NEUROMODULATORS · TREATMENT
Lower-face balance
Botulinum toxin can reduce selected muscle pull that contributes to chin dimpling or downturned mouth corners. It does not correct every cause of a downturned appearance.
Is it right for me?
It may suit selected adults with a muscular component to their concern. Volume loss, skin laxity and dental or bite-related concerns require separate assessment.
Treatment is unsuitable with an infection at the injection site or allergy to the proposed product. Neuromuscular illness, swallowing or breathing problems and medicines that affect muscle function need specific review. Pregnancy and breastfeeding require discussion because safety data are limited; elective treatment may be deferred.
Evidence and realistic expectations.
These lower-face uses are outside the licensed indications of many toxin products. This is often called off-label use. The clinician should explain the evidence for the specific concern, alternatives and how local product labeling applies.
Small changes in these muscles can affect facial function. Cosmetic improvement must be weighed against effects on the smile, speech and drinking.
Risks to understand.
Bruising, headache, asymmetry and unwanted muscle weakness can occur. Depending on the area, this can affect the eyelids, smile, chewing or neck. Rare spread of toxin effect can cause serious weakness. Trouble speaking, swallowing or breathing after treatment needs immediate medical attention.
What to expect.
Consultation
Discuss your concern, medical history, previous treatments and what you would like to preserve. Dr. Roy will explain suitable options, alternatives, risks and fees before you decide.
Treatment
The consultation includes your smile, speech and resting expression. Selected lower-face muscles may then be treated with botulinum toxin.
Recovery
Allow for temporary injection marks or bruising. Dr. Roy will explain activity and aftercare advice for the areas treated; do not plan around a promise of zero downtime.
Results and review
Changes are usually assessed after about two weeks and are temporary. The degree of improvement depends on whether muscle pull is the main cause.
Number of visits
An initial treatment is reviewed before any further adjustment. Maintenance is individualized.
Good questions.
Clearer decisions.
What can lower-face balance address?
Chin dimpling and muscle-related downturned mouth corners. Botulinum toxin can reduce selected muscle pull that contributes to chin dimpling or downturned mouth corners. It does not correct every cause of a downturned appearance.
Who might be a suitable candidate?
It may suit selected adults with a muscular component to their concern. Volume loss, skin laxity and dental or bite-related concerns require separate assessment.
What happens during the appointment?
The consultation includes your smile, speech and resting expression. Selected lower-face muscles may then be treated with botulinum toxin.
How much recovery time should I allow?
Allow for temporary injection marks or bruising. Dr. Roy will explain activity and aftercare advice for the areas treated; do not plan around a promise of zero downtime.
When could I see a change?
Changes are usually assessed after about two weeks and are temporary. The degree of improvement depends on whether muscle pull is the main cause.
How many visits might I need?
An initial treatment is reviewed before any further adjustment. Maintenance is individualized.
Could it affect my smile or speaking?
Unwanted weakness can alter the smile, lip movement or speech. Conservative planning and an assessment of existing asymmetry are especially important in this area.
What is the cost of lower-face balance?
Contact the clinic for current fees. Ask for the price of the consultation, each proposed treatment, any planned review and any optional additional steps before deciding. No fixed fee is published on this page.
General patient information. A consultation is needed to determine your suitability. Treatment choices and outcomes vary.
Further reading: Botulinum toxin: patient questions · Botulinum toxin: example US prescribing information and area-specific warnings. These sources do not endorse the clinic. Regulatory information from other countries is identified as such.
Evidence and copy checked 2026-09-16.
Related care.
Request a consultation.
Ask about lower-face balance with Dr. Roy. Choose your topic, then review and send your request on WhatsApp.
A conversation first.
Take the time you need.
A consultation is a chance to discuss options, risks and costs. You can ask about a simpler plan or decide not to proceed.