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Major Increase in Nasolabial Folds After Botox for Crow's Feet

asked 1 year ago by runnermomof3
Latest answer by Peter A. Aldea, MD
Question viewed 1,141 times
Tags: crows feet, nasolabial folds, female

I had botox to crow's feet and I look AWFUL. I'm so upset. I have several Christmas parties to attend and I feel so self concious. I was hesitant to have botox to crow's area, but the Plastic Surgeon assured me that "the only thing that can happen is that you'll have no crow's feet." Now I have like 4 parenthesis around each side of mouth when I smile, before botox I only had 1-2. What went wrong, and is there anything I can do? I am going back today to see what he can do.

13 answers to Major Increase in Nasolabial Folds After Botox for Crow's Feet

Major Increase in Nasolabial Folds After Botox for Crow's Feet

Placing large volumes of Botox in any one place and or rubbing may result in the Botox moving lower and causing an unwanted effect lower down. Without examining you it is hard to tell, but it appears the Botox placed to smooth your Crow's feet may have migrated lower and weakened some of the muscles lifting the cheek. as a result, some descent of the cheek may have taken place accentuating the nose to lip lines. This will resolve in a few months as the Botox effect goes away. Dr.... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Lines after Botox injection

This is exactly why I don't inject low onto the cheek. I am aware that some injectors out there will inject Botox onto the cheek, in order to eliminate every wrinkle. I get great results injecting only the lateral crow's feet. It looks like the Botox diffused to the zygomaticus major muscle, which caused some midface descent. Unfortunately, there is no way to treat this; you just have to wait for it to resolve on its own.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Botox in Crow's Feet

I agree with my colleagues on this one... I am very conservative in the crow's feet area, but might differ in that my dilution concentration is very low and therefore the volume I inject is very small. I target the muscles directly and do not see very much "spread" of Botox into nearby areas. I would not recommend any additional injections and would wait for the Botox to wear off at this point. Dr. C johnconnorsmd.com

John Philip Connors III, MD
Atlanta Plastic Surgeon

Botox - crow's feet

I tend to be very conservative with botox in the crow's feet are for this reason. Some of the muscles that pull your face up to smile (near the bottom outside corner of your eyes) could have been paralyzed from the botox so the wrinkles are bunching up lower where you see them on your cheeks. Unfortunately you'll have to wait for it to wear off. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Botox spread

Botox and Dysport both have a zone of effectiveness and therefore some lateral spread away from the exact injection site. Muscles that pull your cheeks up when you smile have been affected. Make sure you inform your injector and you should use a lower dose in this area for your future injections. I think you may find other techniques better for reducing crowe's feet lines (peels, fractionated laser treatments) The glass is half full: 1) These... more

Michael Howard Swann, MD
Springfield Dermatologic Surgeon

Botox and wrinkles around the mouth

There is very little that you can do at this point. I would allow the Botox to wear off and refrain from further treatment in the future.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Botox in crow's feet

Treating the crow's feet with Botox is a great way to loose some of those lines. However, sometimes in "chasing" the lines along the cheek, you sometimes deactivate some of the muscle that allow you to smile and then the muscle works a bit differently causing different motion lines. This will get better over time.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox in crows feet and new smile folds

It appears that you have deep paraconcentric smile folds. These were possible to make when yousmiled before botox in the crows feet but now you are noticing them more. It seems with such a big smile in your photograph that there is virtually no creasing in the lower eyelid skin. The latter usually persists after Botox crows feet injections and sometimes is even more demonstrable from a compensatory reaction of non-treated muscles. If your muscles near the cheek bone were treated... more

Ronald Shelton, MD
Manhattan Dermatologist

There may be a correction for your smile

One of the problems that can occur with Botox is compensation by the uninjected muscles. What this means is that the muscles that have not been injected by Botox will try and compensate for the muscles that have. Occasionally this will lead to a new aesthetic problem. It is a bit difficult to make a good assessment from your photo because this is a movement problem and to accurately diagnosis what is really going on, I would need to be able to watch the... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Botox injection to crow's feet resulting in parentheses

I would agree with Dr. Kavali's assessment. The Botox can diffuse beyond the area that it is injected and this may have happened in your case. The good news is that it will dissipate with time. The bad news is that it may take3-4 months. Occasionally I have seen the Botox "overshoot" for the first two weeks and then ease off.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

The good and bad on botox

Botox can make yourforehead smooth and your brows higher. If you have a lot of lines around your eyes and you get a lot of botox around the lateral orbit close to your cheek, it can make the cheeks lower. It will corrct itself in a month or two. It all depends on how low it was injected. You do have a nice result on your forehead. Maybe try to smile a bit less forcefull and if you want to improve the cheeks, volumize with a filler. It will partially correct your cheek droopiness if injected... more

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon

Botox can change the shape of a smile (but shouldn't)

It appears that the corners of your mouth don't elevate fully when you smile, which may mean that the botox was injected a little too low below your eyes, into part of the zygomaticus major muscle. I don't think any further treatment will help right now--you may just need to wait for it to wear off.

Carmen Kavali, MD
Atlanta Plastic Surgeon

Nasolabial folds and Botox treatment of Crows' feet lines

The good news is it looks like the Crows' feet aren't there. There can sometimes be a surprise effect on the zygomaticus muscles, which elevate the cheeks and corners of the mouth. If this is just due to a little diffusion (most likely), it should correct itself in a week or so. But it could take longer. Seeing your PS again is a good idea.