Juvederm Q&A
65%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
742 Reviews
Juvedermbefore & after photos
View Before and Afters

Average Juvederm Cost: $675

Learn about Juvederm

2,115 people and 630 doctors are talking about Juvederm

Get Free Email Updates

Crooked Smile 8 Days After Juvederm in Nasolabial Folds, Why Would this Happen?

asked 6 months ago by Marialou in New York, NY
Latest answer by Richard W. Fleming, MD
Question viewed 138 times
Tags: nasolabial folds, smile, crooked, steroid

I had Juvederm in my nasolabial folds, and it looked great - hardly any swelling, no bruising, very natural look. I have a picture taken exactly 48 hours later (with a big smile) that confirms this. 8 days later, I woke with an asymmetrical smile. My left side is normal, but I am only able to half-smile on the right, and my cheek is dropping. I started a steroid taper yesterday in case it's a nerve, but I have no pain. I also thought Juvederm didn't migrate after 1-2 days. I look a bit odd.

3 answers to Crooked Smile 8 Days After Juvederm in Nasolabial Folds, Why Would this Happen?

+1

Crooked Smile 8 Days After Juvederm in Nasolabial Folds, Why Would this Happen?

This is a bit odd. There is a local anesthetic in the Juvederm that could affect the infra-orbital nerve however, this is a sensory nerve and not a motor nerve. Affecting this nerve would create numbness not muscle weakness and a droopy upper lip. If this muscle weakness does not improve in a day or so, yopu may ask the MD that did the Juvederm injections for a referral to a neurologist to rule out a Bells Palsy. The upper lip has multiple small nerve branches,... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Crooked Smile 8 Days after Juvederm in Nasolabial Grooves

It is extremely unlikely that your asymmetrical smile and drooping cheek are secondary to the Juvederm injections. I suggest you talk to you physician and consider a consultation with an ENT specialist to rule out the possibility of a Bell's Palsy, which is a temporary weakness of the facial nerve. If this diagnosis is made, early treatment may accelerate recovery.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Crooked smile after Juvederm.

This does not sound like an issue with Juvederm but I would be concerned that you have developed Bell's Palsy. I would get over to a neurologist for further evaluation.
Ted Brezel, MD

Long Island Dermatologist

Ask a question