Tatiana STEPANOVA 医师
皮肤科医师
V‑Shaping the lower face: precision masseter modulation with botulinum toxin
目标: To present a structured approach to precision masseter modulation with botulinum toxin, demonstrating clinical cases, treatment options, detailed injection techniques, dosing strategies, anatomical considerations, and the impact on facial harmony and patient perception. Emphasis is placed on both therapeutic and aesthetic outcomes, as well as the psycho-emotional effect of narrowing the lower face
介绍: Masseter hypertrophy is a common contributor to a wide, square lower face, which can affect both aesthetic perception and patient self-esteem. Beyond static muscle volume, the functional activity of the masseter contributes to facial contour and symmetry. Botulinum toxin allows precise modulation of masseter muscles to achieve a smoother, V-shaped jawline. Both therapeutic (bruxism) and aesthetic goals can be addressed with this approach
材料 / 方法: A series of patients with masseter hypertrophy underwent targeted botulinum toxin injections. Individualized dosing was planned according to muscle thickness, facial proportions, and functional assessment. Standardized photographic and video documentation captured outcomes at 2–6 weeks. Clinical cases were used to demonstrate variations in correction techniques, injection points, dosing, and anatomical nuances. Outcomes included jawline contour, lower-face symmetry, muscle function, patient satisfaction, and psycho-emotional responses
结果: Precision masseter modulation produced significant softening of the jawline and a V-shaped lower face in all cases. Both therapeutic effects (reduced bruxism) and aesthetic effects were achieved. Patients reported high satisfaction, particularly regarding enhanced confidence and reduced self-consciousness about a square jaw. Demonstrations highlighted reproducible techniques, optimal dosing, and critical anatomical landmarks
总结: V-Shaping of the lower face via precision botulinum toxin modulation of the masseter is a safe, effective, and reproducible approach to simultaneously address aesthetic and therapeutic goals. Clinical demonstrations underscore the importance of anatomy, dosing, technique, and psycho-emotional considerations in achieving optimal outcomes
