BOTOX® & Filler To Contour a Round Face

If you have a round face shape, you may be wondering how to slim your face and add definition. Celebrities with round faces may have face slimming surgery—procedures like buccal fat removal—but that’s a drastic step, and one most facial plastic surgeons don’t recommend. That facial fat is precious, and you’re going to want it when you’re older.

At MFI in San Francisco, we use BOTOX and filler to augment the cheekbones and refine the chin and jaw to create a more elongated, angular facial appearance.

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How To Contour a Round Face: Your Treatment Options at MFI

Face Slimming With BOTOX

We want to slim bottom-heavy cheeks using a neuromodulator, such as BOTOX. This makes the face appear less round and subtly makes the cheekbones pop.

If an enlarged masseter muscle is contributing to your lower face fullness, we inject a neuromodulator (BOTOX, Dysport®, or XEOMIN®) into the muscle to weaken it. The muscle then shrinks, resulting in a more V-shaped face. For many people, this also helps symptoms of TMJ.

Face Slimming With BOTOX

Non Surgical Cheek Augmentation With Filler

We use filler to go in and add volume and definition to the cheekbones. When combined with masseter BOTOX, this ensures the most prominent part of your cheek is your gorgeous, lifted cheekbone, not the bottom of the cheek.

Non Surgical Cheek Augmentation With Filler

Chin Filler

We use filler to build and sculpt the chin and elongate and contour a round face. The chin needs to be evaluated in multiple planes (height, width, projection) and overall shape. Depending on your goals, we either sculpt it to appear more feminine and v-line or stronger and more chiseled and angular.

Chin Filler

Double Chin Treatment With KYBELLA®

You don’t have to be overweight to have a double chin. This is an area where many people store fat, and that can make your face look even rounder. We use an injectable product called KYBELLA to melt the fat beneath your chin (submental fat) for a sleeker contour. Chin filler for a small or under-projected chin can also improve the appearance of a double chin.

Double Chin Treatment With KYBELLA®

Jawline Filler

By creating a well-defined, streamlined jaw, we more clearly separate the face from the neck. This helps frame the face from multiple angles and adds shape to the face, making it less round. It can also improve jowling, which can make the face look rounder and bottom-heavy.

Jawline Filler

BOTOX & Fillers for the Round Face Before and After Photos

Facial Slimming With BOTOX, Cheek, Chin, & Jawline Filler

Facial Slimming With BOTOX, Cheek, Chin, & Jawline Filler

This patient in her 30s wanted to decrease facial fullness and increase contours. BOTOX was placed in her masseters (jaw muscles). She later added filler to her cheeks, chin, and jawline to amplify her facial slimming results.

Facial Slimming With BOTOX

Facial Slimming With BOTOX

Jaw tension from teeth grinding led to sleep disruption and created a bulky masseter muscle and boxy/square facial shape. Treating this 30-something patient’s masseters not only decreased the severity of overactive jaw clenching, it also created a slimming effect.

Facial Slimming With Dysport, Cheek, & Chin Filler

Facial Slimming With Dysport, Cheek, & Chin Filler

Facial slimming created a “V-shaped” face for this lovely patient in her 20s. We added masseter treatment as part of her Full Face treatment, which included fillers for additional contour to the cheeks and chin.

Cheek, Chin, & Jawline Filler

Cheek, Chin, & Jawline Filler

Masculine angles were created for this handsome patient in his 20s. Filler was placed at his cheeks, chin, and jawline to create strong facial contours.

Facial Slimming With BOTOX & Cheekbone Filler

Facial Slimming With BOTOX & Cheekbone Filler

This is a great example of combining BOTOX for facial slimming with cheekbone filler to contour a round face. This patient also had fillers to the under eye, nose, and lips to complete her look.

How Much Does BOTOX & Filler for a Round Face Cost?

At MFI in San Francisco, BOTOX and filler to contour a round face is priced based on the Injector, the areas treated, and how much product is used. This includes your first appointment and the neuromodulators and fillers used, as well as your second appointment. If additional syringes are needed, those are priced at a discount.

We also offer facial slimming with BOTOX as a standalone treatment. Please visit our dedicated pricing page for the most current cost information.

Once your face contour is exactly how you want it, you’ll enter into the maintenance phase of treatment. This means you only need to come in about every 9 to 12 months for filler touch-ups, which require significantly less filler than your initial treatment. Neuromodulator touch-ups should be scheduled every 3 to 6 months.

Qualified borrowers may be eligible for 0% financing for 6 to 12 months through CareCredit and Alphaeon medical financing.

The MFI Advantage

MFI focuses exclusively on injectables, and has set the bar in the art and science of fillers for more than 15 years. Dr. Mabrie, trained as a facial plastic surgeon, has dedicated thousands of hours to carefully selecting and training our talented Injectors in the most innovative, effective, and safe techniques for injectables. There is no other practice in the Bay Area with the level of experience, education, and passion for injectables you'll find at MFI.

Meet Your Injectors

Dr. David Mabrie Kimberly PA-C, Injector

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What Causes a Round Face?

Genetics/Bone Structure

You may have inherited what some people call a “baby face”—a round face shape with soft features. Some hereditary factors that contribute to a round face include:

• Full, bottom-heavy cheeks
• A small chin
• Flat zygomatic bones (cheekbones)
• A weak jawline that lacks definition
• Submental fat

In essence, a round face or “baby face” lacks the sleek contour that can create a sophisticated, mature look.

Overdeveloped Masseter Muscles

The masseters are the large facial muscles toward the back of each side of the jaw. They are the main muscles used in clenching the jaw. If you grind your teeth or clench your jaw, you may have overdeveloped masseter muscles.

Aging

With time, fat breaks down, collagen production slows, and facial ligaments lose their elasticity. This results in volume loss and tissue descent (sagging). As the face ages, a once oval or heart-shaped face may become more round as jowls form and volume shifts to the lower cheek, jaw, and neck.

Consultation & Planning

Your First Visit

Contouring a round face shape with BOTOX and/or filler starts with a thorough consultation at our stunning San Francisco office. Your Injector first has a candid discussion with you to establish your aesthetic goals and expectations. Afterward, we take professional-level photographs of your cheeks, chin, and jawline from all angles. We utilize these photos at every visit to identify your concerns and monitor your progress. Using both the photos and an in-person examination we map out a customized treatment plan tailored to your anatomy and goals.

Please plan to spend about 2 hours in the office for your first visit, which includes consultation, prep, treatment, pre- and post-treatment photography, aftercare education, and scheduling your next appointment. The injections themselves only take a few minutes and cause minimal discomfort.

Your Round Face Contouring Procedure

Neuromodulators like BOTOX are injected using a very fine needle into the masseter muscle. The product blocks nerve signals to the muscle, and over approximately 4 to 10 days, the muscle relaxes. It takes about 30 days for visible results to emerge.

Cheek, chin, and jawline filler is administered using a blunt-tipped microcannula, which improves comfort and reduces bruising. Your Injector eases the flexible cannula under the skin to inject the filler precisely where it’s needed. We carefully select the products we use, choosing different consistencies for different contouring effects.

Our skilled Injectors place cheek fillers along the zygoma (cheekbone) to shape and form the outer cheekbone prominence along the upper midface. If filler is placed too low on the face, it can create a bottom-heavy appearance.

For the chin, the filler is placed in the different areas to build, layer, sculpt, and contour the lower face. The amount, location, type, and depth of filler are modified according to your desired results. We may use a combination of fillers and place them in locations including just under the skin, under the muscle, or on the underlying bone. Sometimes we use neuromodulator injections on the mentalis muscle to relax it and allow for increased projection.

When contouring the anterior jawline, our skilled Injectors place filler just beneath the skin (subcutaneous) to build and sculpt a more youthful jawline. For the mandibular angle, we place the filler just under the skin and directly on the bone to increase the prominence of the angle.

If we’re treating a double chin with KYBELLA, each treatment session typically includes 20 to 30 injections. Your Injector marks a detailed grid on your skin showing the specific injection sites. A topical anesthetic is applied to help maintain your comfort during the treatment.

Your Round Face Results Take at Least Two Treatments

If your BOTOX for face slimming was combined with fillers, you’ll return in 1 to 3 months for filler refinements. For facial slimming alone, you’ll want to return for a touch-up when results begin to fade in about 6 months.

At your second appointment, we carefully evaluate the new contours of your cheeks, chin, and jawline. Since all swelling has subsided, we can see clearly where we need to layer on more filler for optimal contours. We are careful not to place too much filler at the first appointment because it can tend to pool or spread. The second appointment is our opportunity to build and “stack” more filler onto the foundation laid at the first appointment. This is how we achieve the amazing definition and contours our patients love.

With KYBELLA for a double chin, most patients begin seeing results after 2 to 4 treatment sessions, spaced about a month apart. Up to 6 treatment sessions may be needed to achieve the optimal results. Because KYBELLA destroys the fat cells, they can no longer store or accumulate fat, meaning KYBELLA is considered a permanent treatment.

For more about what to expect, visit Your Treatment Timeline.

Example of 2 Treatment Process

Preparing for Your Procedure

For the best experience, follow these tips in advance of your appointment:

• A few days before your appointment, restrict blood thinners, such as anti-inflammatories, fish oil, and alcohol. Limiting these will reduce your risk of bruising from filler or BOTOX injections.
• DO NOT discontinue prescribed, medically necessary medications.
• Eat and drink a normal breakfast or lunch prior to your appointment; low blood sugar can make patients lightheaded during treatment.

Recovery & Aftercare

Some common injection-related reactions may occur, such as swelling, bruising, pain, itching, discoloration, and tenderness at the injection site. These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last up to 2 weeks but typically subside within 2 to 5 days.  Most patients return to their routine activities the same day.

Swelling

• While swelling from BOTOX is typically minimal, it peaks the day after treatment; swelling from filler may last several weeks
• This may cause temporary asymmetry, lumps, or bumps
• Swelling from filler will gradually resolve to reveal your final results over 4 to 6 weeks

Bruising

• Bruising is common with chin and jawline filler and may occur with cheek filler, although less commonly

Redness & Discomfort

• Often minimal and lasting just a few days
• Your treated areas may be tender to the touch

Downtime

• No downtime required
• May return to work immediately after treatment
• May resume normal exercise the next day

Contouring the Round Face FAQs

The MFI Advantage

MFI focuses exclusively on injectables, and has set the bar in the art and science of fillers for more than 15 years. Dr. Mabrie, trained as a facial plastic surgeon, has dedicated thousands of hours to carefully selecting and training our talented Injectors in the most innovative, effective, and safe techniques for injectables. There is no other practice in the Bay Area with the level of experience, education, and passion for injectables you'll find at MFI.

Meet Your Injectors

Dr. David Mabrie Kimberly PA-C, Injector

Schedule Me

We’d Love To See You

At Mabrie Facial Institute, we say it only takes a few millimeters to make a huge difference in the face you show to the world. Take a look at our gallery to see more of our patients’ dramatic facial transformations. If you’d like to learn more about how injectables can take your face from baby to bombshell, get in touch! Contact us online or call us at (415) 445-9513.

A Reputation Built on Results

Dr.Mabrie has really good aesthetic judgment. He gave me a holistic suggestion for the entire face....

Sep 12, 2024

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Well, Lets start with how LONG my treatments last. I went over a year between my last treatment and...

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Love my experience here! My results are so natural! I really felt like they listened to my concerns...

Sep 11, 2024

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Look…. Let’s be honest. You’re probably already getting injections and it’s hard finding a new spot....

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