Can Botox under the right eye cause cheek drooping?

Thank you for your question.  Botox works by weakening the targeted muscles.  If the product is inadvertently injected into a muscle that elevates the mouth/cheek, i.e. your smile muscles, then it might cause a change in your smile or possibly a droopy look to the cheek.  I have seen this in patients who come and say they had Botox for their crows feet or under their eyes.  I would recommend that you visit with an injector who is very well versed in the underlying anatomy and experienced with Botox.  I train a lot of other injectors on how to inject Botox and fillers and am quite surprised by how much time I need to spend on teaching anatomy and what can go wrong if we inject too low, high, deep or superficial in a given area.  Facial muscles are quite small and reside in specific layer of our facial tissues so the more precisely we can deliver Botox, the more likely you will achieve the desired result.  Best of luck.

Thank you for sharing your question.  If Botox is placed too low along the eyelid it may affect the muscles of the face responsible for maintenance of cheek position and lip elevation.  Be sure to see an ASPS board certified plastic surgeon in order to minimize these complications. 

If injected in the wrong area and at the wrong depth, Botox can certainly cause paralysis of muscles in that region that can give the appearance of a cheek droop. This is one of the reasons why I feel going to a board certified plastic or facial plastic surgeon is important, even though it's "only Botox". 

An intimate understanding of facial anatomy is necessary in some cases, and surgeons are the best trained to know the anatomy, especially in regions such as the lower eyelid. 

This area is best addressed with fillers and not botulinum toxin.  The botulinum toxin can weaken important muscles that help hold the cheek up.  That is nice doctor speak for saying that it can definitely cause your cheek to droop.  That effect can last for month.  Time is the best fix for this.  Don't have this treatment again in the future.

Botox injected correctly in the correct area of the crow's feet should not cause the cheeks to droop.  However, if large number of units were placed this can cause some migration and possibly affect the cheek muscles thereby causing a droop.  In addition, Botox injected incorrectly ie lower than the crow's feet area will also cause the cheeks to droop.

Botox under the eye can lead to cheek drooping, but this would be very rare because of the small units of Botox used. It's more likely to change your smile, actually. On the other hand, if you recently had Botox then it's a good idea to be examined by your injector for the symptoms you're having. A droopy cheek could also be caused by stroke or Bell's palsy so always keep that in mind. 

If injected into the wrong area, the answer to your question is yes. I would recommend follow up with your injector for an evaluation.

Thank you for your question. Botox if injected at the wrong place, or diffusion of the product beyond the treatment area can affect the cheeks muscles
and cause drooping. If unfortunately this is your case, I suggest
following with your injector for a proper follow up as there are also
other causes of facial weakness/drooping. Best of luck.

Thank you for your
question misty1764. Botox is a
purified protein used to address wrinkles associated with facial expression. For some people there is volume loss under the eye and the muscle around the eye holds the cheek up. If this muscle is relaxed it can give the appearance of a droopy upper cheek. This can be addressed with filler. Please consult
with a doctor for specific recommendations. Good luck!
 

the short answer is yes. If the injections are done too low onto the cheek the muscle called the zygomaticus can be hit and this will cause the cheek to drop