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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?

Asked 32 months ago by Fran in Orlando in Orlando, Florida
Sort 7 expert answers by:
+2

Be patient, it will happen

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.
Ronald Shelton, MD
Manhattan Dermatologist
+2

There is no reason to wait so long

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 next time who knows how to give you a perfect effect from Botox.
Mary Lupo, MD
New Orleans Dermatologist
+2

Your BOTOX effect is largely gone now

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 and knows what they are doing. An experienced injector should be able to adjust your treatment to account for your asymmetries. Dr. Steinsapir
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+2

Botox Asymmetry

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.
Bryan K. Chen, MD
San Diego Dermatologist
+2

Perhaps this can be easily corrected

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 was there. One unit into a lateral brow lift and she was pleased. A "spoci" is always relatively common and easily recitilfed. This occurs when the strong central part of the frontalis... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+2

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

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 another couple of weeks. Best regards.
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+2

Botox

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.
Edmond A. Zingaro, MD
San Francisco Plastic Surgeon
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