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What are the side effects of 4 small dosages of botox on upper lip around mouth for smoker lines?

Doctor Answers (7)

Botox for upper lip lines

Botox (or any of the neurotoxins ie Xeomin, Dysport) when used conservatively on the upper lip should not cause any significant side effects other than mild bruising/swelling. If used in excess difficulties in sucking thru a straw, whistling, kissing may occur. I always inject the minimal amount - if necessary I can always inject more but once the above side effects occur only time will make things better. 

Annapolis Plastic Surgeon
5.0 out of 5 stars 7 reviews

Side effects are uncommon following Botox treatment to upper (and lower) lip lines


The most common problems are typically mild and self-limited and include difficulty drinking through a straw or whistling. Botox treatment can, on occasion, make the lips feel different if excessive treatment is delivered. I really like this treatment and think that it can create significant improvement with minimal expense and a two minute office injection. Please seek a highly experienced injector.

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

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Usually Very Little side effects


There are usually very little side effects from a small injection around the lips, but on occasion it may be more difficult to purse the lips or suck on a straw. Other then the occasional bruising, that is about it.

Itzhak Nir, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 6 reviews

Upper Lip Botox


Typically, only about 4 units are needed on the upper lip area to help minimize the appearance of fine lines ("smokers lines").  More units can prevent movement and make it difficult to move the mouth, which is why most injection specialists do not use more than a small dosage of Botox for this area.  If the technique is done properly, very few side effects should result from treatment.

Best of luck!

Benjamin Stong, MD
Atlanta Facial Plastic Surgeon

Smoker's Lines and Botox


Whether you have one treatment or multiple treatments, there is no additional side effects in more than one treatment of a neurotoxin like Botox. It is possible that multiple treatments over time may create muscle atrophy and a longer result.

A small amount of a neurotoxin in the lower lip helps the pucker or smokers lines, the vertical lines extending from the white line of the lip towards the nose. Fillers, laser, and chemical peels may also help to reduce these lines.

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
5.0 out of 5 stars 10 reviews

Botox to soften upper lip smoker's lines


Botox can effectively soften the wrinkles along your upper lip.  This application of Botox works best in patients that have a "gummy" smile, meaning a lot of gum show when smiling, because it can cause some dropping of the upper lip.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.