Need to Fix Crooked Smile - Will Botox Work?

If your problem is related to the nerve not working or the muscle not functioning then your crooked smile can possibly be treated with botox.  Sometimes lidocaine can be used to mimic the effect of botox to test if muscle paralysis will work on your smile, this usually lasts a few hours.  If it does work, then I would try botox for a longer lasting solution.  You should see a board certified plastic surgeon for this, since they receive specialized training in dealing specifically with these kind of problems in the face.

You have an asymmetric depressor function. The easiest solution would be to inject Botox into your left depressor muscle. If you like how it works, this muscle can be sectioned to give you a permanent result. There are several physicians around the country who specialize in facial paralysis and facial movement disorders. In California, I'd recommend Babak Azzizadeh in LA. Good luck,

Grigoriy Mashkevich, MD. New York Facial Plastic Surgeon.