Botox ruined my smile 3 months in still a mess. Any suggestions? (photos)

Results take 3-4 months to resolve. You should begin to see improvement over the next few weeks. I suggest you see an expert for treatment options. Best, Dr. Emer.

It does look like your lip depressor on the right side of the photo is weak. Botox is temporary and any effect of Botox will wear off completely by 4 months. Discuss with your physician injector at that point if you still have any concerns.

Hi Nicolami6,Unfortunately you have drooping from the injections but your problem should soon be over with the effects of Botox lasting sometimes up to 6 months in a small percentage of patients.  It will be gradual but noticeable as the chemical metabolizes within your body.  Best wishes to you and keep us posted if you have not seen the effects within the next couple of months.James Mirabile, M.D.

Thank you for your question nicolami6. I am sorry to hear about your complication. When treating the DAO (depressor anguli oris) muscle it is important to use specific landmarks so as to avoid the DLI (depressor labii inferioris) muscle as this can cause an asymmetric smile. But even when using appropriate landmarks, unfortunately sometimes adverse effects are seen. The good news is that Botox is not permanent and effects (both intended effects and side effects) usually resolve three to four months after a treatment. I recommend following up with your doctor for further recommendations. Good luck!

Thank you for sharing your photos and your concerns.  Unfortunately, your left side depressor labi inferioris (DLI) was affected by the Botox.  Since this particular muscle is so small, the amount of botox used in your case may last longer than three months.  Your physician may consider utilizing low frequency TENS to help stimulate the left DLI.  Another option is to use focused ultrasound to help reactivate the muscle.  A third option is to place 1 to 2 units of Botox into the right DLI to even out the smile.Please visit a highly experienced physician who commonly injects the lower face with neuromodulator (#Botox, #Dysport, #Xeomin).Best of luck,Suneel Chilukuri, M.D.Houston, Texas#botched, #expert, #neuromodulator, #lips, #filler, #Allergan, #Galderma, #Merz, #expertinjector, #plasticsurgeon, #dermatologist, #Houston, #Texas, #RefreshDermatology, #Chilukuri