4 months after Botox in to turn up smile my face is still deformed. Any suggestions? (photos)

Question

I am now worried the damage of the 2.5 units of botox snd 5 units along the jaw have permanently disfigured my face. My smile is still crooked and now my chin is pointy and pulls to one side. I am now past the 4 month mark and very frightened serious damage has bern done to my face vis this injector. Has anyone had a patient in which this did not resolve. The smile has slightly improved but the chin has not. I just want my fave back

Martin Jugenburg, MD · Answer

Unfortunately botox in the lower face can potentially migrate and cause these side effects.  The good news is botox cannot cause permanent damage like this and should improve soon.

Jason Emer, MD · Answer

This will typically resolve in a short time, if you need a nerve specialist may be the best person to speak to at this time or your physician.  Best, Dr. Emer.

Corey Frucht, MD, PhD · Answer

Hello, and thanks for your question and photos. I'm sorry you did not get the result you had hoped for. I expect that this will likely continue to improve and eventually resolve over the next couple of months. I suggest following up with your physician. Best of luck, Dr. Frucht.

Shaun Patel, MD · Answer

Sorry to hear about your experience with Botox. This is a known complication of Botox with probable spread of the Botox into the left DAO muscle. The good news is it is NOT permanent. Most patients, it takes 3-4 months to resolve but in some it can take longer. Be patient (I know it is hard), it will resolve. Good luck, try not to worry.

Steven F. Weiner, MD · Answer

If indeed this is all Botox related, it will reverse. It usually takes 4 months to resolve but some people it can take 5-6 months. I would continue to wait since there already is some improvement.

4 months after Botox in to turn up smile my face is still deformed. Any suggestions? (photos)

Answers (5)