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2025.03.06

Avoiding Jaw Botox Mistakes! Causes and Solutions You Should Know

大久保 由有
Supervising Physician
General Director/Omotesando Director Yuyu Okubo

“Confident women are beautiful” is the core belief driving our pursuit of aesthetic medicine that positively transforms lives. Our specialty treatments include custom-designed hyaluronic acid injections and thread lift procedures that deliver natural-looking lifting results. We are also highly skilled in breast augmentation surgery that achieves a natural and beautiful bust line. As a KOL for Purreal Tri-Fill Pro, I actively promote advanced technologies, characterized by a meticulous approach to identifying only the necessary treatments. I strive to support each individual in rediscovering confidence in their inherent beauty and taking steps toward a life filled with happiness.

エラボトックスで失敗しないため知っておきたい原因と対策|ビアンカ銀座|日本を代表する美容健康再生医療のクリニック

For those concerned about jaw Botox failure.

Elabotox is a popular injectable treatment for those seeking a slimmer face, butIn rare cases, asymmetry, sunken cheeks, or sagging may also occur.

 

This time, Dr. Yuu Okubo of BIANCA CLINIC explains common Botox failure cases, their causes, and how to handle them when problems arise.

Whether you're new to jawline Botox or considering a repeat treatment, we encourage you to read on.

 

What is Elabotox?

ボトックスビスタ_製剤

 

Botox injections involve injecting a medication containing botulinum toxin type A—derived from Clostridium botulinum bacteria—into muscles to suppress their movement.

When the cause of a square jawline is not skeletal structure but rather the development of the masseter muscle, injecting Botox into this muscle can help achieve a more defined facial contour.

Since no incisions are required, it is chosen by those who wish to avoid downtime and those seeking a natural, slimming effect.

 

https://biancaclinic.jp/treatment_category/lips/lips_01/botox/

 

 

Common Failures with Jaw Botox and Their Causes

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We have compiled potential complications and their causes following jaw Botox treatment.

 

look gaunt

Repeatedly over-injecting Botox into the jawline can cause excessive atrophy of the masseter muscle, resulting in sunken cheeks.

As a result, many people feel that "getting Botox injections in the jaw area actually made them look older."

Especially after age 40, skin elasticity tends to decline, making hollow cheeks more pronounced.

 

Asymmetry has developed in the facial contour.

Asymmetry after jaw Botox is also considered one of the symptoms of failure.

Despite differences in masseter muscle size, injecting the same amount of filler often results in an unnatural appearance.

To achieve a balanced result on both sides, it is necessary to diagnose the condition of each individual muscle and adjust the injection volume accordingly.

 

Skin has become saggy.

A reduction in masseter muscle volume can cause excess skin along the jawline, creating the appearance of sagging.

If you feel that "my face looks smaller after Botox, but the skin around my mouth has sagged," age and decreased skin elasticity are also contributing factors.

 

Her smile became unnatural.

When Botox is injected into the jawline, if the medication spreads to facial muscles other than the masseter, it can cause the corners of the mouth to become unable to lift or make smiles appear stiff.

 

 

Dr. Bianca Explains Key Points to Avoid Failure with Jaw Botox

エラボトックス_バッカルファット除去_症例写真

Top: Before: / After: 📍Buccal Fat Removal  ¥327,800 📍Botox Treatment (Allergan) Procedure Fee ¥22,000 + ¥600/unit Estimated Jawline Botox Dosage 30-100 units 😷Downtime: Swelling lasts about 10 days ⚠️Risks: Bruising, asymmetry, hollow cheeks, infection, etc.

 

"I got Botox for my jawline, but the results aren't what I hoped for..." "Is this a failure?" To prevent such situations, proper knowledge is essential.

We explain common questions and important points to keep in mind regarding jawline Botox.

 

Q: What should I be mindful of when getting Botox injections in the jawline?

A: It's important to choose a doctor or clinic that offers personalized plans tailored to each individual's condition.

During the consultation, determine whether they provide thorough counseling rather than a one-size-fits-all approach.

Due to individual differences in masseter muscle size and muscle development, it is crucial to carefully determine the amount of product and the injection area.

By considering factors such as facial contours and the presence of sagging skin, and performing the treatment with an appropriate amount that is neither excessive nor insufficient, you can achieve a natural and satisfying result.

 

Q: How long does the swelling last after jawline Botox?

A: Swelling will naturally improve as the medication settles into the masseter muscle. Please monitor the progress for several days to about one to two weeks.

Intense exercise or alcohol consumption can worsen swelling by increasing blood flow, so it's important to be mindful of your activities after treatment.

We advise that exercise is okay starting the day after your treatment, but if you're concerned, it's best to wait until the swelling subsides.

 

Q: What should I do if I'm concerned about unevenness after jawline Botox?

A: First, it's important to stay calm and monitor the situation.

Botox does not take effect uniformly throughout the entire area immediately after injection.

Immediately after treatment, the effect may be pronounced only in part of the masseter muscle, sometimes causing noticeable unevenness when biting.

Such unevenness often becomes less noticeable over time as the effects spread throughout the entire muscle.

In some cases, adding Botox may allow for further adjustment. If you remain concerned about unevenness after some time has passed, please consult your doctor.

 

Q: What kind of outcome should I aim for with jawline Botox to avoid failure?

A: The key point with Botox injections, not just for the jawline, is to avoid overdoing it.

Excessive injections in pursuit of a slimmer face can sometimes make the cheeks appear sunken or create an aged impression, so caution is necessary.

At Bianca Clinic, we propose designs that harmonize with the overall balance while taking into account our patients' requests.

 

Q: I heard that facial massage is not allowed after getting Botox injections in the jaw area. Is that true?

A: Massaging your face after getting Botox injections in the jaw area can cause the medication to spread beyond the masseter muscle and affect other muscles.

Please refrain from massaging the area after Botox injections.

Also, please be careful about sleeping on your stomach.

 

Q: If jaw Botox is painful, does that mean it failed?

A: Botox injections into the jawline may cause some pain.

The pain of the needle insertion, the pain of the medication injection, and a dull ache after the procedure due to the medication injection may occur, but “pain does not necessarily mean failure.”

Of course, if you have any concerns, please don't hesitate to consult your doctor.

Please note that Bianca Clinic uses Botox formulations designed to minimize discomfort during injection.

 

To avoid botulinum toxin treatment failures, consult an experienced doctor.

Botox injections offer numerous benefits, such as improving wrinkles, achieving a slimmer face, and reducing sweating. Jawline Botox is also popular, but many people are concerned about the risk of complications.

To avoid complications, seek treatment from a doctor who can determine the appropriate dosage and treatment frequency tailored to each patient's individual condition.

If you are considering jawline Botox, please feel free to consult with Bianca Clinic. 

 

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https://biancaclinic.jp/blog/botox-between-eyebrow-wrinkle-treatment-failure/

 

 

 

 

Treatment Details
Type A botulinum toxin injection
Treatment time: Approximately 10 minutes
Recommended treatment frequency: Approximately once every 3 to 6 months *Individual results may vary.
Bathing and facial cleansing: Permitted starting the day of treatment
Makeup: Can be applied starting the same day after treatment.
Contraindications: The following individuals cannot receive treatment.
・Pregnant women, breastfeeding women, and those who may be pregnant
・Individuals with allergies to botulinum toxin or any components contained in the formulation used
・Individuals with systemic neuromuscular junction disorders or systemic muscle diseases (such as myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis, etc.)
※Please consult your physician for details.
Important Notice: If you fall under any of the following categories, you must inform your doctor before receiving treatment.
・Individuals receiving Botox injections at other medical facilities
・Chronic respiratory diseases such as asthma, or in cases of glaucoma
・Individuals currently taking medications for Parkinson's disease, antibiotics, tranquilizers, muscle relaxants, etc.
※Please consult your physician for details.
Side effects, swelling, bruising, facial stiffness, infection, etc. regarding the product used:
・Treatment involving the injection of type A botulinum toxin preparations may include the use of unapproved drugs in Japan or treatments for purposes other than those approved by the pharmaceutical regulatory authorities.
・Medicines and medical devices used for treatment are imported through personal import procedures under the judgment of our clinic's physicians. For information on medicines and other items requiring caution in personal import, please refer to the following.
 https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・Information regarding safety and other matters in other countries
Botox Vista® is approved in Japan for "expression lines between the eyebrows or at the corners of the eyes in adults under 65 years of age."
-NABOTA has obtained approval from the U.S. FDA and the Korean KFDA
・In the unlikely event of serious side effects, this product is not covered by the national pharmaceutical adverse reaction victim relief system.

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