{"id":33253,"date":"2026-08-08T12:52:24","date_gmt":"2026-08-08T11:52:24","guid":{"rendered":"https:\/\/www.dr-mfo.com\/?p=33253"},"modified":"2026-08-31T13:40:10","modified_gmt":"2026-08-31T12:40:10","slug":"botox-du-masseter-versus-chirurgie-de-la-machoire","status":"publish","type":"post","link":"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/","title":{"rendered":"Botox du mass\u00e9ter versus chirurgie maxillo-faciale\u00a0: approches fond\u00e9es sur des preuves pour la r\u00e9duction de la largeur du tiers inf\u00e9rieur du visage"},"content":{"rendered":"<p class=\"wp-block-paragraph\">La recherche d&#039;une m\u00e2choire affin\u00e9e en forme de V a entra\u00een\u00e9 une demande accrue de traitements ciblant la largeur du bas du visage. Il existe deux approches principales\u00a0: <strong>Botox mass\u00e9ter<\/strong> pour la r\u00e9duction musculaire temporaire et <strong>mandibuloplastie (chirurgie de la m\u00e2choire)<\/strong> pour des modifications structurelles permanentes. Le choix entre ces m\u00e9thodes d\u00e9pend de la cause sous-jacente.<strong>hypertrophie du muscle mass\u00e9ter<\/strong> ou <strong>protrusion de l&#039;os mandibulaire<\/strong>\u2014ainsi que les objectifs du patient, le budget et la tol\u00e9rance \u00e0 l\u2019indisponibilit\u00e9 du patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cet article explore <strong>Crit\u00e8res diagnostiques, r\u00e9sultats cliniques, risques et comparaisons de co\u00fbts<\/strong> des deux traitements, \u00e9tay\u00e9s par des \u00e9tudes \u00e9valu\u00e9es par des pairs et des sources m\u00e9dicales officielles. Il fournit \u00e9galement <strong>Informations optimis\u00e9es pour le r\u00e9f\u00e9rencement naturel<\/strong> pour les praticiens et les patients \u00e0 la recherche de conseils fond\u00e9s sur des preuves.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"710\" height=\"710\" src=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37.png\" alt=\"\" class=\"wp-image-33257\" srcset=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37.png 710w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37-150x150.png 150w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37-300x300.png 300w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37-12x12.png 12w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-37-500x500.png 500w\" sizes=\"(max-width: 480px) 290px, (max-width: 768px) 500px, (max-width: 1200px) 680px, 740px\" \/><\/figure>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table des mati\u00e8res<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Diagnostic_Differentiation_Masseter_Hypertrophy_vs_Mandibular_Bone_Protrusion\" >Diagnostic diff\u00e9rentiel\u00a0: hypertrophie du mass\u00e9ter vs protrusion osseuse mandibulaire<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Clinical_Examination_and_Imaging\" >Examen clinique et imagerie<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Key_Diagnostic_Tools\" >Outils de diagnostic cl\u00e9s<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Treatment_Modalities_Masseter_Botox_vs_Jaw_Surgery\" >Modalit\u00e9s de traitement\u00a0: injections de Botox dans le mass\u00e9ter ou chirurgie maxillo-faciale<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Masseter_Botox_Temporary_Muscle_Reduction\" >Botox du mass\u00e9ter\u00a0: r\u00e9duction musculaire temporaire<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Mechanism_of_Action\" >M\u00e9canisme d&#039;action<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Clinical_Efficacy\" >Efficacit\u00e9 clinique<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Limitations\" >Limites<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Cost\" >Co\u00fbt<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Mandibuloplasty_Jaw_Surgery_Permanent_Structural_Change\" >Mandibuloplastie (chirurgie de la m\u00e2choire)\u00a0: modification structurelle permanente<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Mechanism_of_Action-2\" >M\u00e9canisme d&#039;action<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Clinical_Efficacy-2\" >Efficacit\u00e9 clinique<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Risks_and_Recovery\" >Risques et r\u00e9cup\u00e9ration<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Comparative_Analysis_Masseter_Botox_vs_Jaw_Surgery\" >Analyse comparative\u00a0: injections de Botox dans le mass\u00e9ter versus chirurgie maxillo-faciale<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Clinical_Decision-Making_Which_Treatment_Is_Right_for_You\" >Prise de d\u00e9cision clinique\u00a0: quel traitement vous convient le mieux\u00a0?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Patient_Selection_Criteria\" >Crit\u00e8res de s\u00e9lection des patients<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Masseter_Botox_Is_Ideal_For\" >Le Botox mass\u00e9ter est id\u00e9al pour\u00a0:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Jaw_Surgery_Is_Ideal_For\" >La chirurgie de la m\u00e2choire est id\u00e9ale pour\u00a0:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Hybrid_Approaches\" >Approches hybrides<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Case_Studies_and_Clinical_Outcomes\" >\u00c9tudes de cas et r\u00e9sultats cliniques<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Masseter_Botox\" >Botox mass\u00e9ter<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Jaw_Surgery\" >Chirurgie de la m\u00e2choire<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Risks_and_Complications\" >Risques et complications<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Masseter_Botox-2\" >Botox mass\u00e9ter<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Jaw_Surgery-2\" >Chirurgie de la m\u00e2choire<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Cost_Comparison_and_Accessibility\" >Comparaison des co\u00fbts et accessibilit\u00e9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Conclusion\" >Conclusion<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/www.dr-mfo.com\/fr\/masseter-botox-vs-jaw-surgery\/#Sources\" >Sources<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnostic_Differentiation_Masseter_Hypertrophy_vs_Mandibular_Bone_Protrusion\"><\/span>Diagnostic diff\u00e9rentiel\u00a0: hypertrophie du mass\u00e9ter vs protrusion osseuse mandibulaire<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_Examination_and_Imaging\"><\/span>Examen clinique et imagerie<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Un diagnostic pr\u00e9cis est essentiel pour d\u00e9terminer le traitement appropri\u00e9. <strong>hypertrophie du muscle mass\u00e9ter<\/strong> et <strong>protrusion de l&#039;os mandibulaire<\/strong> se pr\u00e9sentent diff\u00e9remment et n\u00e9cessitent des approches distinctes\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hypertrophie du mass\u00e9ter<\/strong>:\n<ul class=\"wp-block-list\">\n<li><strong>Palpation<\/strong>: Le muscle mass\u00e9ter est palp\u00e9 pendant le serrement, r\u00e9v\u00e9lant une fibre musculaire pro\u00e9minente et \u00e9paissie \u00e0 l&#039;angle de la mandibule (20XJNEak, EelsQLvR).<\/li>\n\n\n\n<li><strong>Imagerie<\/strong>: <strong>Scanner, IRM et radiographies panoramiques<\/strong> Confirmer l&#039;hypertrophie musculaire et exclure une atteinte osseuse. Des ost\u00e9ophytes ou une hyperostose de l&#039;angle mandibulaire peuvent \u00e9galement \u00eatre visibles (xunUAhzf, qg4kRYCH, Yr7koQ28).<\/li>\n\n\n\n<li><strong>\u00c9tiologie<\/strong>: Souvent li\u00e9 \u00e0 <strong>bruxisme, serrement chronique des dents ou facteurs g\u00e9n\u00e9tiques<\/strong> (Lelwo1V2, eUBf6ryx).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Protrusion de l&#039;os mandibulaire<\/strong>:\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9sultats radiographiques<\/strong>: <strong>OPG (orthopantomogramme) et radiographies AP<\/strong> r\u00e9v\u00e9ler un \u00e9largissement de l&#039;angle mandibulaire, des \u00e9perons osseux ou une hyperostose (SvjnOYoe, qg4kRYCH).<\/li>\n\n\n\n<li><strong>Pr\u00e9sentation clinique<\/strong>: UN <strong>m\u00e2choire carr\u00e9e ou large<\/strong> persiste m\u00eame lorsque le muscle mass\u00e9ter est rel\u00e2ch\u00e9, indiquant une atteinte squelettique (fonfKtxE).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Key_Diagnostic_Tools\"><\/span>Outils de diagnostic cl\u00e9s<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Outil<\/strong><\/th><th><strong>Hypertrophie du mass\u00e9ter<\/strong><\/th><th><strong>Protrusion de l&#039;os mandibulaire<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Palpation<\/strong><\/td><td>Gonflement musculaire lors de la contraction<\/td><td>pro\u00e9minence dure et fixe<\/td><\/tr><tr><td><strong>Scanner\/IRM<\/strong><\/td><td>Augmentation du volume musculaire<\/td><td>\u00c9rosions osseux, hypertrophie angulaire<\/td><\/tr><tr><td><strong>Radiographie panoramique<\/strong><\/td><td>structure osseuse normale<\/td><td>angle mandibulaire \u00e9largi<\/td><\/tr><tr><td><strong>CBCT<\/strong><\/td><td>Tension musculaire, l\u00e9g\u00e8res modifications osseuses<\/td><td>Angle saillant, d\u00e9veloppement d&#039;un \u00e9peron osseux (TCLxTqnb)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"571\" src=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38-1024x571.png\" alt=\"\" class=\"wp-image-33258\" srcset=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38-1024x571.png 1024w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38-300x167.png 300w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38-18x10.png 18w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38-768x428.png 768w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-38.png 1270w\" sizes=\"(max-width: 480px) 290px, (max-width: 768px) 500px, (max-width: 1200px) 680px, 740px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Treatment_Modalities_Masseter_Botox_vs_Jaw_Surgery\"><\/span>Modalit\u00e9s de traitement\u00a0: injections de Botox dans le mass\u00e9ter ou chirurgie maxillo-faciale<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Masseter_Botox_Temporary_Muscle_Reduction\"><\/span>Botox du mass\u00e9ter\u00a0: r\u00e9duction musculaire temporaire<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Mechanism_of_Action\"><\/span>M\u00e9canisme d&#039;action<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Le Botox du mass\u00e9ter implique <strong>injections de toxine botulique de type A (BoNT-A)<\/strong> dans le muscle mass\u00e9ter, provoquant <strong>paralysie et atrophie temporaires<\/strong>. Cela r\u00e9duit le volume musculaire, affinant le bas du visage (555inSZk, 2zNx6q7S).<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_Efficacy\"><\/span>Efficacit\u00e9 clinique<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9duction de l&#039;\u00e9paisseur musculaire<\/strong>Des \u00e9tudes font \u00e9tat d&#039;un <strong>R\u00e9duction de l&#039;\u00e9paisseur du muscle mass\u00e9ter de 20 \u00e0 30,91 TP3T<\/strong> dans un d\u00e9lai de 3 mois, avec <strong>Satisfaction des patients 95%<\/strong> pour un r\u00e9tr\u00e9cissement esth\u00e9tique (4qEf3FHe, 2zNx6q7S).<\/li>\n\n\n\n<li><strong>D\u00e9but et dur\u00e9e<\/strong>: Un ramollissement initial appara\u00eet dans <strong>2 semaines<\/strong>, avec des effets maximaux \u00e0 <strong>6 semaines<\/strong>. R\u00e9sultats en dernier <strong>3 \u00e0 6 mois<\/strong>, n\u00e9cessitant des injections d&#039;entretien (xl0pxczi, 2zNx6q7S).<\/li>\n\n\n\n<li><strong>Avantages fonctionnels<\/strong>: R\u00e9duit <strong>bruxisme, douleurs \u00e0 la m\u00e2choire et sympt\u00f4mes de l&#039;articulation temporo-mandibulaire<\/strong> (x0Xhooeo).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Limitations\"><\/span>Limites<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Temporaire<\/strong>: Les effets s&#039;inversent \u00e0 mesure que le muscle retrouve sa force (UGny6fZW).<\/li>\n\n\n\n<li><strong>Muscle uniquement<\/strong>: <strong>Impossible de corriger une pro\u00e9minence osseuse<\/strong> (fonfKtxE, C5VjcL52).<\/li>\n\n\n\n<li><strong>Utilisation hors indication<\/strong>Aux \u00c9tats-Unis, le Botox mass\u00e9ter pour affiner la m\u00e2choire est <strong>hors marque<\/strong> (KDTnAIvL).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cost\"><\/span>Co\u00fbt<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>$500\u2013$1\u00a0000 par session<\/strong> (4qEf3FHe).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Mandibuloplasty_Jaw_Surgery_Permanent_Structural_Change\"><\/span>Mandibuloplastie (chirurgie de la m\u00e2choire)\u00a0: modification structurelle permanente<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Mechanism_of_Action-2\"><\/span>M\u00e9canisme d&#039;action<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">La mandibuloplastie implique <strong>r\u00e9section chirurgicale de l&#039;angle mandibulaire<\/strong> ou <strong>rasage des os<\/strong> pour r\u00e9duire d\u00e9finitivement la largeur du bas du visage. C&#039;est le <strong>r\u00e9f\u00e9rence absolue pour les causes squelettiques<\/strong> de m\u00e2choire large (SvjnOYoe, pUJuYmuE).<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_Efficacy-2\"><\/span>Efficacit\u00e9 clinique<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9sultats permanents<\/strong>Les changements structurels sont <strong>irr\u00e9versible<\/strong>, assurant un contourage \u00e0 long terme (4qEf3FHe).<\/li>\n\n\n\n<li><strong>Transformation spectaculaire<\/strong>: Id\u00e9al pour les patients atteints de <strong>pro\u00e9minence s\u00e9v\u00e8re de l&#039;angle mandibulaire<\/strong> ou asym\u00e9trie (SvjnOYoe).<\/li>\n\n\n\n<li><strong>Approches combin\u00e9es<\/strong>La chirurgie peut \u00eatre associ\u00e9e \u00e0 <strong>r\u00e9section du muscle mass\u00e9ter<\/strong> pour des r\u00e9sultats optimaux (pUJuYmuE).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Risks_and_Recovery\"><\/span>Risques et r\u00e9cup\u00e9ration<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Risques chirurgicaux<\/strong>: Infection, l\u00e9sions nerveuses, difficult\u00e9 \u00e0 ouvrir la bouche et convalescence prolong\u00e9e (2 \u00e0 3 mois) (FeZ46LCn).<\/li>\n\n\n\n<li><strong>Co\u00fbt<\/strong>: <strong>$3 000\u2013$20 000<\/strong>, en fonction de la complexit\u00e9 (9Wk8EEmR).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Comparative_Analysis_Masseter_Botox_vs_Jaw_Surgery\"><\/span>Analyse comparative\u00a0: injections de Botox dans le mass\u00e9ter versus chirurgie maxillo-faciale<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Facteur<\/strong><\/th><th><strong>Botox mass\u00e9ter<\/strong><\/th><th><strong>Chirurgie de la m\u00e2choire (mandibuloplastie)<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Cible<\/strong><\/td><td>muscle mass\u00e9ter<\/td><td>Os mandibulaire<\/td><\/tr><tr><td><strong>Permanence<\/strong><\/td><td>Temporaire (3 \u00e0 6 mois)<\/td><td>Permanent<\/td><\/tr><tr><td><strong>D\u00e9but des r\u00e9sultats<\/strong><\/td><td>2 \u00e0 6 semaines<\/td><td>Mois (r\u00e9tablissement complet)<\/td><\/tr><tr><td><strong>caract\u00e8re invasif<\/strong><\/td><td>Intervention non chirurgicale, temps d&#039;arr\u00eat minimal<\/td><td>Intervention chirurgicale, convalescence prolong\u00e9e<\/td><\/tr><tr><td><strong>Co\u00fbt<\/strong><\/td><td>$500\u2013$1\u00a0000 par session<\/td><td>$3 000\u2013$20 000<\/td><\/tr><tr><td><strong>Id\u00e9al pour<\/strong><\/td><td>Hypertrophie musculaire, bruxisme, pr\u00e9f\u00e9rence pour les traitements non chirurgicaux<\/td><td>Protrusion osseuse, probl\u00e8mes squelettiques graves<\/td><\/tr><tr><td><strong>Des risques<\/strong><\/td><td>Ecchymoses, gonflement, faiblesse temporaire<\/td><td>Infection, l\u00e9sion nerveuse, asym\u00e9trie<\/td><\/tr><tr><td><strong>Entretien<\/strong><\/td><td>N\u00e9cessite des injections r\u00e9p\u00e9t\u00e9es<\/td><td>Aucun<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_Decision-Making_Which_Treatment_Is_Right_for_You\"><\/span>Prise de d\u00e9cision clinique\u00a0: quel traitement vous convient le mieux\u00a0?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Patient_Selection_Criteria\"><\/span>Crit\u00e8res de s\u00e9lection des patients<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Masseter_Botox_Is_Ideal_For\"><\/span><strong>Le Botox mass\u00e9ter est id\u00e9al pour\u00a0:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients atteints <strong>hypertrophie du muscle mass\u00e9ter<\/strong> confirm\u00e9 par palpation et imagerie.<\/li>\n\n\n\n<li>Ceux qui recherchent <strong>non chirurgical, temporaire<\/strong> contourage.<\/li>\n\n\n\n<li>Les personnes atteintes de <strong>bruxisme ou sympt\u00f4mes de l&#039;articulation temporo-mandibulaire<\/strong> (x0Xhooeo).<\/li>\n\n\n\n<li>Patients refusant ou inaptes \u00e0 la chirurgie.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Jaw_Surgery_Is_Ideal_For\"><\/span><strong>La chirurgie de la m\u00e2choire est id\u00e9ale pour\u00a0:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients atteints <strong>protrusion de l&#039;os mandibulaire<\/strong> ou une asym\u00e9trie squelettique.<\/li>\n\n\n\n<li>Ceux qui d\u00e9sirent <strong>permanent, dramatique<\/strong> changements.<\/li>\n\n\n\n<li>Cas o\u00f9 <strong>Les m\u00e9thodes non chirurgicales \u00e9chouent<\/strong> pour rem\u00e9dier aux probl\u00e8mes structurels (fonfKtxE).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hybrid_Approaches\"><\/span>Approches hybrides<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dans certains cas, <strong>Le Botox et la chirurgie sont combin\u00e9s.<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pr\u00e9-op\u00e9ratoire<\/strong>Le Botox peut \u00eatre utilis\u00e9 pour <strong>r\u00e9sultats esth\u00e9tiques des tests<\/strong> avant de s&#039;engager dans une intervention chirurgicale.<\/li>\n\n\n\n<li><strong>Post-op\u00e9ratoire<\/strong>Le Botox peut <strong>affiner l&#039;\u00e9quilibre musculaire<\/strong> pendant la gu\u00e9rison (f1VoJDdr).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Case_Studies_and_Clinical_Outcomes\"><\/span>\u00c9tudes de cas et r\u00e9sultats cliniques<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Masseter_Botox\"><\/span>Botox mass\u00e9ter<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u00c9tude (2019)<\/strong>: <strong>20\u201330% r\u00e9duction de l&#039;\u00e9paisseur musculaire<\/strong> chez les patients d\u2019Asie de l\u2019Est, avec des taux de satisfaction \u00e9lev\u00e9s (555inSZk).<\/li>\n\n\n\n<li><strong>Confirmation par IRM\/\u00e9chographie<\/strong>: Des mesures objectives valident l&#039;atrophie musculaire apr\u00e8s traitement (2zNx6q7S).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Jaw_Surgery\"><\/span>Chirurgie de la m\u00e2choire<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rapport de cas (2020)<\/strong>: <strong>mandibuloplastie bilat\u00e9rale<\/strong> pour l&#039;hypertrophie idiopathique du mass\u00e9ter avec r\u00e9trognathie mandibulaire, en obtenant <strong>r\u00e9sultats sym\u00e9triques et esth\u00e9tiques<\/strong> (SvjnOYoe).<\/li>\n\n\n\n<li><strong>Stabilit\u00e9 \u00e0 long terme<\/strong>Les r\u00e9sultats chirurgicaux sont <strong>permanent<\/strong>, avec une r\u00e9currence minimale (pUJuYmuE).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Risks_and_Complications\"><\/span>Risques et complications<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Masseter_Botox-2\"><\/span>Botox mass\u00e9ter<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Commun<\/strong>: Ecchymoses, gonflement, l\u00e9ger mal de t\u00eate (UGny6fZW).<\/li>\n\n\n\n<li><strong>Rare<\/strong>: Asym\u00e9trie, rel\u00e2chement excessif des muscles, difficult\u00e9 temporaire \u00e0 m\u00e2cher (zfsVLpf6).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Jaw_Surgery-2\"><\/span>Chirurgie de la m\u00e2choire<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>T\u00f4t<\/strong>: Douleur, gonflement, infection (FeZ46LCn).<\/li>\n\n\n\n<li><strong>En retard<\/strong>: L\u00e9sions nerveuses (paralysie faciale), asym\u00e9trie, r\u00e9section osseuse excessive (SvjnOYoe).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"571\" src=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39-1024x571.png\" alt=\"Botox du mass\u00e9ter ou chirurgie de la m\u00e2choire\" class=\"wp-image-33259\" srcset=\"https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39-1024x571.png 1024w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39-300x167.png 300w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39-18x10.png 18w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39-768x428.png 768w, https:\/\/www.dr-mfo.com\/wp-content\/uploads\/2026\/08\/image-39.png 1270w\" sizes=\"(max-width: 480px) 290px, (max-width: 768px) 500px, (max-width: 1200px) 680px, 740px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cost_Comparison_and_Accessibility\"><\/span>Comparaison des co\u00fbts et accessibilit\u00e9<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Traitement<\/strong><\/th><th><strong>Gamme de prix<\/strong><\/th><th><strong>Couverture d&#039;assurance<\/strong><\/th><th><strong>Accessibilit\u00e9<\/strong><\/th><\/tr><\/thead><tbody><tr><td>Botox mass\u00e9ter<\/td><td>$500\u2013$1\u00a0000\/session<\/td><td>Rare (cosm\u00e9tique)<\/td><td>Largement disponible<\/td><\/tr><tr><td>Chirurgie de la m\u00e2choire<\/td><td>$3 000\u2013$20 000<\/td><td>Possible (si m\u00e9dicalement n\u00e9cessaire)<\/td><td>Cliniques sp\u00e9cialis\u00e9es<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Le choix entre <strong>Injections de Botox dans les mass\u00e9ters et chirurgie de la m\u00e2choire<\/strong> charni\u00e8res sur le <strong>cause sous-jacente de la largeur du bas du visage<\/strong>\u2014muscle ou os. <strong>Botox mass\u00e9ter<\/strong> offre une <strong>non chirurgical, temporaire<\/strong> solution pour l&#039;hypertrophie musculaire, tandis que <strong>mandibuloplastie<\/strong> fournit <strong>permanent, structurel<\/strong> modifications pour les probl\u00e8mes squelettiques. A <strong>bilan diagnostique complet<\/strong>, y compris <strong>palpation, tomodensitom\u00e9trie\/IRM et radiographies<\/strong>, est essentiel pour orienter le choix du traitement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pour les patients comme pour les praticiens, comprendre le <strong>distinctions, avantages et limitations<\/strong> chaque approche garantit <strong>\u00e9clair\u00e9 et fond\u00e9 sur des preuves<\/strong> prise de d\u00e9cision.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Sources\"><\/span>Sources<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/labelleviemed.com\/masseter-botox-vs-jaw-surgery-complete-cost-results-comparison-for-jawline-contouring\/\" rel=\"nofollow noopener\" target=\"_blank\">La Belle Vie Med Spa\u00a0: Botox du mass\u00e9ter ou chirurgie de la m\u00e2choire<\/a> (4qEf3FHe, xl0pxczi)<\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35176198\/\" rel=\"nofollow noopener\" target=\"_blank\">PubMed\u00a0: Efficacit\u00e9 de la toxine botulique dans l\u2019hypertrophie du muscle mass\u00e9ter<\/a> (555inSZk)<\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3275871\/\" rel=\"nofollow noopener\" target=\"_blank\">PMC\u00a0: Hypertrophie idiopathique du muscle mass\u00e9ter<\/a> (20XJNEak)<\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3304221\/\" rel=\"nofollow noopener\" target=\"_blank\">PMC\u00a0: Prise en charge chirurgicale de l\u2019hypertrophie mass\u00e9t\u00e9rienne<\/a> (SvjnOYoe)<\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3185404\/\" rel=\"nofollow noopener\" target=\"_blank\">PMC\u00a0: Hypertrophie des muscles mass\u00e9ter et pt\u00e9rygo\u00efdien m\u00e9dial<\/a> (qg4kRYCH)<\/li>\n\n\n\n<li><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/2472751220913147\" rel=\"nofollow noopener\" target=\"_blank\">Sage Journals\u00a0: Prise en charge de l\u2019hypertrophie du muscle mass\u00e9ter<\/a> (6lWM5jpI)<\/li>\n\n\n\n<li><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2012\/521427\" rel=\"nofollow noopener\" target=\"_blank\">Wiley\u00a0: Prise en charge de l\u2019hypertrophie unilat\u00e9rale du mass\u00e9ter<\/a> (EelsQLvR)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hindawi.com\/journals\/crid\/2018\/7168472\/\" rel=\"nofollow noopener\" target=\"_blank\">Hindawi : Rapport de cas d&#039;hypertrophie du mass\u00e9ter<\/a> (Yr7koQ28)<\/li>\n\n\n\n<li><a href=\"https:\/\/drtroell.com\/blog\/masseter-reduction-surgery-vs-botox\/\" rel=\"nofollow noopener\" target=\"_blank\">Dr Troell : Injections de Botox dans le muscle mass\u00e9ter ou chirurgie ?<\/a> (KDTnAIvL, zfsVLpf6)<\/li>\n\n\n\n<li><a href=\"https:\/\/greenwich-md.com\/masseter-botox-jaw-slimming\/\" rel=\"nofollow noopener\" target=\"_blank\">Greenwich MD\u00a0: Botox du mass\u00e9ter pour affiner la m\u00e2choire<\/a> (2zNx6q7S)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.drkennethkim.com\/blog\/non-invasive-jaw-reduction\/\" rel=\"nofollow noopener\" target=\"_blank\">Dr Kenneth Kim\u00a0: R\u00e9duction non invasive de la m\u00e2choire<\/a> (Lelwo1V2, fonfKtxE)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.qunomedical.com\/en\/plastic-surgery\/jaw-shaping\" rel=\"nofollow noopener\" target=\"_blank\">Qunomedical : Remodelage de la m\u00e2choire<\/a> (FeZ46LCn)<\/li>\n\n\n\n<li><a href=\"https:\/\/thebruxismclinic.co.uk\/blog\/faqs\/botox-vs-jaw-surgery-for-tmj-which-is-less-invasive\/\" rel=\"nofollow noopener\" target=\"_blank\">Clinique du bruxisme\u00a0: Botox ou chirurgie maxillo-faciale pour les troubles de l\u2019articulation temporo-mandibulaire\u00a0?<\/a> (x0Xhooeo)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.koreaclinicguide.com\/blog\/square-jaw-muscular-korea\" rel=\"nofollow noopener\" target=\"_blank\">Guide des cliniques cor\u00e9ennes\u00a0: Correction de la m\u00e2choire carr\u00e9e<\/a> (9 semaines 8 EEmR)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hugo-ps-global.com\/articles\/wide-jawline-surgery-vs-botox-options-explained\" rel=\"nofollow noopener\" target=\"_blank\">Chirurgie plastique Hugo\u00a0: Options pour une m\u00e2choire large<\/a> (f1VoJDdr)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.jomos.org\/articles\/mbcb\/full_html\/2022\/04\/mbcb220062\/mbcb220062.html\" rel=\"nofollow noopener\" target=\"_blank\">JOMOS\u00a0: Hypertrophie des muscles masticateurs<\/a> (TCLxTqnb)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>The pursuit of a refined, V-shaped jawline has led to increased demand for treatments targeting lower facial width. Two primary approaches exist: masseter Botox for temporary muscle reduction and mandibuloplasty (jaw surgery) for permanent structural changes. The choice between these methods depends on the underlying cause\u2014masseter muscle hypertrophy or mandibular bone protrusion\u2014as well as patient [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":33256,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[169],"tags":[],"class_list":["post-33253","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-facial-feminization"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/posts\/33253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/comments?post=33253"}],"version-history":[{"count":4,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/posts\/33253\/revisions"}],"predecessor-version":[{"id":33261,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/posts\/33253\/revisions\/33261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/media\/33256"}],"wp:attachment":[{"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/media?parent=33253"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/categories?post=33253"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dr-mfo.com\/fr\/wp-json\/wp\/v2\/tags?post=33253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}