I’ve been administering Botox in San Francisco for as long as Botox has been on the market.  During all those years and after thousands of Botox injections in the Bay Area, I’ve learned some pretty cool “Botox” tricks.  One of the favorites for my busy “lunch-hour injection” patients in San Francisco’s financial district is to use Botox to make their faces look thinner.

Yes, we all know that Botox is used to reduce the contraction of certain muscles that cause deep wrinkles.  The FDA approved Botox for the muscles between the eyebrows.  However, there are many “off label” uses for Botox, as well.

“Off label” doesn’t mean illegal or unsafe.  Rather, the FDA only approves certain medications for certain conditions.  It would take too long to bring drugs to market if they were tested on EVERY possible medical condition that a given drug might help.

However, doctors are allowed a large amount of flexibility and leeway in the use of these prescription medications, and those uses are designated “off lablel”.  The most common example is when an anti-cancer drug is FDA approved for a certain cancer, but the “off label” usage is for other types of cancer, or in combination with other anti-cancer agents.

Botox is no different, as it is also used to treat wrinkles on the forehead and around the eyes.  One unusual or “off label” use is to use Botox to make your face thinner.

The muscles that make your face look wide are the masseter muscles.  These are the muscles that get hard when you tense your jaw.  Botox can be injected into the masseter muscles to make those muscles less prominent and less thick.  Voila.  Your face looks thinner.

The masseter muscles are very powerful, so it’s nearly impossible to make them completely go away.  Your ability to chew, as well as clench your jaw to look manly or look pissed, will still remain intact.  However, your face will look thinner, especially at the jaw line.

Just like in other areas of the body, Botox will take about 1 week to take effect.  But another cool thing about Botox is that it only takes a few minutes to administer.  San Francisco Botox patients get Botox at my downtown office and are back to work with no evidence of injections just a short time later.

Also, the effect will last about 3-4 months before you need to come in and get some more Botox injections.  The actual injection doesn’t hurt much since the masseter muscle is so thick.

No matter how much you diet or exercise, your jaw muscles will not go away. So you may be frustrated that you are fit and lean while your facial structure prevents you from achieving your ideal “look.”

Should you be one of these people or desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at, or call our office at 415-362-1846.


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