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Guide to correcting a square jaw with Botox
What is Botox (botulinum toxin)?
Botox is a brand name, and its ingredient is a type of neurotoxin produced by an anaerobic bacterium called Clostridium botulinum, which can occur when canned food spoils.
When this neurotoxin acts on the human body, it blocks a substance called acetylcholine at the nerve endings, which has the effect of paralyzing muscles.
Among these toxins, type A acts locally and does not harm the human body at all, so refining it and using it in procedures is what Botox treatment is.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/c12e74986c15bdddcfa4df33e8f0ac86f9a130f2c5df3e66b6555d03ab587c71.jpg)
What is its history of use?
This medicine began being used in ophthalmology in the 1970s to treat strabismus. Since the late 1980s, it has also been used to correct wrinkles, including blepharospasm, and more recently it has been used for partial hyperhidrosis (a condition of excessive sweating) in the body.
As a medicine that has been used for nearly 30 years, it can be said that side effects from the medicine are almost nonexistent.
Applying this muscle-paralyzing effect, it has recently gained attention for wrinkle removal.
Among these, botulinum toxin type A (brand names: Botox, Dysport, BTX) is used.
The square jaw correction effect of botulinum toxin (Botox)
When viewed from the front, the appearance of a square jaw is influenced by several factors.
These factors can be divided into the fat layer under the skin, the muscle layer, and the jawbone.
Among these, if the muscle layer is developed, a square jaw can be simply corrected by receiving a botulinum toxin injection.
In the past, for people with developed muscles, surgery was used to cut and reduce the muscle volume, but now the thickness of the muscle can be simply reduced with botulinum toxin, so it can be said to be an innovative procedure.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/4088c3564d6dd913932891343bb7362265a9ec7e8f153b4f7d81f95bb0c4b797.jpg)
How can you tell whether you have a square jaw caused by developed masseter muscles?
If you place your hand on your cheek and clench your molars tightly, and you strongly feel with your fingertips that the flesh above the molars bulges out, you can judge that you have developed masseter muscles and that botulinum toxin injections may be effective.
Types of botulinum toxin currently sold in Korea and their differences
The first product introduced and sold in Korea was the U.S.-made Botox.
After that, the product imported from France is Dysport, and more recently there is BTX, which is made in China through OEM production and imported as a domestic product.
All of them are botulinum toxin, so the ingredient is the same, but there are some differences in potency.
Among these, the most expensive product is Dysport, followed by Botox, and the least expensive is BTX.
Chinese BTX and French Dysport differ in price by almost a factor of two.
Because different hospitals use different kinds of botulinum toxin, the procedure cost varies.
If the procedure cost is too low or the effect is poor, it is worth suspecting whether a Chinese product is being used.
Electrocautery using medium- and high-frequency currents instead of Botox
A drawback of Botox is that when the effect wears off, it must be performed 2 to 3 times in succession to achieve a permanent effect.
To solve this problem, there is medium- and high-frequency cauterization, in which an electric needle is inserted through the mouth to burn the masseter muscles.
The treatment effect varies from person to person, and because of the muscle burn, there is a problem of significant swelling after the procedure, making it difficult to return to daily life immediately afterward.
In addition, due to improper procedures, it has various problems such as facial nerve paralysis, facial asymmetry, hematoma formation, and reduced treatment effect.
Medium- and high-frequency procedures are not desirable because they must be performed with side effects, severe swelling, and unsatisfactory results in mind.
Examples of masseter muscle reduction procedures using Botox
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/3e71f5c1493beda1b75cd97c4631ef5a66bffc7615ee2795889a8864a6d71f9a.jpg)
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/acd2a31c53460160c79dac3998236e7f2ae95fa788049562280d59af7bb7ed93.jpg)
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/c0598cf9000bde50dce8793d036b10b19c622ad667c377e872ad508d86930030.jpg)
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/48983e467650b731a872a9bcf6a0974cc5b113ef86491e9cf781687e99fdd04c.jpg)
Botox procedure method
Botox (botulinum toxin) procedure method and progress for square jaw correction
There are individual differences, but usually if the procedure is performed 2 to 3 times at 6-month intervals, the effect of almost permanent square jaw correction can be seen.
Procedure method
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 7](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/8ca68a8c9642a7e5c545a1e4f37cfe543b69ccbd0b82b7b5f89a944bd18fafcd.png)
- The thickness of the masseter muscles is measured through an ultrasound examination.
The appropriate amount of Botox to inject is calculated based on the measured muscle thickness.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/1c866ea6d8f0a87194451a5ff2cea2469d11ffdeb860ff582a1461fa23b0b740.png)
- Immediately before the procedure, the molars are first clenched to identify the location of the masseter muscles.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 9](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/d1dccc57e9cfdd487b8709fdbf7234db83ee537cfda5aaa6302bdef420727498.png)
- The appropriate amount of Botox to inject is calculated based on the measured muscle thickness.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 10](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/ada9eecd51fdd289c66c6ecaea786e849c5244cb377a411222eb867e6868b432.png)
- Botox is placed into a syringe with a very fine needle.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 11](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/5611cce35a2c19b5e07bdb0048e9f43f0fef5de713d15fb2bfac408ec000e86b.png)
- Botox is injected into the previously marked areas.
There is almost no pain during the injection, only a slight stinging sensation.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 12](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/596a920941f070f4d8ab237a6d37b0d2e14c51adc8f27b04de3fe8fc5c583dc6.png)
- The marked areas are injected one by one.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 13](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/921d240137353ae72e6cd2d38eace6185f5757399caffe9c23c503674da9ca7e.png)
- After the injection, the injection site is massaged and the design ink is wiped off.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 14](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/04b32ffd3990ee48f645e24144f56538500efe7f5365dd3d3c713b9f82feb027.png)
- Side view immediately after the procedure - there is no swelling or bruising at all.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 15](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/a313bfbea77e6a577805eb7dff65d48b391107b6b22640c14f90c2977bde6bd3.png)
- Front view immediately after the procedure - there is no swelling or bruising at all.
![[Duhan Plastic Surgery Botox Procedure] - [Square Jaw Botox Guide] image 16](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/317423f6437e4a23190082fb1021556becd78f0d5b6c60fc619ecea71608b0dc.png)
- You can apply makeup right away and go home.
You visit again after one month to check the progress.
Progress and precautions after the procedure
You can resume daily life immediately, and there is no bruising or swelling at all.
After the procedure, you only need to avoid rubbing the injection site for about 3 hours and continue with daily life.
Square jaw - swelling and bruising after Botox treatment
When receiving Botox treatment, there is no swelling or bruising at all.
There is also almost no pain.
It is less painful than receiving a typical injection in the buttock muscle.
Even immediately after the procedure, there is hardly any visible sign that an injection was given.
Therefore, it does not interfere with daily life at all.
Square jaw - Advantages of Botox treatment
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The procedure is simple.
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Square jaw correction is possible without any surgery at all.
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It is less expensive than surgery.
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Results comparable to surgery can be achieved.
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There is almost no pain or swelling.
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You can return to daily life immediately after the procedure.
Number of Botox procedures for square jaw correction
Starting 2 to 3 days after receiving Botox, the strength of the masseter muscles begins to weaken and the effect appears.
After that, as the muscle thickness gradually decreases, the face begins to appear slimmer after about one month.
The maximum effect is seen 3 to 6 months after the procedure.
After that, if the effect wears off and you feel the muscle strength returning, the procedure is repeated.
However, there are cases where a satisfactory effect is achieved with just one procedure, and in such cases, a repeat procedure is not necessary.
Duration of square jaw Botox
On average, it lasts for 6 months, but if the procedure is repeated, the duration becomes longer, and in most cases, a permanent treatment effect can be achieved after 2 to 3 procedures.
However, because there are individual differences, the same effect is not seen in everyone, so longer-term observation is necessary.
Side effects of Botox in square jaw treatment
When Botox is injected into the square jaw area, the function of the masseter muscles decreases. While this reduces muscle strength as the effect appears, there may be a slight feeling of reduced strength when chewing tough foods. However, it does not cause any major inconvenience in daily life or when eating, so there is no need to worry about side effects.
Cases in which Botox should not be used
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When the face is too thin
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When the face has a long shape
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When the face has an inverted-triangle shape
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When the cheekbones are prominent
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When the cause of the square jaw is bone protrusion rather than muscle
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When the cause of the square jaw is a thick subcutaneous fat layer due to obesity rather than muscle
In other words, these are cases where slimming the jawbone area could make the impression less favorable, or where the cause is not muscle.
Procedure cost
The price may vary depending on what type of product each hospital uses.
If the price is too low, there are many cases where a Chinese product is used, so it is better to check this before receiving the procedure.
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