I have gotten Botox in my chin from a highly qualified facial plastic surgeon for a year now. This past time, she injected the usual 10 units into my chin. After two weeks, my smile is completely lopsided. And when i grin, a muscle sticks out of my neck and is very uncomfortable...it seems to effect my nerves. I have unusual sensations in my face, etc. I don’t want any more in my face; however, this muscle and tingling/numb sensations in my face makes it hard. What should i do?
Answer
Thank you for sharing your question and photograph. Unfortunately the Botox placed into your chin migrated to effect one of the muscles that pulls down on your lower lip. Though this will not cause any long-term issues, you can paralyze the other side to improve your current asymmetry. Hope this helps
Dr. Nelson Castillo, MD
Board Certified Plastic Surgeon
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When I treat peau d'orange (dimpled skin in the chin) I use very few (1-2 units only) per site and space out the injections so only 2-4 sites are injected and very superficially to avoid relaxing the depressor labia muscles ( the muscles that help lower the lip ). There are two choices one has when this weakness effects an asymmetric smile.1. Ride out the course for the 3-4 months that it will take for the Botox to wear off completely and the muscles will fully recover.2. Relax the unaffected side so that both don't lower and this way there will be symmetry but it may be an undesired functional weakness interfering with speech and eating and drinking.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs
Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answer
Botox in the chin can be a great option to reduce orange peel look of the chin. There are muscles near the chin that affect lowering of the lip called the depressor labii inferioris. Likely, the botox diffused to this muscle, and your neck muscles are compensating to try to lower and evert your lip with smiling. A small amount of botox to the unaffected side can create symmetry while this resolves. Return to your doctor and have him assess the area. Best of luck.
Dr. Kyle Coleman, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answer
Thank you for your question. Unfortunately, the Botox injected into your chin has migrated and is affecting the muscles that pull down on your lower lip. You can improve the asymmetry by injecting Botox into the other side or wait for the effects to wear off in 3-6 months. However, I do recommend letting your injector aware of the issue so proper care can be taken next time. Best of Luck!
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Botox into chin can migrate and effect smile. You can wait it out or you can inject the smile on other side to even it out. This can happen even when injected with best technique or can happen when injected haphazardly. If you trust your doctor I would go back to them and see what they suggest
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Please see your doctor for evaluation. You two options. You can wait till your Botox wears off or you can get more Botox to get symmetry.
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The Botox got into an adjacent muscle causing this appearance but you do not have to wait for the effect to go away. Return to your doctor and by demonstrating the muscle that shows up and bothers you when you do smile it can be injected to improve the situation
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Botox around the mouth can be tricky. It looks like one side of the muscles that depress the lower lip when you smile received some of the Botox. This is why your smile is crooked. You can either wait for this to wear off completely or you can consider placing Botox in the lip depressor muscles on the opposite side. You should visit with your facial plastic surgeon to discuss these options.
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The botox has affected an adjacent muscle for sure. This can be caused by the botox being pushed or pressed away from the area where it was initially injected by touching the area. It can also migrate just from gravity, and in some cases sheer volume. You can try to feel with your fingertips and a light touch which muscles are activated and which ones are not when you smile and make some determination about what adjacent muscles were affected. If this is the first time its happened, don't lose faith in your doctor just yet.
Answer
The Botox likely diffused into an adjacent muscle and is causing the asymmetry in your smile. I recommend waiting for the Botox in your chin to wear off. As the Botox wears off, your smile should improve.
