This technique is to reduce the flare and width of a wide jawline. Reducing the appearance of a wide jawline can help establish improved facial harmony and thereby elevate one’s attractiveness. In particular, some races like Koreans tend to have a stronger masseter muscle (chewing muscle) and a wider outer face. BOTOX jaw reduction can be undertaken to create a more pleasing facial shape.

The most important criterion to decide if you are a good candidate is the thickness of your masseter muscle. The relative thickness of the masseter can be easily determined by biting down hard and feeling the outer jawline. If the muscle appears to be almost rock hard and enlarged in appearance when you clench your teeth, you may be a good candidate to have this procedure done. Dr. Lam has performed this procedure in men and women and in most different races.Another important aspect to investigate relates to your habits that may predispose you to have a larger masseteric muscle and flared jawline. Excessive and frequent gum chewing can accentuate the size of the masseter over time. Also, chewing hard items like ice, cuttlefish, or other dried items may lead to an enlarged masseter muscle. You may not know it, but you may be grinding your teeth (known as bruxism) that can also lead to a larger masseter as well. If you suspect this condition (sore jaws in the morning, painful or worn down teeth or TMJ pain/clicking), you should also consider seeking dental consultation.

BOTOX weakens the injected muscle over time, which leads in turn to a reduction in the overall size. Dr. Lam focuses precisely where the three heads of the muscle overlap (for maximal effect), which happens to correspond with where the muscle inserts into the bone. By reducing the muscle at the point of attachment to the bone, the bone can also reduce over time giving longer-lasting results without compromise to the strength of the bone. The aesthetic effect of reducing the flared nature of the jawline is only truly appreciated in the right candidate. That is why Dr. Lam must personally evaluate your face before deciding if you are eligible to have this procedure performed.

Almost all patients that Dr. Lam selects do not have this problem only because he carefully chooses the right candidate for this procedure. If you do experience some tiring after chewing for a while, this phenomenon is only temporary and will go away over time.

No. Dr. Lam has a specialized method of injection that virtually eliminates all discomfort without the need for an anesthetic.

No, remember that BOTOX that is manufactured by Allergan is more expensive than versions sold in other countries, but in Dr. Lam’s opinion BOTOX is a much safer product than what you may be getting in other countries. Also, Dr. Lam uses a very large amount of BOTOX in the masseter to achieve the result you desire and the longevity you expect. You get what you pay for.

Dr. Lam should not encounter this problem because he carefully marks out your face with precise caliper measurements and double and triple checks his symmetry before he begins. This level of attention distinguishes his results from that of his colleagues by a large measure

There really is no recovery period. Dr. Lam has not witnessed bruising or significant swelling with his technique. You are done in 2 to 3 minutes as an office procedure and can then drive home thereafter. There really are no restrictions in your activity thereafter.

Unlike regular BOTOX of the upper face with results that can be evident in approximately 7 to 10 days following treatment and lasts about 3 to 4 months in time, BOTOX of the masseter takes about 6 weeks before you see the difference and will last typically between 6 months to a year and a half. However, at the end of the first week, you may notice that your jawline feels a lot softer when you bite down and feel it. Although some Korean researchers have claimed that the procedure is permanent after 2 to 3 injection cycles, Dr. Lam does not want to make such promises, as BOTOX really should be considered a temporary product. That being said, typically Dr. Lam recommends a second session at 6 months following the first injection in order to effect reduction in bone and muscle bulk to attempt at greater longevity and thereafter start to spread dosing intervals out 9 months, then possibly 12 month intervals.

No. The other major method of jawline reduction is shaving down the jawbone through a more invasive procedure, which is popular in Korea. Although Dr. Lam has trained to perform this procedure, he does not do this procedure for three reasons. He would not perform this procedure frequently enough to maintain facility with it. Second, he believes that there really is a significant recovery and some risk with this procedure. Third, reduction of the bony jawline can result in an unnatural appearance in which the angle of the jawbone is eliminated, making the face appear to resemble the jawline of an animal.