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Botox for Dent Left After Cleft Lip Surgery?

Yesterday, I got Botox injected on my upper lip. This morning, I woke up and it was swollen. Is this the effect? I was born with a cleft lip, and due to that, as a child, it has left me a dent after surgery. I figure Botox would fill in the small dent, but it just made it more noticeable. Will the swelling come down after a few days? What may help?

Asked 32 months ago by Susieclick in Los angeles, california

Read my review "Botox Upper Lip"

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+1

Botox may have been the incorect "fix" for lip dent after cleft surgery.

If in fact you have a nicely repaired cleft, the muscle was reoriented and repaired, along with the surface skin repair. Residual contour deformity (dent) could be a natural occurence after any cleft repair, and one of several fillers could (temporarily) improve this. If indeed the muscle is "bunched up," Botox may have been deemed appropriate, and rightfully used, but this too is temporary. An experienced, board-certified plastic surgeon, ENT, facial plastic surgeon, or... more
Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
+1

Are you sure botox was injected, or could it have been a filler?

Are you sure that Botox was injected to fill in the dent? Or is it possible that a filler such as Restylane or Juvederm was injected? Botox is used to relax muscle contraction not to fill things in. If the muscle was bunched up, then Botox may have been injected into the bunched muscle, but not into the "dent". Botox is used on occasion in the lips to soften lip lines caused by overaction of the muscles. These are commonly referred to as "smoker's lines" and are... more
Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
+1

Swelling of lip after Botox to cleft lip

Botox is not a filler. In most instances it either causes muscles to relax or become smaller in size. The findings you describe puzzle me. Perhaps a small blood vessel was hit and you are experiencing swelling that will resolve in a few days, Alternatively, it could be due to a relaxed muscle and in this case it could last for 3-5 months before the swelling would dissipate.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
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