Can Botox Hurt the Smile?

  Can botox around the mouth cause sagging of the mouth/lips or a weaker smile? Would you recommend Botox for lip lines or something else?

Doctor Answers 4

Botox in the Lips

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Hi Kristy,

Botox can be used in the lips in very small doses, otherwise get ready for slurred words and drooling.  Fillers work very good as well, many times the two are combined.

Most importantly make sure that your injecting physician is experienced and well trained.

Be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

If proper amount is injected, Botox is a safe procedure

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We usually inject about 4 units of Botox in the lines of the upper lip. If larger amounts are injectected you may end up with sagging of the lips and difficulty to purse your lips.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

Botox for lip lines

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As emphasized in the video very small amounts of Botox are injected. Yes, if too much is injected you can wind up with an asymmetrical smile or difficulty pursing the lips, but an experienced injector should be able to do this safely. Not all states permit non-physicians to inject any materials, including Botox.

Theodore Katz, MD, FACS
Philadelphia Plastic Surgeon

Botox for lips

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If you just want to get rid of wrinkles then Botox may help. Very few units are required. If too much is administered incorrectly, the movement of the lips will be affected and the result will look abnormal and you'll have difficulty moving your lips. 

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.