In patients with wide jaw, there is usually a prominent jaw bone at the angle where the vertical and the horizontal portion of the jaw meet. In addition, these patients usually have very prominent chewing muscle (masseter muscle) making the jaw angle even wider in appearance. This is a common finding in Asian patients, especially of Korean descent. The traditional method has been “surgical” removing the excess bone at the jaw angle, which can create a prolonged post-surgical swelling and possible changes to the sensation at the surgical site. Botox offers a “non-surgical” reduction of the widened jaw by relaxing the muscle and reducing its overall size and bulk. You can easily determine if your chewing muscle is enlarged by biting down hard and feeling the outer jaw area.
If the chewing muscle appears to be very hard and enlarged when you clench your teeth, you may be a good candidate for the Botox non-surgical jaw reduction. There is no downtime associated with the procedure and within a week to two weeks, you should see greater than 50% reduction in the size of the enlarged chewing muscle and accordingly significant reduction in the widened appearance of the jaw. In certain patients where the bony prominence is much greater than the enlargement of the muscle, the overall improvement may not be as apparent. At the time of consultation, Dr. Kang will advise you as to the degree of improvement you can expect from the procedure.
Volume enhancement using dermal filler is a great option for replacing loss of volume and hollowing that occurs in the face, particularly in the mid-face and lower eyelid area, and along the jawline. The best candidates are patients who experience deflation of their facial volume more quickly than any other aging process. In matter of minutes, the deflated zones can be easily volume restored to return to a more youthful facial shape. The tear trough deformity represents hollowing or separation of the lower eyelid/cheek junction due to downward migration of the mid-face soft tissue; and, finesseful volume enhancement in this area, will not only restore the lost volume, but also provide illusion that the mid-face has been “lifted” to a more youthful level. At the time of consultation, Dr. Kang will carefully analyze your face and recommend the best locations for volume enhancement. Dr. Kang will recommend using either Radiesse or Juvederm or sometimes, combination of both to achieve the most natural improvement with the longest lasting effect.