Botox and the cheek fat pad? What happened? What can be done to put the fat pad back in place?

It's very difficult to determine what is going on without before and after photos. Botox results usually last 3-4 months. I would suggest returning to your practitioner and voice your concerns.As with all cosmetic treatments, the skill of the doctor is of utmost importance. Don't trust your face to just anyone! Consult with an expert in facial aesthetics to maximize your results while minimizing side effects. You'll be happier and save money in the long run.

Thank you for the question.   Given that 9 months have passed, the effect of the Botox should be long gone by now.  I think that the next step would be to get any photographs that your practitioner may have taken before your treatment and take them to a consultation with a facial plastic surgeon that can go through the pictures, your treatment, and goals and come up with a plan on how to deal with the descended cheek fat pads.  Good luck! 

Thank you for your question. Unfortunately, it sounds as though your Botox placement was not correct, and it may have affected your Zygomaticus muscle. When Botox is placed around the eyes, sometimes the injector can place it too low and deep, causing cheek ptosis. If you are nine months post treatment, the Botox should have worn off by now. You should go discuss your concerns with your practitioner. Good luck!