Would Botex Work for Wrinkles on my Cheeks?

Doctor Answers 11

Botox is not for cheeks

Botox is not recommended for cheeks, as it's a muscle paralyzer and this is not something you want in your cheeks! If you have lines or wrinkles there you'd most likely be a candidate for fillers - Restylane would be my preference. I use it a lot in the cheeks.

Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Botox for cheeks

Typically Botox is not used for wrinkles on the cheeks. Wrinkles in these areas are usually due to loss of volume and therefore volume fillers such as Radiesse and/or Sculptra are usually best. Neurotoxin injections such as Botox, Dysport and Xeomin reduce wrinkles by the temporary and reversible paralysis of treated muscles. I doubt if you would like the look of having your cheek muscles frozen with Botox.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Botox for cheek wrinkles

Please post photos. If you have wrinkling in the mid cheeks, this may be a sign of loss of fat and then Radiesse or Restylane would be the more appropriate treatment. Generally Botox is used above and lateral to the eyelids or nasolabial creases and not in the cheeks per se.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 40 reviews

Would Botex Work for Wrinkles on my Cheeks?

  Photos, of your face, would help in the evaluation.  Botox does reduce lines and wrinkles but may cause the upper lip to become weak when injected into the cheek area.  Either skin rejuvenation, with peels, skin care or IPL...or perhaps shaping the cheelks with Perlane or Radiesse would give you an improved appearance.  Be sure the MD, that you choose, understands and follows the proper aesthetiocs of facial beauty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Botox not great for cheeks

Botox is not a great option for cheeks. Dermal fillers with hyaluronic acid like juvederm and restylane would make more sense and be safer and more natural looking.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

Yes it works

It will help the wrinkles around and under the eyes, however I would be cautious using it on the smile lines.

Richard Galitz, MD, FACS
Miami Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews

Wrinkles of the cheeks require volume, usually not Botox

Wrinkles caused along the cheeks are often due more to volume loss in the face (loss of soft tissue, fat, and even bony support).  Loss of this "cushion" causes wrinkles to be exaggerated with muscular movement.  In most cases, Botox is not appropriate as treatment of muscle groups in the cheeks with Botox could cause a "stroke-like" appearing face.  Fillers and biostimulator agents, such as Juvederm, Restylane, Sculptra, or even fat are more appropriate treatment options.  Laser resufacing may be appropriate if wrinkles are due to heavy sun damage.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 23 reviews

Botox is not used for wrinkles on the cheeks

Wrinkles on cheeks are often present at rest and are related to sun damage. Some are caused by smiling.  Facial rejuvenation with lasers and filler injections are the more commonly done procedures for this indication, not Botox, which could cause relaxation of important muscles of the mouth.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox for Cheeks

It is impossible to answer your question without pictures that show the exact location of your wrinkles. Wrinkles in the cheeks are most likely caused by a change in skin quality and texture or a loss of volume in the face,  neither of which are treated with Botox.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Cheek wrinkles do not respond to Botox

Botox is not used for the cheeks because 1) you don't want to freeze your cheeks and be unable to smile and move your face, 2) most likely these wrinkles are deep and static and Botox does not work on that.  Your would most likely benefit from filler.  
Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 457 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.