Looksmaxing IRL: What a Medspa Can Actually Do (And What It Can't)

Masseter Botox (injecting the chewing muscle at the jaw angle) genuinely slims the lower face in people with hypertrophic masseters — enlarged chewing muscles that make the jaw appear square and wide. Results are real and noticeable: as the muscle reduces in size over two to three months, the jaw angle becomes less prominent and the lower face tapers more. This is most effective in patients who naturally have large masseters, either from genetics or jaw clenching. It doesn't create a defined, sharp jaw from a soft one — it narrows width.

Chin and jaw filler can add projection to a recessed chin and refine the jawline's lateral definition. This is legitimate and can meaningfully improve profile balance. The limits: filler doesn't create sharp bone-level definition the way orthognathic surgery or chin implants do. It adds soft tissue volume, which reads as improved definition from most angles but won't replicate the aesthetic of surgical intervention. For someone looking for moderate improvement, it's effective. For someone seeking dramatic structural change, expectations need calibration.

Cheek filler addresses lateral cheek volume and projection. When placed correctly on the cheekbone, it improves midface definition, creates a slight lift of the lower face, and adds the kind of facial geometry associated with attractiveness in most research. It's one of the higher-impact filler treatments in terms of visible change. The risk — and it's worth acknowledging — is that too much volume placed too medially creates the 'chipmunk' look. Conservative placement with periodic reassessment is the approach to request.

Tear trough and under-eye filler addresses the under-eye hollow that contributes to a tired, aged appearance. For people in their 20s and 30s with prominent tear troughs, this is a legitimate concern and filler can significantly reduce the shadow. Symmetry correction — treating asymmetries in volume, eye opening, or lip shape — is possible with filler and Botox in many cases, though true anatomical asymmetry (bone structure) has hard limits for soft tissue correction.

Medspa treatments work within your existing anatomy, not against it. Filler adds volume; it doesn't change bone structure. Botox reduces muscle activity; it doesn't add mass or change facial geometry. The treatments that produce the best results are the ones that align with your actual anatomy — working with what's there rather than trying to impose an incompatible template. An injector who assesses your face before recommending anything, rather than immediately agreeing to every area you mention, is the one to trust.

Be cautious of providers who are willing to use very high volumes at a first appointment to achieve dramatic reshaping. High-volume filler in young patients, particularly in the midface and cheeks, carries real risk of distortion over time — product migration, unnatural proportions, and difficulty correcting later. The most respected injectors in aesthetic medicine use conservative amounts and build gradually. This is not timidity; it's technique.