24 August 2018
V face without surgery- the pursuit of a smaller, slimmer and sharper face is another beauty trend that shows no signs of abating with the multitude of Asian celebrities like Taeyoung, Fan Bingbing and Chaelin CL with sharper V shaped visages that are now regarded as the epitome of femininity and youth.
This beauty trend of a V shaped face has led to photo retouching apps like China’s Meitu, Japan’s Snow and South Korea’s Line Camera to jump on the bandwagon by including distinctly Asian filters and features that slim and sharpen one’s face; smoothen one’s complexion and enlarge one’s eyes, providing a lens on current beauty ideas and trends.
What exactly constitutes a V shaped face? First of all, it is (1) a sharp, crisp and defined jawline that is slim in shape and; (2) a sharp, V shaped chin.
Contrary to popular belief, today’s Asian beauty standards of a sharp jaw is a recent phenomenon that arose in the last few decades. Historical records from East Asia- namely Korea, Japan and China have shown that for centuries, a larger face was celebrated because it represented prosperity and fertility. A good example would be the Four Legendary Beauties of China, who were regarded as the most beautiful women in the history of ancient China. These ladies, notably, Yang Gui Fei were noted in literature to be have plump faces- the conventional standard beauty of ancient times.
Today, the conventional notion of beauty has evolved towards a preference for slimmer jawline and defined chin that is synonymous most Korean celebrities; complete with a pose with a hand on the face to reinforce the V shape (or at very least, create the illusion of a sharper and slimmer face). The quest for a sharper, slimmer V shaped face has also created an interest in females seeking non-surgical options to attain a slimmer and sharper jawline without going under the knife to sculpt a larger, square shaped face.
One of the most popular ways to shrink a larger square shaped face due to large jaw muscles is with Botox (Botulinum toxin) injection into the jaw muscles. Here is an FAQ to the most common questions about this jaw slimming treatment.
Botox jaw reduction refers to the injection of Botulinum toxin (Botox) into the masseter muscles. The masseter muscles lie at the sides of our jaw and are responsible for chewing and clenching the jaw. When the jaw muscles (masseter muscles) are enlarged in a condition called masseter muscle hypertrophy, these bulky jaw muscles can broaden the sides of our faces to look wider and square shaped.
One way to feel your jaw muscles is to put your fingers on the sides of your jaw and then clench your jaw. You should feel the jaw muscles tensing up. In people who have very strong and prominent jaw muscles, the jaw can look large and broad. An example would be patients who habitually grind their teeth in a condition called bruxism. Because of the grinding action of the masseter muscles- like how the muscles in a body builder become bigger from constant working out- the jaw muscles become bigger and bulkier over time.
For more details on Botox works, my post Botox 101 explains this in greater detail.
Botulinum toxin relaxes the jaw muscles and gradually over the time, the bulky masseter muscles at the side of the jaws shrink to give a sharper and slimmer face shape. Again, think of the body builder example I used earlier; when we stop exercising, our muscles lose their bulk and mass over time.
An injection with a fine needle is used for injecting Botox into the masseter muscles on both sides.
Step 1: First, I assess the patient’s face and the bulk of the masseter muscle.
Step 2: Making markings on the patient’s face
Step 3: Injection of Botox into both sides of the jaw muscles.
It can take 4-6 weeks for you to see the results of your botox jaw slimming injection as the masseter muscle is a relatively large muscle compared to the muscles around our eyes and forehead.
The cost of Botox jaw reduction is $800-1000 in Singapore.
Botox of the jaw muscles can last for 4-6 months. After the botox effects wear off, the jaw muscles may return to their bulky size and make the face look square again. However, with consistent injections to maintain the relaxation of the masseter muscles, these muscles can gradually lose their grinding habit.
The actual injection procedure takes just 1-2 minutes.
Similar to botox injections of the wrinkle lines, there is almost no downtime or recovery time required for botox jaw slimming. There may be only one or two small injection needle marks. Bleeding or bruising is not common.
Rarely, botox injections into jaw muscles can cause smile asymmetry due to the botox affecting the nearby smile muscles. When selecting your doctor, choose an experienced doctor who has a good grounding of facial anatomy to minimise your risk of complications.
No, your chewing should not be weakened after botox injection into the jaw muscle. This is because there are 3 other muscles that are also responsible for the chewing action- the medial and lateral pterygoid muscles and the temporalis muscles.
The injection feels like an ant bite. In my practice I numb the face before injecting and I use a very fine needle for injecting botox into the jaw muscles.
Botox for jaw reduction almost never results in a frozen looking or expressionless face. You should have a slimmer and sharper looking face that you are happy with!
There are a few reasons why:
1) There other are facial structures that also contribute to a face looking broad
• Large, boxy bone structure;
• Large buccal fat pad
• Thick cheek fat
2) The chin is proportionately short and makes your face look square and stubby
• A short chin can also give the illusion of a broad or square looking face. Chin fillers can enhance the face slimming effect of jaw botox by lengthening the face to give longer, slimmer and sharper V shaped face. When done by an experienced doctor, the result can be very natural looking. Continue reading below to find out more about chin fillers!
3) Inadequate dosage of Botox
• This is why choosing an experienced doctor is important to give you the best results
4) Antibodies to Botox
• This rarely occurs and happens in patients who have had repeated Botox injections. All is not lost- simply switching brands of Botulinum toxin (e.g. Botox® to Dysport®) and this problem is fixed.
Chin fillers are a useful treatment for patients who desire elongation of their short and stubby chins for a sharper face shape. Chin fillers can be done alone or together with jaw botox in the same session to achieve a slimmer V shaped face.
Needle technique of injecting chin fillers
Chin fillers refer to dermal fillers that are injected into the chin to add volume and length to the chin. Chin fillers are a very effective and safe way to sculpt the shape of the chin without requiring surgery or recovery time for the patient. It takes less than 10 minute for you to get chin fillers done! Please note that chin fillers should only be performed by an experienced doctor.
Like most dermal fillers, chin fillers consist of hyaluronic acid. Hyaluronic acid is present in our skin and face and is responsible for keeping our skin and looking and feeling young. Our bodies naturally lose hyaluronic acid as we age. One of the most obvious effects of loss of hyaluronic acid in the skin with aging is the thinning, wrinkling and dehydration of our skin as we age.
Hyaluronic acid is also a common ingredient in moisturisers and hydrating serums because of its ability to attract water molecules 100-200x its weight. Hyaluronic acid is also used in medical treatments like dermal fillers and Skinboosters to sculpt the face and hydrate the skin from within respectively.
To understand more about Skinboosters and their benefits to the skin, please read my post Skinboosters/水光针 All You Need to Know About It
When injected into the chin, chin fillers containing hyaluronic acid immediately add volume to the chin and allow for sculpting of the face for a slimmer and sharper face.
Dermal fillers used for the chin are directly injected into the chin. There are 2 main techniques of injecting chin fillers- (1) cannula technique; (2) needle technique. Both methods of injecting chin fillers have their strengths and benefits and I sometimes combine both technique of injecting fillers into the chin for the patient for best results.
Cannula technique of injecting chin filler
Chin fillers are not painful at all when done gently. As you can see from the pictures above, this patient was very comfortable with her chin fillers performed by me.
To keep any pain and discomfort to a minimum, I usually numb the skin of the chin for 20 minutes with numbing cream and use a dermal filler with lignocaine (a type of local anaesthesia) within so that the injection of chin fillers is as painless as possible.
How long chin fillers or dermal fillers last will depend on the ingredient of the chin filler. Hyaluronic acid chin fillers can last for 9-12 months. My preferred material for chin fillers is hyaluronic acid dermal fillers because these dermal fillers are very safe for the chin and feel very natural.
Chin fillers when done expertly can give you the V shape face and enhance your face shape without looking unnatural. A ‘less is more’ approach is my treatment philosophy for all types of facial enhancement. Just enough for you too look even better, but not enough to give it away or unnatural!
With dermal fillers, I find that more is not always the merrier. A good example of chin fillers gone wrong is the ‘witch chin’ look that can happen with excessive chin fillers.
Chin fillers are generally very safe when performed by an experienced doctor and when the right choice of dermal filler material and consistency is made.
As with all dermal fillers, there are risks with injection of chin fillers. Most commonly, there may be transient discomfort, redness and very mild swelling. These are temporary and usually disappear within hours.
There is also a risk of inadvertent entry of the dermal filler into blood vessels that supply the face with injection of dermal fillers. If the dermal filler blocks up these blood vessels, the blood supply to the skin and tissues that are supplied by these blood vessels can be compromised and results in necrosis of the tissues. This is why the injection of dermal fillers should be performed only by experienced doctors with a good grounding of facial anatomy. If this complication of fillers results, the dermal filler has to be dissolved immediately with a medication called Hyaluronidase.
There is also a chance that dermal fillers can move or migrate before their position stabilises. It can take 3 days and up to 2 weeks to ‘fix’ the position of the dermal fillers. This is why facials and massages are to be avoided after dermal filler injections into the face.
Having a slimmer face (V shaped face) is a more feminine and elegant ideal. For most of us who are not genetically blessed with a V shaped face, there are now safe, non-surgical options to achieve a slimmer face.
Jaw botox with or without chin fillers is the classic and most commonly performed treatment to achieve this slimmer face or V shaped face. There are other non-surgical and non-invasive treatments available to for face slimming have been covered in this post V Face and Jaw Slimming.
I hope that you have found this post on face slimming or V face useful!