Tincture of time for drooping mouth after Botox

Otto Joseph Placik, MD answers: Mouth drooping after Botox for Bell's Palsy

I've had Bell's Palsy since childhood. I'm 47 now, and I had Botox injected in my forehead, the sides of my eyes, and in my chin for the dimple caused by Bell's Palsy. I also had it in the line between my cheeks and nose for the slight twitching. Two days later, my mouth drooped, and it looks like I've got Bell's Palsy again, although the plastic surgeon said it will be okay in a month. It's been two weeks now, why hasn't it gotten any better? 


Otto Joseph Placik, MD
9 months ago

Time will be your friend.

I would not advise that you pursue any other interventions

The weakened muscles were likely more susceptible to the Botox.

Unfortunately, depsite the best intentions Botox can spread up to an inch from the injection site which includes depth as well. This makes it difficult to predict the extent and distribution of weakness with 100% certainty.

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