Deep, Funny Wrinkles After Botox

Question

I received Botox a week ago. The second day I developed huge, deep, funny-looking wrinkles starting at the corner of my eyes and extending down the cheek. Can you suggest any makeup to cover this up? Is getting more Botox a good or bad idea? My doctor said he could give me more next week. Thanks!

Otto Joseph Placik, MD · Answer

Two days after Botulinum Toxin (Dysport or Botox) is sitll early to assess the results and I would allow a minimum of two weeks for the results to settle and full effect of the Botulinum Toxin (Dysport or Botox). During the intial period differential tension of muscles on the skin can cause unusual lines. After two weeks is the time to asses the need for more Botulinum Toxin (Dysport or Botox)

Thomas Buonassisi, MD · Answer

I would sugest allowing at least two weeks before persuing any further Botox treatments. It takes at least that long to have a full effect from your initial treatment and by then the unusual wrinkles may have resolved on their own.

Kevin Brenner, MD, FACS · Answer

Although minor asymmetries are fairly common after injecting Botox, major or strange looking wrinkles (like what you have mentioned) is frequently due to improper placement.  Many inexperienced injectors can commonly overinject Botox, which can lead to weird facial expressions. Sometimes (depending on the location) additional smaller injections of Botox will work to counterbalance such wrinkles.

Ron Shelton, MD · Answer

the effect of Botox usually takes a week or more to reach full effect.  Don't do anything prematurely. Wait a full two weeks to see how theskn behaves and see your doctor then to determine if additional botox is needed.

David Shafer, MD, FACS · Answer

We would need more information about  your injection to give you more specific advice - dose, location, etc.  Also, Botox does not usually start working for 3 to 7 days after injection, so a dramatic change after the second day is very unusual.  At this point, I would suggest giving it time since the muscles need to adjust to the effects of the Botox and the balance of the face.  One good thing to remember is that Botox is ALWAYS temporary and will wear off over 3 to 6 months and leave no residual effect.  Good luck.

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Deep, Funny Wrinkles After Botox

Answers (9)

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