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07-26-16 | Posted by

Botox is the overachiever of injectables. Besides being used to treat wrinkles and frown lines, it can also be used on everything from migraines to gummy smiles to excessive sweating and more. In fact, one of its latest uses is treating those with a broad jawline who are seeking a slimmer one.

Beverly Hills-based double board certified plastic surgeon Dr. Nima Shemirani has been using Botox this way. He says, “The jawline is an important focal point that visually balances the face. A broad jawline may give the wrong impression of additional weight.” Apparently, if it is right for you, it’s an easy fix. But…is it right for you?

BITB asked, and Dr. Shemirani was more than happy to share his expertise. Here’s what he had to say:

Who is the ideal candidate for this procedure? Who would it not be right for?

Dr. Shemirani: The ideal candidate for this procedure is anyone who would like a slimmer jawline due to slightly increased muscle mass in that area. If someone grinds their teeth, especially at nighttime, the procedure can not only help them look better, but also help them prevent headaches and wear and tear on their teeth.

Patients who already have a slim jawline, or have heaviness in their cheeks from excess fat, and not muscle, are not great candidates for this procedure.

Where specifically would the Botox be injected to make your face appear thinner? How exactly does this work?

Dr. Shemirani: Botox is injected into the muscle that wraps around your jawline which is called the masseter muscle. It helps relax that muscle to make it thinner, giving the person a slimmer jawline.

If someone’s face is showing signs of sagging would this exacerbate or help fix the issue? Would it depend where the sagging is occurring? Please explain.

Dr. Shemirani: In general, it is rare that a person with sagging skin would benefit from this procedure. The sagging is due to loss of elasticity and support to the skin and Botox in the masseter muscle is not the treatment of choice to fix this issue.

How would a patient know they’re in the hands of a doctor qualified to do this specific type of treatment? Specifically, what should they look for in a doctor and what questions should they ask before undergoing the procedure?

Dr. Shemirani: A patient should always check the board certification of their doctor to make sure that they have completed the rigorous training and testing required to earn board certification. A well qualified, board certified facial plastic surgeon, plastic surgeon, oral surgeon or dermatologist are all considered core specialties that perform these procedures regularly. Patients should also check reviews of these doctors, as well as look at before and after photos to see if they like what they see.

Questions to ask include the number of units or cost of the procedure. Botox comes in units and typically 25-75 units per side can be injected, which means that the cost can vary greatly. In addition, risks include unevenness between the two sides (which is easily fixed with more Botox) or not having enough result. Downtime is essentially none, and bruising is extremely rare in qualified hands. Dysport and Xeomin can also be used instead of Botox with similar results.


Dr. Nima Shemirani is a Board Certified facial plastic surgeon specializing in rhinoplasty, facelifts, browlifts, earlobe reduction procedures and non-surgical facial enhancements such as lip augmentation, non-surgical rhinoplasty and injectibles.

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