Lower face contouring through botulinum toxin therapy: an overview

Botulinum toxin (Botox) has been used cosmetically to reduce and prevent wrinkles since 1989, but its application has since expanded to include treatment of other patient concerns, including masseter muscle hypertrophy. Abnormal enlargement of the masseter, a muscle located in the jaw, can give patients a larger or squarish facial appearance; the injection of Botox, through causing temporary paralysis of the masseter and a resultant reduction in muscle activity, can lead to a slimmer and less square jawline. However, careful patient selection is required, and approaches to injection technique and dosage vary. Francesca Ramadan provides an overview.