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Botox chin slurred speech and crooked smile?

I got Botox in my chin to stop it from elongating when I smile. Now 3 days later I cant move my chin downwards and also my bottom lip doesnt move making my speech blurred. Is there anyway to get rid of it? Will the results be less in a few weeks or do I have to wait for 3-4 months?

Doctor Answers 12

February 25th, 2016

Too much Botox in the chin

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Botox injections in the lower face and around the mouth can cause problems with smiling, asymmetries, and other movement irregularities if done in incorrect amounts or ill placement.  Too much botox or too dilute botox could also diffuse to unwanted muscles causing ill effects.  Make sure to always see an expert injector for botox injections; it will save you in the long run.  Unfortunately, there is nothing that can be done to alleviate the symptoms that you are exhibiting; make sure to continue to utilize the muscles and be patient.
Kyle Coleman, MD


New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

February 24th, 2016

Poor placement of Botox in chin

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The injector has probably affected the DLI, depressor labii inferioris muscle. This will take at least 2-3 months to improve unfortunately. There is nothing that can be done to hurry this up.

Learn more: https://stevenfweinermd.wordpress.com/2014/10/12/all-botox-providers-are-not-the-same-choose-carefully/

Steven F. Weiner, MD

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

February 23rd, 2016

Botox and Chin

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It may be improper injection  or too much Botox.  Good news is that it will improve with time.  Every week should be better and mostly resolved in a few months.  

Sarat Sabharwal, MD
Altamonte Springs Urologist

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February 23rd, 2016

Off Label Use of Botox

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It is imperative to utilize a skilled injector when having an off label treatment; of any kind.  I also question the placement of your Botox. Unfortunately, all you can do is wait. The effects will gradually dissipate over the next 90-120 days.

I'm so sorry you're experiencing this.


Be well


#botoxforchin #offlabeluse #skilledinjector

Learn more: http://www.pacificcenterplasticsurgery.com/

Jed H. Horowitz, MD, FACS

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

February 23rd, 2016

Botox and Slurred Speech.

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I recommend always using a skilled injector when having an off label treatment, I would question the placement of your Botox. Unfortunately, all you can do is wait. The effects will gradually dissipate over the next 90-120 days.

I'm so sorry you're experiencing this.


Be well


#botoxforchin   #offlabeluse   #skilledinjector

Learn more: http://www.pacificcenterplasticsurgery.com/

Larry S. Nichter, MD, MS, FACS
March 6th, 2016

A little Botox can go a long way

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In the first few days after a neuromodulator injection you may see some weird or overly strong reactions. Usually these smooth out as the full effect of the injections take hold (could be up to 2 weeks).  When there is a little more Botox than needed (some people are more sensitive than others) it could take a while longer for the result to be what you want.  It is usually best to under-dose and add more at 2 weeks to avoid a result that is too much.  The good news is that all will wear off and there is no long term bad result.

Learn more: http://vandykelaser.com/services/injectables/botox-cosmetic

Susan Van Dyke, MD

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 36 reviews

February 29th, 2016

Botox chin slurred speech and crooked smile?

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Interested to know whether the injector was a board certified plastic surgeon? You should not experience these results which are uncommon. 
Richard Zienowicz, MD

Richard Zienowicz, MD
Providence Plastic Surgeon
4.9 out of 5 stars 67 reviews

February 26th, 2016

Depressor Labii

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Misplacement of neuromodulators in the chin area when placed to lateral to the mid-line for correction of textural abnormalities due to the mentalis muscle will take out the depressor labii muscle.  Unfortunately the rule does apply as with other muscles which is 3-4 months.  

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon

February 26th, 2016

Effects of lower chin Botox on speech

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This is predictable outcome of Botox injection in the chin area and how long it lasts is somewhat unpredictable as it may take 3-4 weeks to 3-4 months. Activate the affected muscles as much as possible to try to possibly accelerate clearing of Botox.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

February 25th, 2016

Botox on Chin and Inability to Smile

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Unfortunately this will take a few months to improve.  Id suggest speaking to your physician, and going to a different injector for next treatment.  Best, Dr. Emer.
Jason Emer, MD

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 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.