Dermatologist Shereene Idriss explains three procedures she avoids: filler in the piriform fossa creates a "muzzly" look over time, masseter Botox on narrow jaws risks jowls, and permanent cheek implants don't adapt as your face ages.
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Three treatments I would never do as a board certified dermatologist. Number one, I would not inject filler in this area, also known as the piriform fossa. People usually ask for this area to get injected in order to lift the tip of their nose or to minimize the appearance of their nasolabial folds. But if you end up doing that several times over time, you will look muzzly and off. Number two, if you have tmj, this is probably something you'll ask for. But if you have a narrow jawline in terms of a bone structure, I would never inject your masseter muscle with botox because I would prioritize vanity over your tmj. If inject this muscle you will develop jowls so instead get yourself a night guard. And last, I would never recommend you get cheek implants in a surgical fashion because your bone structure is the base of your face and if you put a permanent structure on top of a shifting base as you get older, those implants are not going to change dimension and you're going to look weird. Fact. And if you're curious what I've ever had done, let me know below. Follow along for more tips.