I had 15 units of botox in November 2011 above the nasolabial folds and next to each nostril to reduce my deep smile lines. I could not smile at all after that. My upper lip would not move and you could not see my upper teeth. It is May 2012 now and I still cannot smile yet. Is that normal after 5 months for botox not to be gone? Should I consider a lip lift or midface lift?
May 9, 2012
Answer: Botox and nasolabial folds
Botox is not my treatment of choice for deep nasolabial folds because it can affect your smile. I prefer to use fillers in areas around the naslolabial folds to improve their appearance. As opposed to most injectors, I rarely place filler products directly in the naslolabial folds. I place filler in specific fat pockets of the face around the nasolabial folds to give a natural look. It can between 3-6 months for the full effect of Botox to wear off. For now, I would recommend speaking with your physician regarding his/her recommendations.
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May 9, 2012
Answer: Botox and nasolabial folds
Botox is not my treatment of choice for deep nasolabial folds because it can affect your smile. I prefer to use fillers in areas around the naslolabial folds to improve their appearance. As opposed to most injectors, I rarely place filler products directly in the naslolabial folds. I place filler in specific fat pockets of the face around the nasolabial folds to give a natural look. It can between 3-6 months for the full effect of Botox to wear off. For now, I would recommend speaking with your physician regarding his/her recommendations.
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May 9, 2012
Answer: Botox for nasolabial folds
Greetings~
Sorry to hear about your unfortunate Botox experience. I most certainly agree with the other responders in that Botox is not a great option for treatment of the nasolabial folds. (Especially in such a high dose) Fillers in this area are much more effective with much lower risks and often(in the case of hyaluronic acid fillers) reversible. Though it has been 6 months it may still take some time for the Botox to wear off completely so don't consider any surgical options or interventions. Botox is temporary...surgery is not. Hang in there. It will resolve.
Good luck~
Dr. Grant Stevens
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May 9, 2012
Answer: Botox for nasolabial folds
Greetings~
Sorry to hear about your unfortunate Botox experience. I most certainly agree with the other responders in that Botox is not a great option for treatment of the nasolabial folds. (Especially in such a high dose) Fillers in this area are much more effective with much lower risks and often(in the case of hyaluronic acid fillers) reversible. Though it has been 6 months it may still take some time for the Botox to wear off completely so don't consider any surgical options or interventions. Botox is temporary...surgery is not. Hang in there. It will resolve.
Good luck~
Dr. Grant Stevens
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