Kimberly Mascia, MD

Hi there,

Unfortunately, I’ve seen this just once in a very thin client whose Botox appeared to have migrated into the smile muscle above the masseter. Injecting the depressor angular oris muscle on the left could offset this slightly. Your cheek muscle atrophy could have occurred by migration of Botox to those muscles as well.
Try exercising the affected muscles. Please let us know how you are now.

Cheeks are a great place to start and will help to counteract the effects of gravity. If you plan to have additional fillers, lips would be another great option.

This is very common, so please don’t feel too badly about yourself.   Try to find a physician who has an Aeorolase laser.   The laser is faster and less damaging than many in the market and can safely address unwanted pigment.  It will take several treatments, so be patient and finish the course.  

Hi Brian,

It's a little challenging to see what you are addressing by this picture but I am assuming it is the darkening above the right side of your lip that is not involving the actual lip, itself.  If I am looking at the correct spot, I think that a safe laser such as the Aerolase or other 1064 Yag laser would effectively help you with this area.  You would likely require 2-3 treatments, so I would recommend requesting a package.  

This is a very interesting question.  Usually, it takes a very small dose of Botox to paralyze forehead muscles.  If sweating is reduced, it would be only slightly under usual circumstances.  There are many sweat glands throughout the body that will help to dispel any heat.  Enjoy your yoga and drink plenty of water.