Botox: Q&A
Ask a QuestionWhen Botox is Injected in the Upper Lips, is the Result Permanent or Can It Be Reversed?
My smile is crooked, one side goes down farther than the other. Also, I cannot spit or enunciate clearly. Will this go away and if so, when?
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12 Doctor Answers |
Asked by
DL52
in Richmond, VA
+1
The effects of botox are temporary - 3-5 months
Botox lasts 3-5 months. It always wears off. Injecting botox into the upper lip helps
reduce lines from pursing of the lips
lengthens the upper lip, reducing "gummy" smile and
reducing the amount of lip that curls under when we smile. This can be particularly helpful when the upper lip "disappears" when the patient smiles
Injection of the upper lip is an advanced technique. A small amount goes a long way. ...
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BOTOX® always wears off
One of the things that makes BOTOX®, Dysport® and other formulations of BTX-A so safe is that the effects of this class of medication always wear off. The duration of effect depends on the dose, and on the location treated. For example, higher doses generally last longer, but even a dose several times the maximum usually used in a given area will only be effective for a limited period of time.
When the lips are treated with BOTOX®, usually 3 or 4 doses of 1 unit each are...
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Botox in the lips
Botox can be used delicately and sparingly on the lip lines to help efface them. However, too much may affect the movement. It takes about 4 months for this to completely wear off.
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Botox reversal
There is no reversing the effect so you are stuck until it wears off, probably 3 -4 months. I don't do Botox around the mouth because of the problem you describe. The muscles around the mouth are very small and there are about a jillion of them each doing its own little job. I much prefer filler around the mouth. There is no risk of your problem and if HA fillers are used, they can be reversed with hyaluronidase.
Lisa Lynn Sowder, M.D.
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Botox in the upper lip
The effect will go away, and there is nothing you can do to speed that process.
As I think you can see from the answers already, botox in the upper lip is touchy, with a very small therapeutic window. Meaning it is very difficult to get just the right amount in place that will last an appropriate amount of time and not have too many side effects. That's why I have stopped suggesting it to patients. Unfortunately for you, this might be a difficult lesson learned...
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Botox Effect is NOT permanent - Good News with Overdone Lip injections
Regarding: "When Botox is Injected in the Upper Lips, is the Result Permanent or Can It Be Reversed?
My smile is crooked, one side goes down farther than the other. Also, I cannot spit or enunciate clearly. Will this go away and if so, when?"
To smooth deep smoker's lines, VERY small amounts of Botox MAY be injected in the upper lip to slightly weaken the underlying muscle. If the threshold of minute weakening is passed, as it sounds like it was done in your case, the...
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Asymmetric smile with Botox
Botox is temporary and tends to resolve completely by 4-6 mopnths. Anything that persists beyond this period is unlikely to be related to the Botox.
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Botox for the upper lip
If I inject Botox in the upper lip (which is seldom), I inject minute quantities (maybe 1-2 units per side). Unfortunately, now you know why. The good news is that the effect WILL go away. It generally lasts about 3-4 months. I wish there was a way to reverse it, but there isn't.
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Botox NOT Good Around Mouth Area
The asymmetry you are experiencing is not that unusual when people inject around the mouth. Luckily, it will al resolve on its own between 3-5 months. This is one of the reasons that Botox really is not ideal for the mouth area. It often paralyzes segments of the muscle more on one side vs. the other. Because of this, you get asymmetry and a crooked facial expression. Just be patient and it will wear off on its own. In the meantime, tell people you...
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Botox is never permanent
If you have a muscular unbalance from the Botox don't be concerned that it's permanent. It will all go away by four months, latest five; usually around three months most of the ill-effect is no longer seen.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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