Is this true?

Xiao Linzi, 20~29 year old female. Ask Date: 2005/03/18

Dr. Lu Daokuan reply Plastic Surgery

To determine whether the fullness of the face is due to hypertrophy of the masseter muscle or bony protrusion, if it is solely muscle hypertrophy, the use of botulinum toxin can effectively improve the condition.
Additional doses may be required after six months to one year, and typically 2-3 treatments can achieve a permanent improvement.
If there is bony protrusion, bone contouring may need to be considered.

Reply Date: 2005/03/18

More Info

Botox, or botulinum toxin, is a popular non-surgical cosmetic treatment that can indeed help in slimming a square face, particularly when the square appearance is due to hypertrophy of the masseter muscles, which are the primary muscles used for chewing. This condition can lead to a more pronounced jawline, contributing to the square face shape.
When Botox is injected into the masseter muscles, it temporarily weakens these muscles, leading to a reduction in their size over time. This can create a more tapered appearance to the face, making it look slimmer and more oval rather than square. The results are not permanent; typically, the effects of Botox last about three to six months, after which the treatment needs to be repeated to maintain the desired appearance. Most patients find that they need to undergo the treatment two to three times a year to keep their results consistent.

It's important to note that the effectiveness of Botox in slimming the face largely depends on the underlying cause of the square face shape. If the square appearance is primarily due to bone structure, such as a prominent jawline or wide mandible, Botox may not provide significant changes. In such cases, surgical options like jaw reduction surgery may be more appropriate. However, for those whose square face shape is due to muscular hypertrophy, Botox can be a safe and effective option.

In addition to Botox, there are other non-invasive methods to consider for facial slimming. These include dermal fillers, which can be used to contour the face, and various skin-tightening treatments like ultrasound or radiofrequency therapy. These methods can enhance facial contours and improve overall appearance without the need for surgery.

Before proceeding with any treatment, it is crucial to consult with a qualified medical professional who can assess your specific facial structure and discuss the most suitable options for you. They will consider factors such as your medical history, aesthetic goals, and the potential risks and benefits of each treatment.
In summary, Botox can effectively slim a square face, particularly when the cause is muscular hypertrophy. However, it requires ongoing treatments to maintain results. For those with more pronounced bone structure issues, surgical options may be necessary. Always seek professional advice to determine the best approach for your individual needs.

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