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Hi doctor,

In this module, we’re going to talk about a more advanced but highly effective application of botulinum toxin — treating lower face wrinkles with Botox.

Now, we’re not just talking about lines on the forehead or crow’s feet. The lower face is dynamic, complex, and highly expressive — which means treatments need to be precise, controlled, and conservative.

If you’ve mastered the upper face, this is the next step in building your aesthetic skill set. Let’s break down how I approach the lower face — from anatomy and dosing to technique and patient education.

🧠 Why the Lower Face Is Different

Unlike the upper face, where muscles mostly pull upward, the lower face has muscles that pull downward, inward, and compress.

Botox here is not just about relaxing wrinkles — it’s about:

• Rebalancing muscle tension
• Softening harsh or aged expressions
• Creating a more lifted, harmonious appearance
• Treating signs of aging without adding volume

But because the lower face is involved in speaking, eating, smiling, and emotional expression, we have to be incredibly careful.

🎯 Common Lower Face Areas I Treat with Botox

Let me share the key zones I target most often:

• DAO (Depressor Anguli Oris): These muscles pull the corners of the mouth downward, causing a “sad” or tired look. Botox here helps lift the mouth corners subtly.
• Mentalis: This muscle controls the chin area. Overactivity can cause chin dimpling or a “cobblestone” texture. Botox smooths this out.
• Platysmal bands (lower jaw/neck): These vertical bands become more visible with age. Botox relaxes them to soften the neck and jawline contour.
• Orbicularis oris (perioral lines): Think of “smoker’s lines” or vertical lip lines. A tiny dose of Botox can smooth this area without affecting lip movement — if done correctly.

Each of these zones requires low dosing and detailed anatomical understanding. We’re not trying to freeze — we’re trying to refine and rebalance.

✅ Who Is a Good Candidate?

Botox for lower face wrinkles is great for patients who:

• Have early signs of aging in the lower face
• Complain of a downturned mouth, puckered chin, or tight jawline
• Want a natural softening of lines and harsh expressions
• Already had upper face Botox and want a more complete result
• Prefer subtle corrections over dermal filler

I always emphasize that lower face Botox isn’t meant to eliminate wrinkles completely — it’s meant to create a softer, more relaxed appearance.

💉 My Approach and Injection Strategy

This is where precision really matters.

DAO (Corners of Mouth)

• I inject just lateral to the oral commissure, about 1 cm down
• Depth is subcutaneous, using 2–3 units per side
• Purpose: to reduce downward pull and balance the smile

Mentalis (Chin)

• One point in the central chin, injecting deep into the muscle
• Around 4–5 units total
• Purpose: to smooth dimpling and lift chin apex

Orbicularis Oris (Lip Lines)

• Microdose (0.5–1 unit) per quadrant, superficially
• Inject at the vermilion border, avoiding lip depression
• Purpose: to soften perioral lines while maintaining function

Platysma Bands

• Inject along the vertical band with 2–3 small boluses
• 2–4 units per point
• Purpose: to reduce pulling effect and define jawline

Every face is different, so I always start conservatively and adjust at the 2-week follow-up if needed.

🛑 Mistakes to Avoid

Now let’s talk about what can go wrong — and how to prevent it.

• Overdosing DAO can flatten the smile or cause drooling
• Poor placement near the orbicularis oris can impair speech or lip closure
• Going too deep with perioral injections can paralyze the wrong muscle
• Platysma overtreatment may cause neck weakness or swallowing discomfort

Always start with the lowest effective dose, and watch for muscle dominance or asymmetry during assessment.

🩺 How I Educate My Patients

Patients often don’t realize how much the lower face affects their overall expression. I explain:

“We’re not just softening wrinkles — we’re lifting the corners, smoothing the chin, and relaxing the jawline to create a more rested look.”

I also tell them:

• Full results appear in 7–14 days
• Some tightness or smile changes may happen — usually mild and temporary
• They should avoid massaging or exercising the face heavily for 24 hours
• The results last around 3–4 months, similar to upper face Botox

This transparency builds trust and reduces post-treatment anxiety.

👨‍⚕️ Final Thoughts

Botox in the lower face is subtle, elegant work. It requires a deep understanding of anatomy, function, and expression.

When you do it right, you don’t erase personality — you enhance natural expression. You give the face back its softness, openness, and balance.

Lower face Botox isn’t about freezing. It’s about finesse.

🎓 Want to Learn the Full Injection Techniques?

Inside my full online course, I walk you through:

• Each muscle’s anatomy, function, and depth
• Live injection demos with clear voice-over
• Dosage strategies based on gender, face shape, and patient goals
• How to avoid complications and fix asymmetries
• Real case breakdowns — before and after

It’s all 100% online — no hands-on required. Learn anytime, from anywhere.

👉 Click here to join the training:

🔗 Enroll in the Lower Face Botox Masterclass (Insert your Kajabi link)

Let’s help you treat the entire face — safely, naturally, and professionally.

Hi doctor,

Welcome to this module on botulinum toxin for the upper face — one of the most common, high-impact treatments we perform in aesthetic medicine.

In this lesson, I’ll guide you through my exact clinical approach for treating the upper face with Botox. We’ll go over how I assess patients, where I inject, what dosages I typically use, and how I avoid complications — all based on experience with real patients and real results.

If you’re building your foundation in neurotoxin treatments, this is the must-master zone — the forehead, glabella, and crow’s feet are the most requested areas, and also the most visible.

🧠 Understanding the Upper Face

The upper face is home to some of the most expressive muscles in the body — and when these muscles contract over time, they create:

• Horizontal forehead lines
• Vertical glabellar lines (frown lines)
• Lateral canthal lines (crow’s feet)

These are dynamic wrinkles — caused by muscle movement, not volume loss.

Our job with Botox isn’t to erase every line. It’s to relax the movement, smooth the skin, and restore a rested, youthful appearance — while keeping the patient’s personality intact.

🎯 The 3 Key Muscle Zones

Let’s break it down:

1. Frontalis (Forehead)

• The only elevator of the upper face
• Creates horizontal forehead lines when raising eyebrows
• Thin and broad — requires superficial placement

2. Glabellar Complex (Frown Lines)

• Includes corrugators, procerus, depressor supercilii
• Pulls brows inward and downward
• Target area for softening the “11s” or angry resting face

3. Orbicularis Oculi (Crow’s Feet)

• Circular muscle around the eyes
• Contracts during smiling or squinting
• Treated to reduce fine lines and open the eye area

Every patient has a different strength and pattern — and I teach you how to spot that in my full training. But here, just remember: balance is everything.

💉 Injection Techniques & Tips

Here’s how I approach each area in practice:

Frontalis

• Inject superficially in a linear or zigzag pattern
• Stay at least 2 cm above the brow to avoid droop
• Use small units per point to prevent heaviness or a frozen look
• Tailor injections to the patient’s brow position and forehead height

Glabellar Complex

• Usually 5 injection points:
  • 2 in the corrugators
  • 1 in the procerus
  • Optional: 2 additional points for strong muscles
• Inject deeper here — the muscles lie under the frontalis
• Always assess baseline brow movement before treating

Crow’s Feet (Lateral Canthus)

• Inject superficially in 3 points per side
• Stay 1–1.5 cm lateral to the orbital rim
• Watch for zygomaticus involvement to avoid smile asymmetry

I always start with conservative units and adjust at the 2-week follow-up. Botox is customized medicine, not cookbook medicine.

✅ Dosing Philosophy

I don’t just memorize numbers — I assess based on:

• Muscle strength
• Gender
• Age
• Aesthetic goal (natural vs. smooth)

For example:

• Men often need higher units due to muscle mass
• Younger patients or “Baby Botox” users may prefer lighter doses
• Asymmetric brows may require different doses on each side

The key is to treat the patient in front of you — not the protocol in a book.

🛑 Mistakes to Avoid

There are a few common errors I see newer injectors make:

• Injecting too low on the forehead → causes brow droop
• Over-injecting the glabella → leads to “Spock brows”
• Going too deep in crow’s feet → bruises or ineffective treatment
• Not checking brow asymmetry before injecting
• Using the same dose on every patient

Botox is not forgiving when misused — but when done right, it’s one of the safest and most satisfying treatments in your practice.

📋 Patient Education & Expectations

Here’s what I tell every patient before upper face Botox:

• The result appears in 3–5 days, with full effect in 10–14 days
• It typically lasts 3–4 months
• Some mild tightness or eyebrow heaviness may occur the first few days
• They should avoid lying down or exercising for at least 4 hours after treatment
• Avoid rubbing or touching the area for the rest of the day

I also manage expectations by saying:

“We’re softening the muscle pull — not freezing your face. You’ll still be you, just smoother.”

👨‍⚕️ Final Thoughts

The upper face is where Botox began, and it’s still the most powerful way to restore a refreshed, youthful appearance. But technique matters.

You have to respect the muscle anatomy, understand movement patterns, and treat with intention.

A great injector doesn’t chase lines — they correct expression patterns.

When you master that, you’re not just injecting. You’re sculpting expressions that match how your patients feel inside.

🎓 Ready to See the Full Injection Process?

In my complete video course, I teach you:

• How to mark each zone with precision
• Real injection demos with live patients
• Dosage breakdowns and safety strategies
• Tips for asymmetry, eyebrow lifts, and challenging cases
• What I do at follow-up visits and how I evaluate success

100% online. No hands-on needed. You can access it anytime, from anywhere.

👉 Click here to enroll:

🔗 Join the Upper Face Botox Training (Insert your Kajabi course link)

Let’s build your skillset with clinical clarity, confidence, and patient-focused results.

Hi doctor,

In this advanced module, we’re going to explore the off-label but increasingly popular use of botulinum toxin in larger muscles — including the masseters, trapezius (shoulders), gastrocnemius (calves), and other aesthetic or functional indications.

These treatments require deeper anatomical understanding, higher doses, and precise technique — but they also open the door to powerful results in facial shaping and body contouring.

Let’s walk through how I approach each of these areas, what I consider in patient selection, and how I inject for both aesthetic and therapeutic results.

💪 Why Inject Large Muscles with Botox?

While Botox is most commonly associated with facial wrinkles, it also works beautifully to:

• Slim bulky muscles for contouring
• Reduce muscle tension or hypertrophy
• Improve posture or silhouette
• Alleviate pain from overuse or clenching
• Offer aesthetic shaping in jaw, neck, or legs

The principle is the same:

Botox blocks acetylcholine, causing temporary relaxation of the targeted muscle.

But in large muscle groups, this effect is not just for wrinkles — it’s for reshaping form and function.

🎯 Botox for Masseter Reduction (Jaw Slimming)

This is one of the most requested treatments in Asia, and now globally.

Why do we inject here?

• Patients with masseter hypertrophy may have a square, bulky jaw
• Many also suffer from bruxism or jaw tension
• Botox relaxes the muscle over time → leading to slimmer jawline and functional relief

My approach:

• Palpate the masseter during clenching to find the thickest point
• Inject deep intramuscularly in 3–5 points per side
• Use 25–30 units per side (depending on gender and strength)
• Educate the patient that slimming occurs gradually over 4–6 weeks

I always assess bite strength and make sure they understand chewing fatigue may occur temporarily.

🧍 Botox for Shoulder Contouring (Trapezius Slimming)

This treatment is gaining popularity for aesthetic neck elongation and relief of upper shoulder tension.

Who wants this?

• Patients with visibly bulky traps that give a short-neck look
• Office workers with postural tension or neck pain
• Brides or models wanting a more elegant clavicle line

How I treat:

• Locate the trapezius belly — from neck base to acromion
• Inject along the muscle in 5–7 sites per side
• Use 30–50 units per side, depending on muscle mass
• Advise the patient that the contouring effect takes 4–6 weeks

I also warn them of possible shoulder fatigue, especially during workouts, for a few days.

🦵 Botox for Calf Slimming (Gastrocnemius)

Popular especially in Asian countries, this treatment targets bulky calves for a leaner leg profile.

Why patients request this:

• Calf hypertrophy from exercise, genetics, or posture
• Desire for a slimmer silhouette in skirts, dresses, or heels
• Prefer slimming without surgery or liposuction

My method:

• Have the patient stand on toes to activate gastrocnemius
• Mark medial and lateral heads
• Inject into 2–3 points per head, bilaterally
• Typical dose: 50–100 units per calf (adjust by size and strength)

Results appear in 4–6 weeks and can last longer than facial Botox — often 5–6 months.

I educate them clearly that the goal is contouring, not muscle paralysis, and results are gradual.

⚠️ Other Functional/Aesthetic Muscles You Might Treat

Here are a few additional areas where I’ve used Botox for both aesthetic and therapeutic benefits:

• Levator labii superioris alaeque nasi (nasal flaring, gummy smile)
• Sternocleidomastoid (neck contouring or torticollis)
• Temporalis (jaw clenching alongside masseters)
• Scalene muscles (for shoulder-neck tension or symmetry)
• Extensor digitorum (for hyperhidrosis or muscle imbalance)

Each of these has a specific method — and in my full training, I walk through the indication, mapping, and injection strategy step-by-step.

🧬 Dosing Principles and Safety

When injecting large muscles, remember:

• Units are higher, but spread risk must be managed
• Inject deeply into the muscle belly, not superficially
• Rotate injection sites to avoid muscle atrophy clumping
• Always assess baseline function and warn about weakness risks

I also recommend re-treating no sooner than 12 weeks, and spacing appointments at least 4–6 months apart to avoid resistance or long-term atrophy.

🛑 Key Mistakes to Avoid

Here are some pitfalls to watch for:

• Over-dosing and causing functional limitation (e.g. difficulty chewing or lifting arms)
• Injecting too superficially in large muscles → ineffective result
• Not mapping anatomy properly, especially in calves and traps
• Treating too soon after previous session → resistance risk
• Ignoring patient activity level (e.g. athletes may require adjusted dosing and counseling)

Botox is safe — but it’s still a medical neuromodulator that needs precision and planning, especially when used outside traditional facial zones.

👨‍⚕️ Final Thoughts

Botox is more than a wrinkle relaxer — it’s a powerful tool for reshaping muscle tension, contouring body lines, and even improving posture or function.

These advanced areas — the masseters, trapezius, calves — require thoughtful planning, clinical experience, and anatomical respect. But when done correctly, they create results your patients will love and tell others about.

The future of Botox isn’t just face — it’s full-body understanding of form and function.

🎓 Want to Learn How I Inject Each of These Muscles?

Inside the full video course, you’ll get:

• Real case demonstrations for masseters, shoulders, calves
• Muscle-mapping technique and palpation strategies
• Dosage planning and depth-specific technique
• Injection safety, complications, and re-treatment timing
• How to combine functional and aesthetic goals in one plan

All online — no hands-on training required.

👉 Click here to access the advanced training:

🔗 Enroll in the Botox for Body & Functional Muscles Course (Insert your Kajabi course link)

Let’s expand your aesthetic skillset — with precision, confidence, and results your patients will feel and see.