After receiving 1 unit of Botox on both sides of my nose, I have a twitch on one side and it's uneven.. help!
Doctor Answers 7
Botox and Results
Problems with Botox
Why was Botox placed on each side of your nose? The only time I ever place Botox there is to treat a gummy smile. The levator labii superioris muscle lifts the lip. By relaxing that muscle, the upper lip doesn't lift as much, and this helps with a gummy smile. It seems that you have that effect on one side.
If the twitch is your main concern I'd wait. If the asymmetric smile is your main concern, see someone with experience injecting this area and you can have a very small amount placed on the other side to get symmetry.
Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers
Results from Botox injection to nasalis muscles
It sounds as though your injector attempted to treat the nasalis muscles with Botox to improve bunny lines. It also seems that some of the Botox may have diffused into the nearby levator labii superiors alaeque nasa muscle, the muscle injected during gummy smile treatment. I would probably not recommend injecting more Botox into the left side of the nose as this may worsen the lip droop. However, injection into the right side of the nose may help even out the lips. Again, these recommendations are limited by the fact that I have not seen photos and have not evaluated you in person. The best thing to do is wait 14 days and then followup in-person with your injector to discuss your results and concerns.
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Botox result uneven
- It is best to see the plastic surgeon who treated you to examine you - two weeks after your injection.
- If you have more Botox on the side that is twitching and drooping, it will droop more if the injection is in or near the orbicularis oris muscle.
- It will take a careful examination of the muscle imbalance to give you good advice.
Unevenness after Botox
Twitch after Botox
Thank you for your question starzz55. Botox is a great treatment to address certain wrinkles on the face associated with facial expression such as the bunny lines on the sides of the upper nose. Another use is to address what is called the gummy smile. A gummy smile is seen in some people who, when they smile, the upper lip elevates so high that the upper gums are seen in addition to the teeth. A small amount of Botox just adjacent to the nostrils will help with the gummy smile. I have never had a patient complain of twitching after such a treatment. Although sometimes after a Botox treatment the area may feel strange for a week or two. This is most common when treating the upper lip. I recommend following up with your doctor so that he/she can examine you face and make specific recommendations. Good luck!
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