Unexpected Botox and Restylane Results

I had Botox, but it only worked on the right side of my face (near the eye)? Also, the Restylane migrated into the upper part of my top lip instead of staying in lip line. What should I do?


Doctor Answers 8

Botox and filler

If you are not satisfied with the Botox treatment or the filler treatment, I would go back to the doctor that treated you.  He/she can always touch up the Botox. If the filler is not where you want it, it can be massaged out or even dissolved with Hyaluronidase.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Restylane movement after injection

Hi Kaygee,

If it's been two weeks since your injections, we would highly recommend a follow up with your practitioner immediately.

The Botox does not sound that problematic. If the left side of your face did not respond your practitioner will likely just add a few more units for correction.

As for the Restylane migration...yes we have seen this happen infrequently before and it just so happens that around the lip is the spot. If and when this does happen, we offer two options. The first is to make the area symmetrical from side to side and the second is to reverse the original injection. Talk to your practitioner about his/her suggestion. Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Final Botox and Restylane results not until 2 weeks

We usually delay the verdict until 2 weeks after these procedures, after swelling has resolved from the filler and the Botox has achieved its full effect. A touch-up can be done for the left eye. Your injector may be able to help you massage the restylane toward the lip line (or dissolve it with hyaluronidase if needed). Migration of Retylane out of the lip line would be a strange occurrence.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Some revision needed for your Botox and Restylane

You might require adding more Botox on the opposite site as well as some revision of your Restylane. I would recommend you follow up with your physician, he will be able to examine you and determine the best course of action.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Go back for a Botox touch-up


Return to your treating physician. Sometimes Botox treatments have to be "touched up".  Also, if it is early enough he/she may be able to extract the errant Restylane or redistribute it. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 48 reviews

When Irish Eyes Are Smiling...Asymetrically from Botox

Hi Kay,

You should return to your injecting physician for re-evaluation.  Tell him/her that "when Irish eyes are smiling" they need to be symmetric. Restylane should not migrate. Good luck (Irish) and be well.

Dr. P


Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Wait, for now

How do you like your lip? If you like it, have the doctor match it with the Restylane. If you don't like it and you can tolerate the asymmetry, leave it, and it will take care of itself. After about 2 weeks from the initial injection with Botox, have the doctor do a touch up. Not to worry, very simple fix.

Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

Wait at least two weeks before making any decisions


You really need to post pictures for us to give specific advice. However, if there is an area where you think you need more Botox, then have the doctor inject a bit more Botox. However, wait at least two weeks between injections for the Botox to take full effect. Otherwise, you risk have too much of an effect. As for the Restylane, if you are not happy with it, you can have your doctor inject a dissolving agent (this only works for the HA products). However, again it is best to wait at least two weeks to allow for any swelling to resolve. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 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.