Jaw-dropping results? BOTOX tested for square face fix
NCT ID NCT06068855
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether BOTOX injections can safely reduce the size of the jaw muscle, making the lower face look slimmer and more oval. About 249 adults with a very prominent jaw muscle received either BOTOX or a placebo. The goal was to see if BOTOX could improve the appearance as judged by both doctors and participants.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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249 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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Nov 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Body mass index \< 30 kg/m\^2 using the calculation: BMI = weight (kg)/height (m)\^2, rounded to the nearest whole number. * Participants meets the following criteria: * Bilateral Grade 4 or Grade 5 MMP (identical grades for left and right side of the face), as determined at screening and at the Day 1 visit by the investigator using the MMPS. * Bilateral Grade 4 or Grade 5 MMP (identical grades for left and right sides of the face), as determined at the Day 1 visit by the participant using the MMPS-P. * MMP grades, as assessed by investigator and participant, do not need to be identical but have to be a minimum of Grade 4 with bilateral symmetry at Day 1. * Participants who responded "A lot" or "Extremely" bothered by the appearance of their MMP as measured by the Bother Impact Assessment for Masseter Muscle Prominence (BIA-MMP) and attain a total score of ≥ 15 on the Lower Facial Shape Questionnaire - Impact Assessment (LFSQ-IA), determined at the Day 1 visit. Exclusion Criteria: * Has current intraoral infection, including infection of the mouth or gums, or facial skin infection requiring medical treatment in the opinion of the investigator. * Has weakness of the masseter, pterygoid, or temporalis muscles due to trauma, facial nerve injury, or other condition that could interfere with normal chewing and jaw clenching, as determined by the investigator. * Excess lower facial fat, jowling, loose or lax skin in lower face, or parotid gland prominence that could interfere with MMPS or MMPS-P grading, as determined by the investigator. * Has medical condition that may put the participant at increased medical risk with exposure to BOTOX, including diagnosed myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or any other condition that might interfere with neuromuscular function. * History of dental or surgical procedure for lower facial shaping or masseter muscle reduction. * History of any soft tissue fillers in the jawline. * Has prior exposure to botulinum toxin of any serotype to any part of the body (not including masseter muscle) within the 3 months prior to Day 1. * History of or current TMJD, or presence of signs/symptoms of possible TMJD in the opinion of the investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Azienda Unita Sanitaria Locale Latina /ID# 246835
Latina, 04100, Italy
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CRC - Centro Ricerche Cliniche di Verona S.r.l. /ID# 246834
Verona, 37134, Italy
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Cabinet Dermatologie et Esthetique /ID# 246871
Cannes, 06400, France
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Cabinet de Chirurgie Plastique et Esthétique /ID# 246872
Toulouse, 31000, France
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Cabinet médical /ID# 246873
Paris, 75007, France
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Clinica Alejandria /ID# 247380
Valencia, Valencia, 46004, Spain
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Clinica Robega /ID# 252239
Madrid, 28008, Spain
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Da Vinci Clinic /ID# 246731
Beerse, Antwerpen, 2340, Belgium
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Dermavist - Group Practice for Specialized Medical Care for Skin Disease /ID# 247630
Plovdiv, 4000, Bulgaria
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Dr Nestor's Medical Cosmetic Centre /ID# 246437
Edinburgh, EH3 6RS, United Kingdom
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Evolve Clinic /ID# 246729
Schilde, Antwerpen, 2970, Belgium
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Fondazione Policlinico Universitario Campus Bio-Medico /ID# 246836
Roma, 00128, Italy
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Gavín Dermatólogos /ID# 252120
Vigo, Pontevedra, 36201, Spain
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Grupo Pedro Jaen /ID# 246485
Madrid, 28006, Spain
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Hautok and Hautok-cosmetics /ID# 246600
Munich, Bavaria, 80333, Germany
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Hautzentrum Koeln /ID# 247502
Cologne, North Rhine-Westphalia, 50996, Germany
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Interface Aesthetics Training Limited /ID# 248115
London, W1H 6AZ, United Kingdom
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Lightfalls Clinic /ID# 247335
Melle, Oost-Vlaanderen, 9090, Belgium
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MediZen /ID# 246431
Sutton Coldfield, B74 2UG, United Kingdom
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Medical Center Derma Vita EOOD /ID# 247327
Sofia, 1407, Bulgaria
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Medical Centre Dermatology Dr. Denkova EOOD /ID# 246591
Sofia, 1700, Bulgaria
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Mediti /Id# 246875
Antibes, 06160, France
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Privatpraxis Dr. Hilton & Partner /ID# 246602
Düsseldorf, North Rhine-Westphalia, 40212, Germany
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Studienzentrum Theatiner46 /ID# 246601
Munich, Bavaria, 80333, Germany
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Universitaet Hamburg /ID# 247503
Hamburg, 20146, Germany
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Universitair Ziekenhuis Brussel /ID# 246311
Jette, Brussels Capital, 1090, Belgium
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Waverley Medical Practice /ID# 246432
Coatbridge, North Lanarkshire, ML5 3AP, United Kingdom
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