I have a crooked smile after masseter/jawline Botox injection! What is it caused by and when will I recover? (photos)

June 23, 2014
Asked By:diamondeve21 in Walnut, CA

I have med/large bite muscles and received botox on my jawline. I first rcvd 30U of botox on each side of my cheeks. Two wks later, I rcvd 10U on the right and 15U on the left side of my cheeks. On day 4 after my 2nd inj, my smile became CROOKED! When I smile, the right side (rcvd 30+10U) have a weaker smile compared to my left. How often does this happen? Is it caused by inj area, amt of inj or inj technique? Did it hit a nerve or another muscle? When will I recover? What can I do to help it?

6 photos

Answers (5)

From board-certified doctors and trusted medical professionals
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August 30, 2019

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Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
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Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
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November 6, 2014

Answer: Crooked smile after Botox in Masseter

Martin Jugenburg, MDCertified Plastic Surgeon
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November 6, 2014

Answer: Crooked smile after Botox in Masseter

Martin Jugenburg, MDCertified Plastic Surgeon
June 25, 2014

Answer: Crooked Smile after Masseter Injection

Harold J. Kaplan, MDBoard Certified Facial Plastic Surgeon
June 25, 2014

Answer: Crooked Smile after Masseter Injection

Harold J. Kaplan, MDBoard Certified Facial Plastic Surgeon

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