Masseter Botox Side Effects: Can It Lead to Lower Face Jowls?

AestheticSurgery

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10 Tháng hai 2026
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Masseter Botox, often referred to as "jawline slimming," has surged in popularity for its dual ability to treat TMJ disorders and create a more tapered, V-shaped face. By relaxing the masseter muscles—the powerful muscles used for chewing—the lower face appears narrower. However, as with any aesthetic procedure, patients are increasingly asking: Can Masseter Botox cause lower face jowls?

Understanding the Masseter Botox Mechanism
When Botox is injected into the masseter muscle, it temporarily blocks nerve signals, causing the muscle to atrophy or shrink over time. While this results in a slimmer jawline, the reduction in muscle volume means there is less structural support for the overlying skin and fat pads.

https://aestheticsurgeryvietnam.com/does-masseter-botox-cause-jowls-in-the-cheek-area

The Connection Between Botox and Jowls
For most younger patients with high skin elasticity, the skin simply shrinks to fit the new, smaller contour of the jaw. However, jowling can occur as a side effect in specific cases:

  1. Skin Laxity: If a patient already has diminished collagen or loose skin, removing the "bulk" of the muscle can leave the skin with nothing to hold onto, causing it to sag toward the chin.
  2. Over-Treatment: Injecting too much Botox or treating the area too frequently can cause excessive muscle shrinkage, leading to a "hollow" look that emphasizes the appearance of jowls.
  3. Incorrect Injection Point: If the Botox diffuses toward the risorius muscle (responsible for smiling), it can distort the lower face shape, making the cheeks appear to "drop."
Botox to the jawline – what you need to know | ASPS


Who is at Risk?
Patients over the age of 40 or those who have naturally thin skin are at a higher risk of developing jowls after Masseter Botox. It is crucial to have a professional assessment of your skin snap-back quality before proceeding with the treatment.

How to Prevent and Treat Post-Botox Sagging
If you are worried about sagging skin, consider these preventative strategies:

  • Conservative Dosing: Start with a lower unit count to see how your skin reacts to the volume loss.
  • Combination Therapy: Pairing Masseter Botox with skin-tightening treatments (like Ultherapy or RF Microneedling) can help keep the jawline firm.
  • Dermal Fillers: Sometimes, a small amount of filler along the chin or pre-jowl sulcus can provide the structural support lost by the muscle atrophy.
https://sites.google.com/view/aesth...dermal-filler/Can-You-Get-Botox-While-Nursing

Final Verdict: Is It Permanent?
The good news is that Botox is temporary. If you do notice slight jowling, the effect will typically resolve as the muscle regains its strength and volume over 4 to 6 months.
 

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