Is there any way to correct lip droop after chin Botox and what causes it? (photos)

Question

I went to an experienced injector with a great reputation, she did make a comment that my chin muscles were really strong. I do not know how much she injected into my chin but I paid 800 for my full face. It’s been one week and it is hard to speak without slurring and half of my bottom lip is crooked. The corners of my mouth still move symmetrically, and at rest I look ok. It’s just when I am talking or smiling that it is very noticeable. Please advise.

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
A large part of my practice is what I call "Aesthetic Facial Balancing."  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results.

I hope this helps!
Wishing you fantastic results,Dr. Rian A. Maercks, M.D.

Camille Cash, MD · Answer

I'm sorry you are having issues from your Botox treatment.  Unfortunately there is no reversal agent.  The product will gradually wear off within 3 to 4 months.  I recommend speaking with your injector about your concerns so that this can be noted in your chart.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question and for sharing your photographs NurseStephY. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment in the absence of consistent photographs before and after in the same lighting and angles for comparison. However, I hope the information provided here is useful.Although Botox is most commonly used in the upper face, it can also be used in various areas in the lower face. Botox can be placed in the depressor anguli oris (DAO) muscle to elevate downturned corners of the mouth which sometimes produce a sad face appearance. In this area 2-4 units are used per side. Botox can be placed in the mentalis muscle on the chin to address a cobblestone appearance or dimpling on the chin. In this area 2-8 units of Botox are used.In the lower face, the depressor labii inferioris (DLI) muscle sits between the mentalis and the depressor anguli oris (DAO) muscles. The DLI muscle is responsible for pulling down the lower lip and it is used when one smiles. If Botox spreads from either the DAO or mentalis to the DLI and relaxes the DLI it can lead to the appearance of an asymmetric smile. Some physicians try to correct it by placing Botox into the contralateral DLI muscle (on the other side). However, I recommend that my patients just wait as the effects go away on their own. This side effect resolves on its own in 2 weeks to 4 months, depending on the severity. Some find that laser skin tightening treatments using infrared light or radiofrequency may speed up the resolution process.If I had a patient with the concern described here I would reassure her that the result is not permanent and may recommend skin tightening to possibly speed up the resolution.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.
  
After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.
  
Please consult with a doctor for specific recommendations. Good luck!

Liliana Marcu Awan, MD, FAAFP - Account Suspended · Answer

Unfortunately you will have to wait 3 to 4 months for Botox to wear off Another visit to your provider should be made to avoid this problem in the future

F. Victor Rueckl, MD (in memoriam) · Answer

Unfortunately, you can't fix this. However, it won't last that long because this area moves a lot. It doesn't last the 3-4 months that Botox does in the upper face. You can try to manually move the area often to help it go away quicker. This has to do with the muscles around the mouth and an off-label injection area. Unfortunately it can happen. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Is there any way to correct lip droop after chin Botox and what causes it? (photos)

Answers (5)

Answer: Lip droop from botox

Answer: Lip droop from botox

Answer: Botox to chin can cause lip droop

Answer: Botox to chin can cause lip droop

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Is there any way to correct lip droop after chin Botox and what causes it? (photos)

Answers (5)

Answer: Lip droop from botox

Answer: Lip droop from botox

Answer: Botox to chin can cause lip droop

Answer: Botox to chin can cause lip droop

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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.