Botox Ruined My Smile, Will It Ever Go Back? (Photo)

Question

About five weeks ago, I had Botox injections that were supposed to help with wrinkles around my mouth. This week I noticed I can’t really smile, and when I do, it’s very unattractive. My smile was one of the only things I liked about my appearance. I’ve read you can’t undo Botox. Does it always wear off? I’m scared I’ll be this way forever.

Caner Kacmaz, MD · Answer

When Botox is not injected correctly, adjacent muscles may be affected causing relaxation. Therefore, an imbalance of facial appearance occurs. The best thing to do is to do nothing as the effects of Botox are temporary. Your smile will go back to normal within 4 months. Best of luck to you.

Anna Chacon, MD, FAAD · Answer

Botox was used in the first place and you are left with a "frozen" or unnatural appearance as a result, you will, unfortunately, need to wait until the product wears away on its own. It can take 3 to 6 months for Botox results to fade away completely. Hope this helps

Kenneth D. Steinsapir, MD · Answer

Botox around the mouth is often a terrible idea. Injectors often underestimate who depressed people become when there are side effects from these treatments. I strongly advise patients to avoid this type of service. This treatment is only temporary. You had service 5 weeks ago. Unfortunately, treatment effect is maximum at this moment and it will take perhaps another 5 weeks for the effects to noticibly fade but some effects can linger as long as 4 to 6 months. There is no way to speed this process up. I recommend that you find a different injector and don't let anyone inject you with Botox around the mouth in the future.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Eric M. Joseph, MD · Answer

Have seen alterations in people's smiles, particularly after having Botox treatments for TMJ and migraine. In all cases, when the botox wears off in several months, people's smiles go back to normal. Please don't worry. Hope this helps! Sincerely, Dr Joseph

Yolanda Marcos, MD · Answer

Thank you for reaching out and trusting us to answer your questions! Botox cannot be reversed once injected due to the effects the product has on the muscle, however it DOES wear off over time! Generally Botox or most neuromodulators last between 3-6 months depending on how your body and muscles metabolize the product as well as how much product was used! On average its closer to 3-4 months, and being by the mouth its highly possible it will wear off quicker than that!

Oakville Plastic Surgery &amp; Medspa · Answer

The good news is your botox treatment will wear off and your smile will return to the smile you loved. The question is how long will it take to wear off. Usually botox around the mouth doesn't last as long as botox in other areas of the face. Therefore, it will likely take 2-4 months to completely resolve.

Anshul Gambhir, MD · Answer

Hi, that is a great question! Botox to the lower face typically wears off within 2 months for the average patient, due to consistent talking and making various facial expressions daily . Botox can take up to 6 months to fully wear off. You can do facial exercises to help the botox wear off in a more timely matter. You can make cheesy smiles and open and close your mouth wide multiple times a day. These exercises can help you metabolize the botox faster.

Camille Cash, MD · Answer

I'm sorry to hear about the issues you've had from your Botox treatment.  Botox effects are temporary.  Your smile should gradually return to your pre-treatment state over the next three to four months.  Always see an expert injector for treatment.

Kira Bahnam, NMD · Answer

Botox around the mouth is a very delicate and sometimes tricky area to treat. If too little botox is used, you won't see any improvement. Whereas, too much can result in issues with smiling, drinking from straws, etc. The nice thing is is that Botox wears off! For the majority of people who get Botox injections, results tend to last around 3 months which is when movement starts to come back and time for another treatment. There are others who have very fast metabolisms (usually my athletes and body builders) which causes for the Botox to be broken down quicker than the average person. The best thing to do in this situation is just wait until the effects wear off.

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