How We Can Tighten Lower Face / Jowls With Neurotox (Botox)

Lower Face Neurotoxin Treatments with Xeomin

Upper facial neurotoxin treatments are often the starting point for many patients, with the glabellar region (between the brows) being one of the most commonly treated areas. However, there are several important and highly effective injection points in the lower face as well—many of which serve purposes beyond simply softening wrinkles.

Below is an overview of lower face treatments using Xeomin. While dosing may vary based on individual anatomy, the following reflects typical clinical approaches.

Depressor Anguli Oris (DAO)

The depressor anguli oris muscles are responsible for pulling the corners of the mouth downward, contributing to a frowning appearance. Targeted treatment involves a single injection point on each side.

Relaxing this muscle can:

• Subtly elevate the corners of the mouth at rest
• Reduce the long-term development of marionette lines
• Help mitigate early jowling by counteracting downward pull

Mentalis (Chin)

The mentalis muscle sits at the front of the chin and, when overactive, creates a dimpled or “orange peel” texture.

Treatment of this area:

• Smooths chin dimpling
• Creates a more refined and elongated chin appearance
• Improves overall lower facial balance

Gummy Smile

Some individuals display a significant amount of gingiva (gum tissue) when smiling. While this can be a natural and expressive feature, others may prefer a more subtle smile.

By strategically relaxing the muscles that elevate the upper lip:

• Gum exposure is reduced during smiling
• The smile appears softer and more balanced

Lip Flip & Perioral (Radial Lip) Lines

This is one of the most frequently requested lower face treatments. It’s important to note that a “lip flip” does not add volume.

Instead, small amounts of Xeomin are placed along the upper lip border to:

• Relax the orbicularis oris muscle
• Allow more of the upper lip’s vermilion (pink portion) to show
• Soften fine vertical lip lines

Patients may notice a temporary adjustment in activities like drinking from a straw due to subtle muscle relaxation.

Masseter Muscles

The masseters are strong jaw muscles involved in chewing and clenching.

Treatment with Xeomin may be used for:

• Reducing jaw tension and teeth grinding (bruxism)
• Alleviating associated jaw discomfort
• Creating a slimmer, more contoured lower face over time

Facial slimming occurs gradually through muscle atrophy and typically becomes more noticeable after repeated treatment cycles. Results vary depending on baseline muscle size and strength.

Jawline Contouring & Nefertiti Lift

This technique targets the upper fibers of the platysma muscle, a thin sheet-like muscle extending across the neck and attaching along the jawline.

By relaxing this muscle:

• Downward pull on the jawline is reduced
• The jawline appears more defined and lifted
• Early jowling may be softened or delayed over time

Platysmal Bands

The platysma can also create visible vertical bands in the neck when contracted.

Targeted treatment can:

• Soften the appearance of these bands
• Improve overall neck smoothness
• Enhance the transition between the jawline and neck

Final Thoughts

Lower face neurotoxin treatments with Xeomin offer a nuanced and highly customizable approach to facial rejuvenation. Beyond wrinkle reduction, these treatments can enhance facial harmony, improve muscle balance, and provide subtle lifting effects when performed with precision.

As always, dosing, technique, and treatment planning should be individualized based on each patient’s anatomy and aesthetic goals.