Have You Ever Heard of Using Botox INSIDE the Mouth to Help with Corner Side Lip Wrinkles?

Please help. I am sore and swollen and see no improvement.

Doctor Answers 8

Botox Injected Inside the Mouth

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I have never used an intraoral injection technique with Botox and have never heard of it.  Botox can be used "off-label" for vertical perioral lines and for down turned corners of the mouth (DAO's).  The rationale for injecting these msucle through the mouth is something you will have to ask your injecting Physician about.

Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Not recommended

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Although off-label, I have never used Botox in the mouth for treatment of lip lines.  Bruising is uncommon and Botox is more effective when focally applied to the muscles desired for treatment.  I would also be concerned about a higher risk of introducing bacteria in the mouth through the injection site.

Jennifer T. Haley, MD, FAAD
Scottsdale Dermatologist

Botox inside the Mouth

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This is not a typical use of botox, and botox inside the mouth should generally be avoided. If you have just had the treatment, you will notice swelling and soreness. The optimal benefit of the treatment will be felt in about a week to 10 days. If you have not seen improvement after this time, contact your injector.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Have You Ever Heard of Using Botox INSIDE the Mouth to Help with Corner Side Lip Wrinkles?

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 Botox can be used to soften unwanted lines and wrinkles around the mouth.  I have used Botox to do so for over 20 years but do not inject Botox through the mouth.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Botox for wrinkles near the mouth

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Botox used as an off-label procedure to minimize mouth wrinkles are usually injected through the skin but possibly your doctor wanted to minimize the chance of external bruising. Now you may have an internal bruise that will take time to go away.  Please realize that some injections near the mouth can create a functional problem with smiling, eating and drinking. Your appearance could become asymmetric if the muscles don't react the same way on both sides.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Botox inside the mouth

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The rationale for doing this escapes me, because the muscles affecting the corners of the mouth are perfectly capable of being injected from the outside. However, with that being said, the mouth is very sensitive to injections and you can get swelling and bumping in the mouth (like when you see a dentist and have work done and they numb you!) that lasts a few days. Additionally, Botox takes 7-10 days for full effects, so if you just had this done, you need to wait at least that timeframe for full effects to be apparent. But the reason for injecting into your mouth, I'm not aware of how this would be more effective or helpful.

Botox used inside the mouth

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Theoretically, Botox could be injected into the muscles which contribute to corner of the mouth wrinkles from the inside.  As long as the medicine best to the muscle in sue  stion, it should work just fine.

If you are still sore and swollen, you probably just had the injection.  Swelling should last 2-3 days at the longest, but you may not see see the effect for 5-7 days.  If you have no effect at 2 weeks, I would consider seeing a different, and perhaps more qualified, injector in the future.

Michael Bowman, MD
Roanoke Facial Plastic Surgeon

Seems Odd to Access the Muscle from the Inside

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Thanks for your question.

As the title suggests, musles affecting corner lip wrinkles are perfectly accessible from the outside, so the rationale for using Botox inside the mouth escapes me.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.