What happened to my chin? Botox gone bad! (photos)

Question

I recently had Botox in my chin and platysma bands and now I have the strangest shaped chin! It was very average before, the doctor said it would help smooth my jaw line and reduce marionette lines but now I have what feels like a second nose on my chin! Can anyone suggest a fix or explain to me what happened? What went wrong?

Alexander Rivkin, MD · Answer

Hi, and thanks for your question. It would be good to know how much Botox was injected into your chin. It looks to me like too little Botox was injected into the lower aspect of your chin. It seems like that part of the muscle is still contracting while the upper part is weak. Tough to tell without looking at you live. My suggestion would be to have a very experienced Botox injector take a look at you and see what is going on. It is possible that this could be easily corrected and you do not have to wait 3 months. Hope that helps.

Jason Emer, MD · Answer

This needs more botox injected properly.  I suggest you see an expert for treatment options.  Best Dr. Emer.

Shahin Fazilat, MD, FACS · Answer

Be sure are seeing an expert injector for Botox in this area.   This is an advanced technique that requires vast knowledge of the underlying muscles and their mechanism of action.  The good news is that Botox lasts 3-4 months so your results are temporary.   Without before pictures it is difficult to determine exactly what happened in your case.  In the future, be sure to see a board certified Plastic Surgeon, or Dermatologist with advanced injector skills.  Best of luck!

Michael H. Gold, MD · Answer

Thanks for your question and photos – we always recommend that you have a consultation with a board certified dermatologist or plastic surgeon as we are the true experts in the use of Botox and understand the anatomy better than anyone else.  In your case, you need to find an expert injector, see what was done, and have them determine if there is anything at this time to correct what was done.  On occasion, more Botox in proper areas can help; other times, we need to wait until the Botox wears off in 3-4 months.  We hope this can be corrected so find the right provider.

Bruce E. Katz, MD · Answer

Thanks for your questions and photos. Unfortunately, your photos are difficult to show results as you are puckering your lips. A resting face would allow better judgement but would also require a before photo. The chin is a sensitive area and it could be that you had too many units. However, I would seek a professional opinion for a board certified dermatologist. Fortunately, the botox will fade in 3-4 months so it is not permanent. Hope this helps!

Shaun Patel, MD · Answer

Sorry to hear about your experience with Botox. The photos you have provided are only with contraction of the mentalis (chin) muscle. It would be beneficial to see the muscle at rest. It would also be helpful to see a photo of your chin from before the Botox injection. That being said, most likely the muscle was over injected and the Botox was also misplaced. I would see an experienced injector in person to see if there is anything else that can be done. Otherwise, you will need to wait 3-4 months for the Botox to wear off completely at which time your chin will return to baseline. I hope this is helps. Good luck.

Nasimeh Yazdani, MD · Answer

Does the contraction only occur when you pucker your lips? If so, then the results are to be expected. The DAO, depressor anguli oris, the muscles in your marionette region and chin muscles have been paralyzed, therefore they are not able to pull the chin taut as you pucker your lips.  I suggest you stop the puckering action and you will not notice it as much.  Then you'll be happy with the result of your neck bands and lifted lip corners. For future treatments, avoid the chin area or do lighter doses.  Hope this helps,Yazdani, MD

Quenby Erickson, DO, FAAD, FACMS · Answer

Botox in the chin requires very precise placement of the injections. It is a very advanced skill and can easily cause strange results if not done just right.  It can work beautifully for decreasing the orange peel like look and for the muscles that turn down the corners of your mouth. The good news is that it will wear off, typically in 3-4 months.  For other solutions, an in person consultation may be helpful.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question lwt93. I am
sorry to hear about your situation. Botox is a purified protein used to address
wrinkles associated with facial expression.
In the lower face Botox can be placed in the chin to address dimpling there and in the neck to address bands. It is difficult to assess after photographs without before photographs because one cannot see changes. It is important to use a small amount of Botox in the lower face because if it spreads it can lead to side effects such as an asymmetric smile and drooling. Most people enjoy the results of their Botox treatment for 3-4 months. After that side effects are usually resolved. Please
consult with a doctor for specific recommendations.  Good luck!

Steven Wallach, MD · Answer

You will have to wait until the botox wears off which usually means in 3-4 months.  This might be due to overuse of the botox.

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