Jaw Botox Failed 10x? Parotid Gland Fixed It
Jaw Botox Failed 10x? Parotid Gland Fixed It
Jaw Botox Failed 10x? Parotid Gland Fixed It
Jaw Botox alone won't slim your face — you also need parotid gland treatment.
No botox effect after 10 jaw injections — until parotid gland botox changed everything
More patients are coming in with a solid understanding of their own facial structure these days.
It's not just "I want to slim my face" anymore.
Many now say upfront, "I want to understand what's actually causing my issue."
In that context, more people are asking about both jaw botox and parotid gland botox
— and the questions have been coming in more frequently.
Today's topic: the difference between the two, and which one you actually need.
Q. Are jaw botox and parotid gland botox the same treatment?
A. No. They target completely different structures. I'll explain in detail below.
Q. I have a prominent square jaw — do I need both?
A. It depends on the underlying cause. I'll break down how to tell them apart below.
Q. Can Xeomin produce the same results?
A. Yes, it can. However, dosage conversion and technique differ — I'll cover that separately.
Here's where it gets nuanced — not every square jaw has the same cause.
This is a common misconception:
A wide lower face that looks like a square jaw actually comes from two very different structures.
One is an overdeveloped Masseter (chewing muscle)masseter (chewing muscle).
The other is an enlarged Parotid gland (salivary gland near the ear)parotid gland.
The masseter sits just below the cheekbone, along the outer edge of the jawbone.
It enlarges from teeth grinding or frequently chewing tough foods.
Injecting botox here is what we call jaw botox.
The parotid gland, on the other hand, is a salivary gland located just in front of and below the ear.
When it's naturally large or has become enlarged, it overlaps visually with the masseter —
which is why some people see no results no matter how many jaw botox treatments they get.
I noticed this pattern over time
while treating patients who had received multiple jaw botox sessions elsewhere with no visible change.
That's when I started checking the parotid gland size first.
When these two structures aren't distinguished before treatment,
reducing the masseter alone won't help if the parotid volume remains the same.
Category | Jaw Botox (Masseter) | Parotid Gland Botox |
|---|---|---|
Target Structure | Masseter (muscle) | Parotid gland (salivary gland) |
Location | Below cheekbone, outer jawline | In front of/below ear, behind the masseter |
Primary Cause | Teeth grinding, overactive chewing | Congenital enlargement, body type |
Onset of Effect | 4–8 weeks (muscle atrophy) | 2–4 weeks (reduced secretion & volume) |
Duration | ~4–6 months in my experience | ~4–6 months in my experience |
How to Check | The area that bulges when you clench your teeth | That bulge just in front of and below the ear — even when you're completely relaxed |
Here's something important to understand — both can exist at the same time.
It varies case by case, but here's how I typically approach it.
In the clinic, I ask patients to clench their teeth firmly.
Then I check whether the masseter muscle pops out — and whether the bulge remains even when relaxed.
If there's still significant volume when relaxed, the parotid gland is likely involved.
Quite a few patients have enlargement in both structures.
In those cases, Botox is split between the masseter and the parotid gland.
Injecting into the parotid is technically more demanding.
The facial nerve runs through this area,
so precise control of injection depth and placement is critical.
A misplaced injection can cause temporary facial muscle weakness.
This is why an anatomically experienced physician is essential.
To be honest,
parotid Botox is more technically challenging than it gets credit for —
and many patients are still only receiving masseter Botox as a result.
Dr. Wi Young-jin's Clinical Notes:
I often see patients who've had jaw Botox over 10 times elsewhere with little to no results.
On examination, parotid gland enlargement turns out to be the culprit in many of these cases.
In my experience, these patients respond far better to a combined approach — masseter plus parotid — than masseter Botox alone.
One thing I always make clear upfront: parotid injections are in close proximity to branches of the facial nerve.
No matter how good the product is, incorrect placement can lead to complications rather than results.
I always discuss this with patients beforehand.
What changes when using Xeomin
Xeomin (incobotulinumtoxinA) is one of the botulinum toxin products available.
It's a purified toxin with complexing proteins removed —
which means there may be a lower risk of antibody formation with long-term use.
(Research is still ongoing, so no definitive conclusions yet.)
When using Xeomin for jaw or parotid Botox,
the standard conversion is 1:1 with conventional Botox (onabotulinumtoxinA) —
though dosage adjustments are sometimes made based on individual cases.
That said, it's not a straightforward upgrade.
Xeomin has strict cold-chain storage requirements,
and post-dilution timing must be carefully managed —
inconsistent handling can lead to unpredictable results.
Still, for those planning long-term treatment, it's a very worthwhile option to consider.
Key Takeaways:First, identify whether your square jaw is caused by the masseter muscle or the parotid gland. Choosing a product like Xeomin comes after that.
Check These Before Your Treatment
Here's the checklist I go through with every patient.
1. Does the area below your cheekbone bulge when you clench your teeth? → Possible masseter hypertrophy
2. Does the area in front of and below your ear protrude even when relaxed? → Possible parotid gland enlargement
3. Had jaw Botox before with little to no results? → Parotid gland should be evaluated
4. Do you grind your teeth (bruxism)? → Likely a contributing cause of masseter hypertrophy
5. Do you experience jaw pain or headaches? → Masseter hypertonicity may also be involved
If you answered yes to #2 or #3,
I'd recommend a consultation that includes parotid gland Botox.
One thing I often see —
booking based on price alone, without a proper consultation,
means many patients don't receive the right combination of treatments for their needs.
We see patients coming from Sinchon and Ewha areas too.
Many say it was their first time getting a proper explanation — after repeating treatments elsewhere without ever identifying the root cause.
Frequently Asked Questions
Q1. Will parotid gland Botox dry out my mouth by reducing saliva?
A. The goal isn't to fully block parotid function — just to reduce its volume. In my experience, significant dry mouth is uncommon. That said, individual responses vary, and excessive dosing can cause temporary dryness, so precise dosing is key.
Q2. It's my first time getting jaw Botox — should I go with Xeomin or regular Botox?
A. For a first treatment, the difference in results is minimal. Xeomin is more commonly considered when there's concern about antibody formation with repeated sessions. First, the priority is finding the right dose and injection points for you.
Q3. When will I see results, and how long do they last?
A. Masseter Botox takes time for the muscle to atrophy — changes are typically visible around 4–8 weeks. Parotid Botox tends to work faster, around 2–4 weeks. In my experience, both areas last roughly 4–6 months. If you grind your teeth heavily, expect a somewhat shorter duration.
This has been Dr. Wi Young-jin.
Feel free to reach out on KakaoTalk anytime with questions.
✦ Related Reading
No botox effect after 10 jaw injections — until parotid gland botox changed everything
More patients are coming in with a solid understanding of their own facial structure these days.
It's not just "I want to slim my face" anymore.
Many now say upfront, "I want to understand what's actually causing my issue."
In that context, more people are asking about both jaw botox and parotid gland botox
— and the questions have been coming in more frequently.
Today's topic: the difference between the two, and which one you actually need.
Q. Are jaw botox and parotid gland botox the same treatment?
A. No. They target completely different structures. I'll explain in detail below.
Q. I have a prominent square jaw — do I need both?
A. It depends on the underlying cause. I'll break down how to tell them apart below.
Q. Can Xeomin produce the same results?
A. Yes, it can. However, dosage conversion and technique differ — I'll cover that separately.
Here's where it gets nuanced — not every square jaw has the same cause.
This is a common misconception:
A wide lower face that looks like a square jaw actually comes from two very different structures.
One is an overdeveloped Masseter (chewing muscle)masseter (chewing muscle).
The other is an enlarged Parotid gland (salivary gland near the ear)parotid gland.
The masseter sits just below the cheekbone, along the outer edge of the jawbone.
It enlarges from teeth grinding or frequently chewing tough foods.
Injecting botox here is what we call jaw botox.
The parotid gland, on the other hand, is a salivary gland located just in front of and below the ear.
When it's naturally large or has become enlarged, it overlaps visually with the masseter —
which is why some people see no results no matter how many jaw botox treatments they get.
I noticed this pattern over time
while treating patients who had received multiple jaw botox sessions elsewhere with no visible change.
That's when I started checking the parotid gland size first.
When these two structures aren't distinguished before treatment,
reducing the masseter alone won't help if the parotid volume remains the same.
Category | Jaw Botox (Masseter) | Parotid Gland Botox |
|---|---|---|
Target Structure | Masseter (muscle) | Parotid gland (salivary gland) |
Location | Below cheekbone, outer jawline | In front of/below ear, behind the masseter |
Primary Cause | Teeth grinding, overactive chewing | Congenital enlargement, body type |
Onset of Effect | 4–8 weeks (muscle atrophy) | 2–4 weeks (reduced secretion & volume) |
Duration | ~4–6 months in my experience | ~4–6 months in my experience |
How to Check | The area that bulges when you clench your teeth | That bulge just in front of and below the ear — even when you're completely relaxed |
Here's something important to understand — both can exist at the same time.
It varies case by case, but here's how I typically approach it.
In the clinic, I ask patients to clench their teeth firmly.
Then I check whether the masseter muscle pops out — and whether the bulge remains even when relaxed.
If there's still significant volume when relaxed, the parotid gland is likely involved.
Quite a few patients have enlargement in both structures.
In those cases, Botox is split between the masseter and the parotid gland.
Injecting into the parotid is technically more demanding.
The facial nerve runs through this area,
so precise control of injection depth and placement is critical.
A misplaced injection can cause temporary facial muscle weakness.
This is why an anatomically experienced physician is essential.
To be honest,
parotid Botox is more technically challenging than it gets credit for —
and many patients are still only receiving masseter Botox as a result.
Dr. Wi Young-jin's Clinical Notes:
I often see patients who've had jaw Botox over 10 times elsewhere with little to no results.
On examination, parotid gland enlargement turns out to be the culprit in many of these cases.
In my experience, these patients respond far better to a combined approach — masseter plus parotid — than masseter Botox alone.
One thing I always make clear upfront: parotid injections are in close proximity to branches of the facial nerve.
No matter how good the product is, incorrect placement can lead to complications rather than results.
I always discuss this with patients beforehand.
What changes when using Xeomin
Xeomin (incobotulinumtoxinA) is one of the botulinum toxin products available.
It's a purified toxin with complexing proteins removed —
which means there may be a lower risk of antibody formation with long-term use.
(Research is still ongoing, so no definitive conclusions yet.)
When using Xeomin for jaw or parotid Botox,
the standard conversion is 1:1 with conventional Botox (onabotulinumtoxinA) —
though dosage adjustments are sometimes made based on individual cases.
That said, it's not a straightforward upgrade.
Xeomin has strict cold-chain storage requirements,
and post-dilution timing must be carefully managed —
inconsistent handling can lead to unpredictable results.
Still, for those planning long-term treatment, it's a very worthwhile option to consider.
Key Takeaways:First, identify whether your square jaw is caused by the masseter muscle or the parotid gland. Choosing a product like Xeomin comes after that.
Check These Before Your Treatment
Here's the checklist I go through with every patient.
1. Does the area below your cheekbone bulge when you clench your teeth? → Possible masseter hypertrophy
2. Does the area in front of and below your ear protrude even when relaxed? → Possible parotid gland enlargement
3. Had jaw Botox before with little to no results? → Parotid gland should be evaluated
4. Do you grind your teeth (bruxism)? → Likely a contributing cause of masseter hypertrophy
5. Do you experience jaw pain or headaches? → Masseter hypertonicity may also be involved
If you answered yes to #2 or #3,
I'd recommend a consultation that includes parotid gland Botox.
One thing I often see —
booking based on price alone, without a proper consultation,
means many patients don't receive the right combination of treatments for their needs.
We see patients coming from Sinchon and Ewha areas too.
Many say it was their first time getting a proper explanation — after repeating treatments elsewhere without ever identifying the root cause.
Frequently Asked Questions
Q1. Will parotid gland Botox dry out my mouth by reducing saliva?
A. The goal isn't to fully block parotid function — just to reduce its volume. In my experience, significant dry mouth is uncommon. That said, individual responses vary, and excessive dosing can cause temporary dryness, so precise dosing is key.
Q2. It's my first time getting jaw Botox — should I go with Xeomin or regular Botox?
A. For a first treatment, the difference in results is minimal. Xeomin is more commonly considered when there's concern about antibody formation with repeated sessions. First, the priority is finding the right dose and injection points for you.
Q3. When will I see results, and how long do they last?
A. Masseter Botox takes time for the muscle to atrophy — changes are typically visible around 4–8 weeks. Parotid Botox tends to work faster, around 2–4 weeks. In my experience, both areas last roughly 4–6 months. If you grind your teeth heavily, expect a somewhat shorter duration.
This has been Dr. Wi Young-jin.
Feel free to reach out on KakaoTalk anytime with questions.
✦ Related Reading
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