PLANO, TEXAS—31-year old Zach Middleton is like almost everyone--concerned about how they look and how their looks make them feel.
A photograph from late 2009 captured something that Zach didn't like when he looked in the mirror.
"Progressively over the past ten years or so I'd just noticed that my jaw line had gotten more and more protruding--especially on the left side where it was almost an uneven distribution of muscle," Zach said.
A muscle-bound jaw is not the look Zach was looking for.
"I was self conscious," Zach said. "I would have comments from time to time people would ask me if I had my wisdom teeth pulled or I had some other kind of surgery."
No surgery--Zach just had larger than normal jaw muscles so he went to Plano plastic surgeon Dr. Sam Lam who as treated more than a hundred people like Zach.
Dr. Lam injects muscle relaxing Botox into the jaw muscle--in just the right location--causing the muscle then relax make the jaw look thinner.
"If you reduce the muscle--it doesn't reduce wrinkles in this perspective--it reduces the bulk of the muscle so that when it shrinks down it makes the face look better," Dr. Lam said.
Dr. Lam adds that about 90% of his patients do it for cosmetic reasons but some do it for medical reasons--including reducing pain in the temporomandibular joint of the jaw.
"It's a procedure that allows you to create both functional improvement in terms of biting problems as well as cosmetic slimming of the face which is very unique," Dr. Lam said.
And it's working for Zach who had the procedure four weeks ago.
Today his jaw line noticeably thinner and his confidence level higher.
"It was something I did for cosmetic reasons that I wanted to have my face more angular looking instead of the big flare at the bottom," Zach said.
Zach looked into a surgical fix but decided it was too invasive and came with too many potential complications.
Zach will have to have two Botox treatments a year costing him $800.00 a procedure.