How Long Does It Take for Botox-induced Cheek Ptosis to Go Away?

asked 2 years ago by Bigmistake in NY,NY
Latest answer by Otto Joseph Placik, MD
Question viewed 1,322 times

The treatement effected my zygomatic muscle with awful results. I had Botox for crow's feet (1st treatment). It has been 3 months and my smile is still off. When will this nightmare be over?

7 answers to How Long Does It Take for Botox-induced Cheek Ptosis to Go Away?

Botulinum Toxin (Dysport or Botox) induced cheek sag or ptosis

The cheek droop or ptosis from Botulinum Toxin (Dysport or Botox) can last anywhere form 4 days (for swelling) up to 6 months for true levator denervation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Often the side effects of BOTOX will go away within several weeks

Often the side effects of BOTOX will go away within several weeks, but it can take up to 3 months.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Often it takes 4 months

I am not sure why, but the neuromodulating effect of Botox has a longer duration on lower face muscles, especially the zygomatic major muscle. It will be worse if larger doses were used in the lower crow's feet, and if a larger dilution volume was used. It will eventually go away.

Mary Lupo, MD
New Orleans Dermatologist

Smile Affected By Botox

When Botox is given too low beneath the eyes when treating crow's feet, it can affect the muscles used for smiling. If only a touch of Botox reaches the smile muscles, an asymmetric smile may last only a few weeks. If a larger amount of Botox reaches the cheek, it may take longer to go away. The effect of Botox will be gone between 3-5 months in most patients.

Joshua Zeichner, MD
Manhattan Dermatologist

Botox effects

Botox effects usually last between 3-4 months but may last a bit longer in some patients. Things should go back to normal after this. You are almost there.

Steven Wallach, MD
Manhattan Plastic Surgeon

BOTOX wears off but with this type of problem it will seem forever.

Generally I avoid treating the lower eyelid area with BOTOX. This area is best addressed with fillers. When BOTOX is done well around the brow, we now understand from functional MRI studies that it truly makes us feel psychologically happier beyond the boost we get when we feel we look better. Specifically muscles at the brow are responsible for facial expressions associated with anger. When these are blocked the normal feel back that send that little message... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Unwanted muscle effect from Botox

If your smile muscles were affected by too inferior placement of Botox or shifting of Botox immediately after the procedure by your activities, then the cheek muscles should wake up in the next few weeks if you already have been patient waiting for this to happen for three weeks already.

Ronald Shelton, MD
Manhattan Dermatologist

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