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If you've noticed sagging along your jawline or the development of jowls, you're not alone. This common sign of aging affects countless individuals seeking effective solutions to restore a more youthful, defined facial contour. One question that frequently arises is: Can Botox help jowls?
At My Skin St. Pete and My Skin Bradenton, master injector Leah Michel, APRN, FNP-BC provides expert guidance on cosmetic treatments, including the strategic use of Botox for addressing jowls and facial aging concerns.
Jowls form when the skin and tissues along the lower face and jawline lose elasticity and begin to sag. Several factors contribute to their development:
Natural aging process - Collagen and elastin production decreases over time
Loss of facial volume - Fat pads in the mid-face descend, creating heaviness below
Weakened facial muscles - The platysma muscle in the neck can pull down on facial tissues
Genetics and lifestyle factors - Sun exposure, smoking, and heredity play significant roles
Gravity - The continuous downward pull affects all facial structures
As these changes occur, the once-sharp definition of the jawline softens, creating the appearance of jowls and an aged lower face.

The short answer is: Yes, but with important caveats. While Botox isn't a direct solution for jowls the way dermal fillers or surgical procedures might be, it can provide subtle improvements when used strategically by an experienced injector.
Botox works by temporarily relaxing specific muscles. For jowls, master injector Leah Michel may employ several advanced techniques:
1. The Nefertiti Lift This innovative technique involves injecting Botox along the jawline and neck to relax the platysma muscle. The platysma is a thin, broad muscle that extends from the chest to the jaw and can pull down on facial tissues as we age. By strategically relaxing this downward-pulling muscle, Botox can:
Create a subtle lifting effect along the jawline
Improve the definition of the lower face
Reduce the appearance of vertical neck bands
Provide a more contoured look
2. Masseter Muscle Relaxation The masseter muscles, located at the angle of the jaw, can become enlarged from teeth grinding or clenching. When these muscles are overly prominent, they can contribute to a square or heavy lower face. Botox injections in the masseter can:
Slim the lower face
Create a more oval facial shape
Reduce the visual heaviness that accentuates jowls
Provide subtle lifting by changing facial proportions
3. DAO (Depressor Anguli Oris) Muscle Treatment The DAO muscles pull down the corners of the mouth, which can contribute to a sad or aged appearance and worsen the look of jowls. Treating these muscles with Botox can:
Lift the corners of the mouth
Create a more pleasant, youthful expression
Indirectly improve the appearance of jowling
It's crucial to understand that Botox provides subtle enhancement, not dramatic transformation when it comes to jowls. Here's what to expect:
Provide mild to moderate lifting of the jawline
Improve muscle-related pulling and sagging
Enhance facial contours and definition
Create a more refined, youthful appearance
Serve as preventative treatment to slow jowl development
Complement other treatments for comprehensive results
Eliminate significant skin laxity
Remove excess skin
Replace lost volume in the mid-face
Provide the same results as surgical lifting
Address severe jowling as a standalone treatment
At My Skin St. Pete and My Skin Bradenton, Leah Michel takes a comprehensive approach to facial rejuvenation. For optimal jowl improvement, she often recommends combining Botox with complementary treatments:
Strategic placement of dermal fillers in the mid-face can restore lost volume and provide structural support, reducing the appearance of jowls. When combined with Botox's muscle-relaxing effects, the results are often more comprehensive and natural-looking.
For patients with excess fat beneath the chin contributing to jowling, deoxycholic acid treatments can eliminate fat cells and improve the jawline's definition.
This collagen-stimulating treatment can improve skin texture, firmness, and elasticity, complementing the lifting effects of Botox.
Incorporating professional skincare products with retinoids, peptides, and growth factors can enhance and maintain your results.
Not all injectors are created equal, especially when it comes to advanced techniques like treating jowls with Botox. Here's why patients throughout St. Petersburg and Bradenton trust Leah Michel:
Leah Michel is a Board-Certified Family Nurse Practitioner with over 8 years of specialized dermatology and aesthetic injection experience. Her comprehensive training ensures safe, effective treatments tailored to your unique facial anatomy.
As a recognized master injector, Leah has performed thousands of successful Botox and filler treatments. This extensive experience translates to:
Precise injection techniques for optimal results
Advanced understanding of facial anatomy
Ability to create natural-looking outcomes
Expertise in complex treatments like the Nefertiti lift
At My Skin, every patient receives 30-minute appointments where Leah takes time to truly listen, evaluate your concerns, and create customized treatment plans. She understands that no two faces are alike and tailors her approach accordingly.
Leah stays current with the latest advancements in dermatology and aesthetic medicine through ongoing education and training, ensuring patients receive cutting-edge care in a welcoming, supportive environment.
With recognition on WebMD and Vitals, along with glowing patient reviews, Leah has established herself as a trusted provider for both medical and cosmetic dermatology needs.
When you schedule your appointment at My Skin St. Pete or My Skin Bradenton, here's what the process looks like:
Step 1: Comprehensive Evaluation Leah will assess your facial structure, skin quality, and the degree of jowling. She'll discuss your aesthetic goals and medical history to ensure Botox is appropriate for you.
Step 2: Customized Treatment Plan Based on your unique needs, Leah will explain which areas to treat, realistic expectations, and whether combining Botox with other treatments would enhance your results.
Step 3: The Injection Process Botox injections are quick, typically taking just 10-15 minutes. Most patients report minimal discomfort, often describing the sensation as a small pinch. No anesthesia is typically required.
Step 4: Recovery and Results There's virtually no downtime after Botox injections. You may experience minor redness or swelling that resolves quickly. Results typically appear within 3-7 days and can last 3-4 months.
Step 5: Maintenance and Follow-Up Leah will schedule follow-up appointments to assess your results and maintain your refreshed appearance with regular treatments.
When performed by a skilled master injector like Leah Michel, Botox should enhance your natural beauty while maintaining normal facial expressions. The goal is subtle refinement, not a frozen appearance.
Botox has been FDA-approved for cosmetic use for over 20 years and has an excellent safety profile when administered by qualified professionals. Leah's extensive training and experience ensure the safest possible treatment.
Treatment costs vary based on the number of units needed and specific areas treated. During your consultation, Leah will provide transparent pricing tailored to your treatment plan.
Initial improvements typically appear within 3-7 days, with full results visible at the two-week mark. For jowl treatments, subtle lifting effects continue to develop during this period.
Botox typically lasts 3-4 months. Regular maintenance treatments can help maintain your results and may even reduce the frequency of treatments needed over time.
You may be an ideal candidate if you:
Have mild to moderate jowling
Notice muscle-related pulling along the jawline
Want to prevent jowls from worsening
Seek subtle, natural-looking improvements
Are not ready for or don't want surgical options
Are in good overall health
Have realistic expectations about results
During your consultation, Leah will determine if Botox alone or in combination with other treatments is right for your specific concerns.
While you may initially come in concerned about jowls, Leah Michel takes a holistic approach to facial aesthetics. She can address:
Forehead lines and furrows - Smooth horizontal lines and the "11s" between brows
Crow's feet - Soften lines around the eyes
Bunny lines - Reduce wrinkles on the nose bridge
Lip lines - Improve vertical lines around the mouth
Gummy smile - Reduce excessive gum display
Facial asymmetry - Balance features for improved harmony
My Skin isn't just about cosmetic treatments. As a comprehensive dermatology practice, we also provide expert care for:
Acne management
Rosacea treatment
Rash evaluation and treatment
Mole and lesion removal
Skin biopsies
Advanced surgical techniques with minimal scarring
Medicare, most commercial insurances, and self-pay options are accepted for medical and surgical dermatology services.
111 2nd Ave NE, Suite 1406 St. Petersburg, FL 33701 Plaza Tower - Downtown St. Pete Phone: (727) 295-7223
Conveniently located in downtown St. Petersburg, our St. Pete office offers easy access with ample parking and a comfortable, welcoming environment.
4301 32nd St. W., Suite D2 Bradenton, FL 34277 Phone: (941) 330-5805
Our Bradenton location in the Bradenton Business Park provides the same exceptional care in a convenient West Florida setting.
If you're concerned about jowls and wondering whether Botox could help, there's only one way to find out for certain: schedule a consultation with master injector Leah Michel, APRN, FNP-BC.
During your personalized consultation, Leah will:
Evaluate your specific concerns
Explain all available treatment options
Provide honest recommendations
Answer all your questions
Create a customized plan to help you achieve your aesthetic goals
Don't wait to address your concerns. Book your appointment today at My Skin St. Pete or My Skin Bradenton and discover how expert Botox techniques can help you look as youthful as you feel.
Q: Can Botox completely eliminate jowls? A: Botox alone cannot completely eliminate significant jowls, but it can provide subtle lifting and improvement, especially when used in advanced techniques like the Nefertiti lift. For more dramatic results, combining Botox with fillers or considering surgical options may be necessary.
Q: How many units of Botox are needed for jowls? A: The number of units varies based on individual anatomy and treatment goals. During your consultation, Leah Michel will assess your needs and provide a specific recommendation.
Q: Is there any downtime after Botox injections? A: No significant downtime is required. Most patients return to normal activities immediately, though you should avoid lying down or strenuous exercise for 4 hours post-treatment.
Q: Can Botox prevent jowls from developing? A: Yes! When started early, strategic Botox treatments can help prevent the muscle movements and pulling that contribute to jowl formation, making it an excellent preventative treatment.
Q: What's the difference between Botox and fillers for jowls? A: Botox relaxes muscles to reduce pulling and create subtle lifting, while fillers restore lost volume and provide structural support. Often, combining both treatments yields the best results.
Ready to transform your jawline? Contact My Skin St. Pete at (727) 295-7223 or My Skin Bradenton at (941) 330-5805 to schedule your consultation with master injector Leah Michel, APRN, FNP-BC. Your journey to a more youthful, defined appearance starts here.
Disclaimer: The information on this website is provided for educational and informational purposes only and is not medical advice. Always consult with a licensed medical provider and follow their recommendations regardless of what you read on this website. If you think you are having a medical emergency, dial 911 or go to the nearest emergency room.
If you have any questions or concerns about your skin & would like to schedule an appointment at our St. Pete dermatology office or Brandenton dermatology office, please call us today!
111 2nd Ave NE., Suite 1406
St Petersburg, FL 33701
Plaza Tower- Downtown St Pete
Phone: (727) 295-7223
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