How long Before asymmetry from Botox gets corrected?

I am a little over 14 weeks post-op from a bad Botox outcome, which caused brow asymmetry. In just the past few days, I think I am finally noticing some minor improvement, but the change is extremely subtle -- and I hope what I'm noticing isn't simply wishful thinking. When the effects of the Botox wear off, how long does it usually take for this type of asymmetry to fully correct?

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7 answers to “How long Before asymmetry from Botox...”

A: Be patient, it will happen

Ronald Shelton, MD

When the Botox is fully worn off, when you can actually move the forehead fully, the asymmetry should be gone at that time. It’s not unusual to see symmetry redevelop before the lines come back. You are probably very close to seeing your normal appearance. Be patient, it’s coming.

A: There is no reason to wait so long

Mary Lupo, MD

For future reference, Botox should be corrected at about 2 weeks. Slight differences in muscle strength can result in asymmetry, but it is easily corrected by a touch-up. You should not even have a charge for this service, since it is a correction. Go to an experienced, appropriately board certified doctor... more

A: Your BOTOX effect is largely gone now

Kenneth D. Steinsapir, MD

 Dear Fran BOTOX typically lasts about 4 months.  There can be a slightly longer duration from muscle retraining.  However at this point the medication is no longer effective.  This would be a good time to consider retreatment.   Of course the key is find someone you have confidence in... more

A: Botox Asymmetry

Bryan K. Chen, MD

The asymmetry you are experiencing should resolve within 4 months from the time of injection.  In the future, you might want to address any asymmetries with your treating physician 2 weeks after your Botox injections (when the treatment takes full effect). Good luck.

A: Perhaps this can be easily corrected

Arnold R. Oppenheim, MD

Some of these adjustments can be very easily corrected so I would recommend returning to the physician who injected you. Oftentimes, patients do not know how easily this can be done.     For instance, I had a patient who wanted the right brow to match the left. The dilfference was subtle but it... more

A: The effect of Botox will completely dissipate in around 4 mos.

Eric M. Joseph, MD

 Dear Fran, You should have near complete mobility of your forehead very soon. The most common "bad" outcome from BOTOX in the forehead is slight brow-drop that makes your upper eyelid skin bothersome. It will all completely go back to it's pre-injection condition shortly, so sit tight for... more

A: Botox

Edmond A. Zingaro, MD

At 3 months Botox begins to wear off.  You are starting to see that.  By 4 months it is generally gone and that is when patients come for reinjection.  I expect you will see return to pre-Botox conditions within the next month.

Comments

Fran in Orlando
13 posts
3 Jun 2009

Thank you so much Dr. Zingaro -- I'm glad to know that the end is in sight!

Fran in Orlando
13 posts
3 Jun 2009

Thank you very much Dr. Joseph, Dr. Oppenheim and Dr. Chen. "Spoci" is exactly what happened to happened to me -- with the center part of the left brow being the area that's paralyzed. The only remedy that was offered to me at the time was to "drop" the right eyebrow, which I wasn't interested in doing. That said, Botox is a wonderful product and I know that outcomes like this can happen from time time, even under the best of circumstances. I am just SO glad to have the reassurance that it will eventually wear off :) ! Thanks again!

Fran in Orlando
13 posts
3 Jun 2009

Thank you Dr. Steinsapir and Dr. Lupo. I very much appreciate the advice and additional information.

Fran in Orlando
13 posts
18 Jun 2009

Thank you very much Dr. Shelton. I am now 17 weeks post-op and some of the muscle function has returned and things are definitely improving. What I find interesting is when I am fully rested (i.e., when I first wake up in the morning) there is almost no asymmetry, but as the day wears on and I move my brow, the affected brow begins to droop again and the asymmetry becomes noticeable again.

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