Botox: Q&A
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Crows Feet and Botox?
I feel that Botox that has been injected into the lower crows feet region gives me an unnatural, weird smile. My smile Instead moving along the face and petering out at the temples, stops at the lower socket hollows. My cheeks bunch and bulge at that point. In addition, it's as if my cheeks then push downward because there's 'nowhere else to go' and stop at the marionette lines. I am left with bulging cheeks and an elongated U shaped smile... Like the Jack Nicholson's the Joker.
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16 Doctor Answers |
Asked by
Madelaine
in Melbourne, 07
+3
It will go away
If your problem is due to botulinum toxin, Botox, Dysport, etc., it will resolve. When injecting crows feet lines, I always feel the muscle strength to get the right dose and make sure of correct placement. It's always best to have these injections done by a board certified dermatologist or plastic surgeon.
Walnut Creek Dermatologic Surgeon
+2
Botox to Crow's Feet Causing Cheek Bunching
I would recommend that the dose of Botox be reduced or the Botox be injected higher on the face or both.
+2
Botox dose may need to be lowered
Botox dose (units) should be limited if you are looking like the joker. Have them t in no more than 8 units on each side to avoid the Joker look in the upcoming sequel of Batman.
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Botox and laugh lines
In order to reduce " laugh lines " without creating unusual or inbalanced facial features at the time of animation, the injector has to be knowledgeable about the function and be familial with the anatomical details of delicate facial muscles. Scant amount of botox, apropriately administerd into the selected muscle could predictably produce good results. A well trained Plastic surgeon is a right person to perform these injectables.
+2
Good Botox for Crows Depends on Technique
Unfortunately, there are doctors out there who take a weekend course and call themselves "certified" in botox. However, it is critical to fully understand the anatomy of the face prior to injecting botox. The crows feet injections need to be very superficial, and extend only so far down on the cheek in order to prevent accidentally "hitting" a nearby muscle. I would look for a board certified dermatologist or plastic surgeon in your area and go to that person for your next...
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+2
Crow's feet and botox
I have not personally seen this after botox treatment of the crow's feet. I tend to inject this area more superficially than in the forehead or glabellar regions. Dysport is known to migrate more than botox. When you say the injection was in the "lower crow's feet region," do you mean onto the cheeks? Static (at rest) cheek wrinkles are better treated with facelifts than botox, which may get into facial muscles when injected far from the periorbital areas. Find...
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+2
Crows Feet and Botox?
I have used Botox to reduce Crow's Feet in many patients, for over 22 years, and have not heard this type of issue. You might want to try another Botox provider and if the issue happens again, discontinue use of Botox to this particular area.
+2
Botox for Crow's feet
Crow's feet is a very commonly treated area with Botox and other botulinum toxins. For optimal results, make sure your physician, ideally a highly trained and experienced dermatologist or plastic surgeon, properly assesses your Crow's feet and has you move the muscles to identify the best dosing. I find a staggered dosing with the lowest dose at the lowest injection point, and the highest dose at the highest injection point (e.g. 3, 4, then 5 units).
+2
Concern with Results From Botox To Crows Feet (Smile Lines)
It sounds like you are unhappy with the results of your Botox treatment to the crows feet and I suggest you follow up with the physician who did the treatment. It is possible that the Botox was injected into areas it shouldn't have been or too far down on the cheek, causing the appearance you do not like. Worst case scenario, the Botox wears off after a few months and you will do not have to live with this look forever.
+1
Botox and crow's feet
Most patients are very happy with Botox injections for crow's feet. You may have had too many units injected too deeply to cause your results. You should return to your injector, hopefully an experienced dermatologist or plastic surgeon, so he/she can evaluate you and change technique next time.
+1
Why your smile can change with Crow's feet injections Ask Dr Ellen
Hello Madelaine,
Successful treatment with Neurotoxins (Botox, Dysport) is directly dependent on a clear understanding of the both the facial anatomy and the product action.
The 'lower' portion of the crow's feet sits at the junction of the orbit and cheek region. In this area converge BOTH the eyelid muscles and the cheek muscles. Injections in this area can effect the cheek muscles such that when smiling, there is less upward excursion of the cheek and the corner...
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+1
Botox treatment for crow's feet
Sorry to hear about the side effects you are experiencing from your Botox treatment. Photos and/or an exam would really be necessary to provide you with the best advice. I would recommend following up with your provider, as he/she knows the details of your treatment. The Botox is temporary, and will last 3 months on average. I hope this helps, and good luck to you.
+1
Botox and crow's feet
It is very difficult to answer this question without first seeing photographs of what you are referring to. You should first consider posting pictures for further assessment.
+1
Botox
You should see the injector and have them explain your results. It sounds like the Botox has had an effect on facial muscles that were not targeted. This can happen with too much Botox use or incorrect placement. Make sure you are seeing a board certified physician experienced in Botox injections. The results you have should only last for 3-4 months.
Best,
Asif Pirani, MD, FRCS(C)
+1
Smile after Botox
Hi Madelaine. The good news is that the effects of Botox wear off fairly quickly. We would not be able to say without a before and after photo what is happening with your injections, but normally an injection into the crow's feet would not affect the smile. It would affect how the eyes and upper cheeks look, but usually not the smile itself.
Best to go back to your injector and share your concerns. Good luck.
+1
Bad Botox Result
Yes, Botox can and does cause muscle paralysis. Too much Botox could have been administered or the Botox my have leaked out into other muscle groups in your face. Consider returning to your injector for an explanation of your result. The good news it should wear off in a few months. Best,
Gary R Culbertson, MD, FACS
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