Botox Under Lips to Fix Smoker's Wrinkles Caused "Frog Face." Can This Be Fixed?

Botox around the mouth is, in my opinion, right smack in the middle of the "bad idea" category.  The rate of untoward effects (drooling, difficulty generating oral suction, weird appearance, etc.) is relatively high for an elective cosmetic procedure.  Likewise, I would avoid use of further fillers at this time.  The only thing worse than aging changes is a "solution" that makes a patient look overdone. A tincture of time and avoidance of further procedures is definitely indicated.

It appears that you also have swelling from some sort of peel which could make the appearance worse. It sounds as if you may have received too much Botox to the lower lip . It may be worse for the first two weeks and ease up after that. Inejction into the DAO may help the apperance but not the perioral dysfunction. I would prescribe tincture of time.

Your facial muscles will wake up in a few months as the Botox wears off. Hopefully the filler is not contributing to the problem as much as it will take the filler longer to go away.

1. Please don't have any more filler.

2. Please don't have the amount of Botox used next time or injected in the areas it was if the levator labii muscle was also injected in the cheek or for bunny lines in the nose.

3. Please don't smoke.

4. Please get your brown spot on the right lower cheek evaluated by a board-certified dermatologist if it hasn't been already, and even if it had, but it changes over time in size, shape, color, bleeds, itches or hurts, it needs to be closely looked at and even biopised to ensure it's not a precancer. This large brown area is not kept company by similar areas on your face. I don't mean to alarm you but better to be safe than sorry and for me to neglect mentioning it when discussing cosmetic treatment on your face would not be ethical.