2& 1/2 Units of Botox Injected into Each Side of Mouth, Now One Side is Drooping, How Long Will It Last?

For upper lip "smokers" lines, I typically use 1 unit per injection into 2 points on each side (4 injections)-- with a maximum of 2 units per injection.  This area is extremely sensitive to minor variations in Botox, as you are experiencing.

While Botox typically last 4 months, with a common range of 3-6 months, in the frown lines of the forehead and glabella, I find the results around the mouth last less.  This is precisely because we are just trying to weaken, instead of paralyzing, the muscles around the mouth.  I would expect your side-effects to peak by 1-2 weeks and probably be markedly reduced by 4-6 weeks.  I would NOT chase an undesirable result with a "corrective procedure" with a filler--- just give it time.  I DO love using fillers and Botox in combination for a given result that is planned. I think you may develop another set of concerns when you try to "fix" this particular problem--- either from the fix itself, or after the Botox results wear off.

 

This off-label use of Botox can soften lines but the placement of the botox may differ from physician to physician as does the number of units used. A droop can occur and this may last a few weeks to a few months. It will revert to normal eventually. Check with your doctor in case there can be some thing done to make you look more symmetric.

Firstly, I think that having Botox and Juvederm injected at the same the should be no problem at all. We do this all the time. Secondly, it would be good to know exactly where this botox was injected as my impression from reading your story seems to be different from some of the others. They are thinking of injections to remove wrinkles above lip(smoker's type lines). My thought was that you had the injections lateral to and below lips in muscle that pulls corners down. This would make a big difference as one might be corrected by injecting some in other side. Can you send a photo?