Can Botox cause a dent and dimple on the chin?

Question

I received botox on 11/9/21 in my chin. The injector placed it incorrectly and now I have an indentation and dimple on one side of my chin and an uneven smile. It's hard to capture the indentation. Will this go away? It will be four months on March 1st and I've seen no change. I did not use to look this way. The indentation / dimple bothers me more then the uneven smile. I've been patiently waiting it out but it's not getting better. Will this resolve? How much longer will it take?

Leyla Arvas, MD · Answer

Hello, the only treatment after botox injection is to wait for the botox effect to pass. By the way, entering hot environments such as saunas can shorten this period. This period can last 6-8 months. The best thing is to wait. Unfortunately there is no other way.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Your injector unfortunately paralyzed the wrong muscle with Botox and it is now impairing your ability to lower your lower lip when talking and smiling.  This will resolve completely but will take time.

Jason Emer, MD · Answer

Botox results last up to 3 to 4 months and can be softened with Venus Legacy and Thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Paul Flashner, MD · Answer

This is a great question and thank you for the photos. When injecting the chin, placement is extremely important as you have experienced. I'm so sorry you did not have a good experience. Your body will metabolize the product but there is really no way to tell you how long it will take your body to metabolize. But once it has you should have your smile back and smooth skin as you did before. Typically it will take 3 to 4 months unless there was nerve damage on the sides of the chin and in that case it can take longer for your nerves to recover.

Andrew M. Ress, MD · Answer

From looking at your photos it seems like the Botox was definitely placed incorrectly. Botox can last up to 6 months even though every person is different. Massaging the chin area sometimes can help with making the Botox wear of faster.

Glenn Murray, MBBS · Answer

Hi, please feel free to book in for a free consultation to have one of our experienced nurses assess your concern. The photos provided are not able to provide adequate information, as you are smiling in one and not the other. A before and after photo with the same pose would be better. However, Botox is indicated to last approximately 3 months, so after the Botox has worn off any problems should resolve after that time. Thank you, warm regards, the Absolute Cosmetic Medicine team.

Camille Cash, MD · Answer

Botox can affect your smile if injected incorrectly. Fortunately the results are not permanent.  Typically results from Botox fade gradually over three to four months.  Always see an expert injector for treatment.

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case yes this will settle and disappear - likely in the next month. You should seek the opinion of your injector as sometimes this cane easily corrected back in clinic. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Can Botox cause a dent and dimple on the chin?

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