Too Much Botox in Smokers Lines - No Movement, Cannot Speak Properly

It is possible that you were over-injected, but it is a little unusual that you would be experiencing such dramatic changes at 24 hours.  It usually takes a little longer than that.  That could be good or bad for you.  Some of our patients report a feeling of numbness and heaviness on day one that resolves over the coming days.  If that is your case then your results may still be OK.  If however you have only partial onset of the results and they are going to increase over the next few days the symptoms may get worse.  Luckily whatever the result it will be temporary.  In regards to your overall question, botox is rarely the answer for smokers lines.  It is a good treatment in addition to fillers or skin resurfacing, but rarely suffices by itself.  That may not be that good of news either, but at least its honest. 

I would agree with the other physicians and say that you were probably over-injected in your lips.  The good news is that the effects should resolve; the bad news is that it may take several weeks to a month for this to happen. 

Some injectors have actually gone back and added a little filler to the lips to increase stiffness which may help.  Otherwise, the only thing to do is to be patient and let it wear off.

I hope that helps!