My smile is crooked, one side goes down farther than the other. Also, I cannot spit or enunciate clearly. Will this go away and if so, when?
When Botox is Injected in the Upper Lips, is the Result Permanent or Can It Be Reversed?
Doctor Answers 14
Fortunately, Botox effects are not permanent
Wait a few months and it will return to normal
The effects of botox are temporary - 3-5 months
Botox lasts 3-5 months. It always wears off. Injecting botox into the upper lip helps
- reduce lines from pursing of the lips
- lengthens the upper lip, reducing "gummy" smile and
- reducing the amount of lip that curls under when we smile. This can be particularly helpful when the upper lip "disappears" when the patient smiles
Injection of the upper lip is an advanced technique. A small amount goes a long way. Potential side effects of lip injection include asymmetry, change in enunciation, and inability to whistle or suck through a straw. I would never inject into the upper lip of a patient that makes her living through her voice (singers, radio announcers, etc). I use a very conservative amount. Whereas 20-30 units is a typical dose for the glabellar region, a typical dose to the upper lip is 3-6 units.
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Botox in the lips
Botox can be used delicately and sparingly on the lip lines to help efface them. However, too much may affect the movement. It takes about 4 months for this to completely wear off.
Botox in the upper lip
The effect will go away, and there is nothing you can do to speed that process.
As I think you can see from the answers already, botox in the upper lip is touchy, with a very small therapeutic window. Meaning it is very difficult to get just the right amount in place that will last an appropriate amount of time and not have too many side effects. That's why I have stopped suggesting it to patients. Unfortunately for you, this might be a difficult lesson learned.
Botox usually lasts 3-6 mos, so you might see lingering asymmetry to your lip and smile for up to 6 mos. However the precise, small doses typically used in the upper lip are small enough that you will most likely experience a return to normal closer to three months. Hang in there.
Botox Effect is NOT permanent - Good News with Overdone Lip injections
Regarding: "When Botox is Injected in the Upper Lips, is the Result Permanent or Can It Be Reversed?
My smile is crooked, one side goes down farther than the other. Also, I cannot spit or enunciate clearly. Will this go away and if so, when?"
To smooth deep smoker's lines, VERY small amounts of Botox MAY be injected in the upper lip to slightly weaken the underlying muscle. If the threshold of minute weakening is passed, as it sounds like it was done in your case, the Orbicularis muscle does not function well losing the ability to enunciate certain letters, or keep fluids in the mouth. The effect can last 3-4 months depending on the dose of Botox given.
Asymmetric smile with Botox
Botox is temporary and tends to resolve completely by 4-6 mopnths. Anything that persists beyond this period is unlikely to be related to the Botox.
Botox for the upper lip
If I inject Botox in the upper lip (which is seldom), I inject minute quantities (maybe 1-2 units per side). Unfortunately, now you know why. The good news is that the effect WILL go away. It generally lasts about 3-4 months. I wish there was a way to reverse it, but there isn't.
Botox NOT Good Around Mouth Area
The asymmetry you are experiencing is not that unusual when people inject around the mouth. Luckily, it will al resolve on its own between 3-5 months. This is one of the reasons that Botox really is not ideal for the mouth area. It often paralyzes segments of the muscle more on one side vs. the other. Because of this, you get asymmetry and a crooked facial expression. Just be patient and it will wear off on its own. In the meantime, tell people you have some facial palsy from a viral infection - noonewill know the difference.
Botox is never permanent
If you have a muscular unbalance from the Botox don't be concerned that it's permanent. It will all go away by four months, latest five; usually around three months most of the ill-effect is no longer seen.
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