I Had Botox 7 Days Ago and Only Seeing Results on Right Side of my Face I'm So Worried?

Question

I had botox for the second time 7days ago but only seeing results on the right side of my face so when I smile I look totally odd and lopsided.... I'm so worried that the treatment is not going to work as they both took affect at the same time when I had it previous.

Paul S. Nassif, MD · Answer

It can take more than one week for Botox to take effect, depending on the patient. I would recommend following up with the physician who performed your injections, as he/she knows the details of your treatment. They will be able to perform a touch up if necessary. I hope this helps, and I wish you the best of luck.

David W. Kim, MD · Answer

Botox effects can take up to 14 days to show up. I will allow some more time for the Botox to continue to take effect. I've seen patients who have had similar experiences and things evened out after the 2 week mark. If the one side does not take effect, you can return to your practitioner and have it reinjected/assessed.

Sam Naficy, MD, FACS · Answer

It can take anywhere from a few days up to two weeks for you to see the full affect of your treatment. Definitely follow up with your provider if you feel like you have distinctive residual activity on one side, versus the other.

Stewart Wang, MD, FACS · Answer

Typically by 1 week, Botox should start to work. If you are seeing action on one side but not the other side, it's time to go back to the treating physician and see if it can be adjusted. It's not rare to have one side working better than the other side with Botox injection. I routinely invite the patients back at 1 to 2 weeks post injection to see if Botox is working as intended and touch up as needed.

	Best Wishes,

	Stewart Wang, MD FACS, Wang Plastic Surgery

Michael Horn, MD · Answer

I would suggest giving it another week. Sometimes Botox takes up to 2 weeks to see the full effect. You may just have one side that takes a little longer. If you do not see results in the next week I would go back and see your injecting physican.

Michael I. Echavez, MD · Answer

It sometimes can take more than a week to obtain the full effect from a Botox treatment. So, even though you are only seeing results on one side at present, it still may improve on the other side. I would recommend waiting another week and if you still see no results on one side, I would return to your treating physician, as a slight touch up may be all you need.

Martie Gidon, MD, FRCPC, FAAD · Answer

You should wait for another week and if you are still not happy with your results, please return to your injector.  You may require more Botox.

Cameron Rokhsar, MD, FAAD · Answer

Not to worry too much. Sometimes depending on the activity and strength of the facial muscles or the exact amount injected, there can be slight differences in the response from different muscle groups or sides of the face. I recommend waiting a few more days for the Botox to completely begin working on the muscle fibers, and then see your physician again for a possible touchup. 

	Best of luck!

Steven Wallach, MD · Answer

Usually botox works within about 7 days. Sometimes it takes a bit longer. Often I will have patients return in two weeks to see if touch-ups are necessary.

Jo Herzog, MD · Answer

I agree with those that say to give it a little more time. I would wait until the two week point to make any decisions and if it isn't all that you need have a touch up. That is not unusual

I Had Botox 7 Days Ago and Only Seeing Results on Right Side of my Face I'm So Worried?

Answers (13)

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