Did I Use Too Much Botox On My Philtrum? It is Droopy and Covers Teeth.

Question

It is the upper lip to nose area. Could too much Botox make the skin looser and dropping down. I have noticed that I know longer use Botox but have problems with this area. It drops down to make my teeth disappear look as if not teeth,. I have also noticed that either side of the cupids bow there is folds either side

Ron Shelton, MD · Answer

The off-label use of Botox injected in the upper lip to minimize the horizontal crease or decrease vertical upper lip lines, or when injected in the columella of the nose to decrease the pulling down of the nasal tip during smiling or chewing, that some people get, can spread to more areas and affect the elevator muscles of the upper lip. The lip flattens and hangs lower hiding teeth during smiling, making it difficult to brush ones teeth and eating with a fork and drinking with a glass can be made more difficult. Fortunately this is temporary and not expected to last indefinitely.

	 

	 

	 

	 

	 

	The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.

Sanusi Umar, MD · Answer

This depends on how long ago you had the Botox injected. You say you no longer use Botox, so if you were treated more than 6 months ago, any drooping would have worn off by now.  That would mean something else is causing the problem. If you did have your Botox treatment within the past 6 months then it is possible that too many units of Botox were used, or that the injection was improperly administered, and the droopiness will wear off.

Stephen Prendiville, MD · Answer

Based on the fact that you are even asking the question, the answer is yes.  Botox is unpredictable in the upper lip, and a"touch too much" leads to a strange appearance or even functional compromise.

Martie Gidon, MD, FRCPC, FAAD · Answer

Even very tiny amounts of Botox in this area can cause some drooping and the effect can last for many months.  If it is longer than 6 months, you should return to your injector to be re-assessed.

Adam J. Mamelak, MD · Answer

Botox can be used in the upper lip for a number of reasons including to correct a gummy smile of to help treat smokers or kissing lines, or other dynamic lip lines. In my opinion, this area is quite sensitive to Botox injections and too much can cause a droopy lip, asymmetry or distortion of your cupid's bow. Conservative treatment in this area is the key.

Did I Use Too Much Botox On My Philtrum? It is Droopy and Covers Teeth.

Answers (8)

Answer: Botox for the philtrum

Answer: Botox for the philtrum

Answer: Botox in the Upper Lip

Answer: Botox in the Upper Lip

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Did I Use Too Much Botox On My Philtrum? It is Droopy and Covers Teeth.

Answers (8)

Answer: Botox for the philtrum

Answer: Botox for the philtrum

Answer: Botox in the Upper Lip

Answer: Botox in the Upper Lip

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.