Likely related to swelling from Browlift

Richard Rival, MD answers: Can Brow Lift and Botox on forehead affect smile?

I had a Brow lift and Botox was used on my forehead now my smile is dead. I can not move my upper lip normally.

I had a beautiful smile before the brow lift now my upper lip does not move when I smile. I can pucker and move it find only when I smile it does not react.

The lift was done 2 weeks ago. My doctor is researching the cause but I do not feel comfortable with this situation.


Richard Rival, MD
4 months ago
By Richard Rival, MD - Toronto Facial Plastic Surgeon

A brow lift and Botox to the forehead should not affect your smile in a permanent way.  However at just two weeks after surgery it possible that it is just related to swelling.  As you know the bruising and swelling migrates downwards with gravity and you may still have some in your cheeks or upper lip which can change the appearance of your smile.  This should resolve in the next 2 weeks. If it's not improving you may wish to consult a neurologist.

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