What causes creping at nose after botox?

Question

The first time I had botox on lower/upper forehead and crows feet I developed scrunching/creping wrinkles at side of nose which disapated when botox wore off. Since then I only have lower forehead done and results are good, but a few years on I really want to address my whole forehead now as I but worried this will happen again? What could of caused it, the upper forehead or crow's feet injection?

Martin Jugenburg, MD · Answer

Thank you for your question. Without a photo it is hard to provide an accurate answer. That being said those muscles could be compensating for the lack of movement to the crows feet. Speak to your injector and discuss an injection to your bunny lines. All the best,

Adam Scheiner, MD · Answer

It may be that when botox was affecting the crows feet and forehead muscles that the only muscle left to move normally was the Nasalis muscle which causes "bunny lines".These can be treated at the same time as the forehead and crows feet and result in a smoother outcome.Hope this was helpful.

Stephen Weber MD, FACS · Answer

It sounds like you've develop "bunny lines" that appear on the sidewall of the nose. These will often develop when Botox is used in the upper face. In my experience, very expressive people will recruit these muscles hwen they are unable to use the muscles treated with Botox. They can be treated with a small amount of Botox placed on the sidewalls of the nose. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Anne Taylor, MD · Answer

hello! I hear this question a lot-- it is funny because we don't usually notice the wrinkles until the other ones are not there!So the muscles that are not moving do not have wrinkles but the rest of your face still does! hope that helps explain it!Good luck!

Mark T. Boschert, MD · Answer

There is a little muscle that was recruited when the others were treated.  Next time have them treat the small superficial muscle called procerus and it should be fine.good luck!

What causes creping at nose after botox?

Answers (8)

Answer: Botox works on the muscles that it is injected into- not the others!

Answer: Botox works on the muscles that it is injected into- not the others!

Answer: Proteus muscle

Answer: Proteus muscle

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What causes creping at nose after botox?

Answers (8)

Answer: Botox works on the muscles that it is injected into- not the others!

Answer: Botox works on the muscles that it is injected into- not the others!

Answer: Proteus muscle

Answer: Proteus muscle

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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.