Should I consider masseter botox? 21m, 5'10, 160 pound bloatcel

[phorkspune]

Hi, so I've been insecure about my big cheeks since I was about 9 years old. I legitimately remember seeing the attractive popular guy on the screen and saying "if my cheeks weren't so big, I'd look like that". Well as I've gotten older, my face hasn't; particularly because my cheeks haven't leaned out at all.

As you can seen, my ramus and gonion are masked, giving off the illusion I have an even higher gonial angle plus a short ramus.

I've gotten x-rays taken, my ramus is actually very long and my lower jaw is very strong. My maxilla is averagely grown and my cheekbones have relatively good mass, either way, I have the bone structure to support some type of facial definition at 160 pounds.
I've done a lot of research and I believe my masseters are the problem. My masseters are fucking huge, and the insertion is mid ramus as opposed to the bottom of my gonion, so instead of my masseter pushing skin outward at the gonion, it's being pushed outward slightly below my cheekbone. I believe, if this is the case, it strongly contributes to me being even rounder. I feel like I'm being nerfed by something I could easily fix (masseter botox is under $1000 and would ascend me if thats the case). What yall think?


oh, on top of that I have outward flairing gonions which I would've thought contributes to a strong bone structure, but i still look like a fucking potato.

 

[phorkspune]

so u get a better idea at what im getting at. blue circle is where i believe my masseter insertions are primarily

 

[sham66]

oo this is high iq. ill reply when i have proper sleep

 

[phorkspune]

bump

 

[sham66]

Hi, so I've been insecure about my big cheeks since I was about 9 years old. I legitimately remember seeing the attractive popular guy on the screen and saying "if my cheeks weren't so big, I'd look like that". Well as I've gotten older, my face hasn't; particularly because my cheeks haven't leaned out at all.

View attachment 3759091View attachment 3759095View attachment 3759096

As you can seen, my ramus and gonion are masked, giving off the illusion I have an even higher gonial angle plus a short ramus.

I've gotten x-rays taken, my ramus is actually very long and my lower jaw is very strong. My maxilla is averagely grown and my cheekbones have relatively good mass, either way, I have the bone structure to support some type of facial definition at 160 pounds.
I've done a lot of research and I believe my masseters are the problem. My masseters are fucking huge, and the insertion is mid ramus as opposed to the bottom of my gonion, so instead of my masseter pushing skin outward at the gonion, it's being pushed outward slightly below my cheekbone. I believe, if this is the case, it strongly contributes to me being even rounder. I feel like I'm being nerfed by something I could easily fix (masseter botox is under $1000 and would ascend me if thats the case). What yall think?

View attachment 3759077
oh, on top of that I have outward flairing gonions which I would've thought contributes to a strong bone structure, but i still look like a fucking potato.
View attachment 3759130

goated for the scans bro. yeah botox might help. ive noticed that ur face is forward grown, but its flat yk?

look at the mouth area. its aligned with everything. im pretty sure that ur mouth area should be a tiny bit more forward than the rest of ur face. also notice how ur lips are super thin?

maybe an extremely conservative bimax might help? alongside masseter botox. can anyone else confirm if these procedures will help?

 

[phorkspune]

goated for the scans bro. yeah botox might help. ive noticed that ur face is forward grown, but its flat yk?

look at the mouth area. its aligned with everything. im pretty sure that ur mouth area should be a tiny bit more forward than the rest of ur face. also notice how ur lips are super thin?

maybe an extremely conservative bimax might help? alongside masseter botox. can anyone else confirm if these procedures will help?

so you don't think i'm recessed? If im not i doubt any surgeon would do a bimaxx on me

 

[sham66]

so you don't think i'm recessed? If im not i doubt any surgeon would do a bimaxx on me

not recessed, but ur mouth area should be slightly forward. not in a protruding way, but in an ogee curve way. blackpilled surgeons might perform bimax, go consult one

 

[chrishell]

Your entire LF3 region is notably recessed. Recession of the maxilla means you lack bone support in the cheeks which causes a bloated appearance. This cannot be significantly remediated without surgery. If you are willing to go a surgical route, note that you have a good base for it.

 

[phorkspune]

Your entire LF3 region is notably recessed. Recession of the maxilla means you lack bone support in the cheeks which causes a bloated appearance. This cannot be significantly remediated without surgery. If you are willing to go a surgical route, note that you have a good base for it.

well thats fucked. so you're telling me im bloated unless i get bimaxx

 

[phorkspune]

Your entire LF3 region is notably recessed. Recession of the maxilla means you lack bone support in the cheeks which causes a bloated appearance. This cannot be significantly remediated without surgery. If you are willing to go a surgical route, note that you have a good base for it.

the thing is, I think my LF3 region isn't recessed in the typical "recession" way. I think my lower jaw is overdeveloped whereas my maxilla is averagely developed which gives off the illusion that my maxilla is recessed. Is this cope or am I on to something here?

 

[sham66]

the thing is, I think my LF3 region isn't recessed in the typical "recession" way. I think my lower jaw is overdeveloped whereas my maxilla is averagely developed which gives off the illusion that my maxilla is recessed. Is this cope or am I on to something here?

ur maxilla is infact recessed, its cope yeah. adding to chrishell, very conservative implants might be a good idea considering that the lefort 3 area is recessed

my bad i didnt catch that recession initially. i was too focused on the lower maxilla and mandible and creating an ogee curve

 

[chrishell]

the thing is, I think my LF3 region isn't recessed in the typical "recession" way. I think my lower jaw is overdeveloped whereas my maxilla is averagely developed which gives off the illusion that my maxilla is recessed. Is this cope or am I on to something here?

The horizontal lines on this image (indicating projection of the nasion, nose tip, and ans) are too short relative to the length of x. They all need to be advanced. This can be done through LF2/LF3 or LF1+ projection rhinoplasty+upper midface implants.

 

[sham66]

The horizontal lines on this image (indicating projection of the nasion, nose tip, and ans) are too short relative to the length of x. They all need to be advanced. This can be done through LF2/LF3 or LF1+ projection rhinoplasty+upper midface implants.


View attachment 3762027

omg you know all the terms! man ur rlly good at communicating

 

[phorkspune]

The horizontal lines on this image (indicating projection of the nasion, nose tip, and ans) are too short relative to the length of x. They all need to be advanced. This can be done through LF2/LF3 or LF1+ projection rhinoplasty+upper midface implants.


View attachment 3762027

thank you bro. if you don't mind, here's one more side profile shot, from a bit of a different angle. just wanna be 100% sure that my masseter botox theory is useless

 

[phorkspune]

The horizontal lines on this image (indicating projection of the nasion, nose tip, and ans) are too short relative to the length of x. They all need to be advanced. This can be done through LF2/LF3 or LF1+ projection rhinoplasty+upper midface implants.


View attachment 3762027

New side profile shot, with pinpointed ANS location using my cephalogram

 

[chrishell]

thank you bro. if you don't mind, here's one more side profile shot, from a bit of a different angle. just wanna be 100% sure that my masseter botox theory is useless

View attachment 3762038

From the front facing image your mandible does look a bit bloated but not as much as the typical masseter botox patient. Hypertrophy of the masseter can lead to a chain reaction of other muscles in the face acting differently that can exacerbate the bloat. I don't know much in this area so maybe someone who had done it can chime in. Do you have any occlussion issues? Do you have bruxism? In any case the primary source of your bloat complaint is the recessed maxilla. To address that issue I would start with UPS/DJS + infra zygo implant + buccal fat removal + the surgeon can determine any masseter muscle problems. After that you can get a rhinoplasty for tip refinement, correct any alar base and tip angle changes caused by the jaw surgery, and project your radix and tip some more. For what it's worth, again if you do get a jaw surgery you have a very good base. The maxilla really is the missing puzzle piece for you.

 

[chrishell]

View attachment 3762048
New side profile shot, with pinpointed ANS location using my cephalogram

Don't belabor the lines I drew too much. I saw the issue instantly. This is also a slightly different angle than the one in OP (which isn't perfect side profile shot anyway but it's besides the point).

 

[phorkspune]

From the front facing image your mandible does look a bit bloated but not as much as the typical masseter botox patient. Hypertrophy of the masseter can lead to a chain reaction of other muscles in the face acting differently that can exacerbate the bloat. I don't know much in this area so maybe someone who had done it can chime in. Do you have any occlussion issues? Do you have bruxism? In any case the primary source of your bloat complaint is the recessed maxilla. To address that issue I would start with UPS/DJS + infra zygo implant + buccal fat removal + the surgeon can determine any masseter muscle problems. After that you can get a rhinoplasty for tip refinement, correct any alar base and tip angle changes caused by the jaw surgery, and project your radix and tip some more. For what it's worth, again if you do get a jaw surgery you have a very good base. The maxilla really is the missing puzzle piece for you.

Alright man, i really appreciate it. I've been suspecting it was 1 of the 2 problems but I was obviously hoping it wasnt a bone related issue. UPS/DJS is 100% the solution. I honestly think I could hit HTN if I lost like 15 pounds, and I could stay that way while I save up for UJS/DJS over a few years.