Can Botox or Radiesse cause a twitchy smile?

Question

I recently had Radiesse into my smile lines, cheeks and chin area and about 2 units of botox ea for crows feet. The doctor put a little more filler on the right side because it was my week side. Also, he tweaked my right chin a few times to get it "just right". It looks a little more swollen on the right side but not crazy. Now only when I smile, the right side of my face shakes or twitch. Then it kind of aches after. Are my muscles tired or could something have gone wrong with the injections.

Ava T. Shamban, MD · Answer

It is common to have slight muscle twitching up to two weeks post Botox, but if this persists, make sure to follow up with you injector to assess if there is an underlying, more serious cause.

Jason Emer, MD · Answer

If this persists after 1-2 weeks I would speak to your dermatologist or plastic surgeon.  It is likely the muscle or nerve is just irritated in the area and swelling may be playing a role.  Best, Dr. Emer.

Henry Mentz, MD, FACS · Answer

Thanks for the question. I agree with the other doctors here. If this problem continues after a week or two, then contact your doctor.

Harry Goldin, MD · Answer

You are concerned that you shake or twitch on the right side when you smile.  It does not sound like anything went wrong with the injections.  You should not do anything for 2 weeks and let the swelling and the sensations settle down.  See the doctor in 2 weeks for a follow up visit if you still have these sensations.2 units of Botox is a very small amount for the crows feet.  I usually use 12 units on each side.  I don't think your problem is related to the Botox.

Can Botox or Radiesse cause a twitchy smile?

Answers (4)

Answer: Twitching after Radiesse and Botox

Answer: Twitching after Radiesse and Botox

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Can Botox or Radiesse cause a twitchy smile?

Answers (4)

Answer: Twitching after Radiesse and Botox

Answer: Twitching after Radiesse and Botox

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Recommended reading

Everything you need to know about Radiesse

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