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New Wrinkles Appeared After Botox

i had botox injected for my nasolabial fold, especially the wrinkles beside the mouth 4 months ago. i'm 22 years old. After i had the surgery, new wrinkles appear even when i don't smile. Now i has been 4 month and the wrinkles didn't seem to disappear. Besides, there is a little swelling on one side of my mouth, which looks strange, i guess maybe they had done it a little too much. I' really scared. Will these new lines be permanent? Looking forward to your answer! Thx a lot!

Doctor Answers (6)

New Wrinkle after Botox Injection

+3

Typically new wrinkle after Botox are not common.

Sometimes patients notice the wrinkles that were previously present because the more prominent ones are erased as result of Botox injection.

Occasionally some patients recruit other muscles and can create new lines.

Hope this is helpful.


Orange County Plastic Surgeon
5.0 out of 5 stars 108 reviews

When you do BOTOX in certain areas, you may get wrinkles in other areas

+2

When you do BOTOX in certain areas, you may get wrinkles in other areas. This is because as certain muscles relax, other muscles have to work even harder. You can relax these over-worked muscles with more BOTOX. Either way, the new lines won’t be permanent after the BOTOX wears off.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
5.0 out of 5 stars 18 reviews

Botox and wrinkles

+2
It seems that thjere may be some missing information. Was there any filler injected to make the swelling near the mouth? If not, then did the botox affect the levator muscles which dropped the lip and a bulge formed from skin that folded creating the swelling? Whether botox filler or both, the result is temporary unless a semipermanent or permanent filler was used.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

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Botulinum Toxin (Dysport and Botox) can cause muscle imbalance and new wrinkles but it should wear off

+1

Botulinum Toxin (Dysport and Botox) can cause muscle imbalance and new wrinkles but it should wear off.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

Botox and nasolabial folds

+1

I do not use botox in the nasolabial folds. But anytime you place botox anywhere, it may cause other muscles to activate  a bit differently

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Please provide the correct information

+1

The use of Botox is not indicated for the nasolabial area. You may had fillers and they last 6-9 months. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 52 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.