My smile is lopsided. Did Botox cause this?(Photo)

Question

Help! I am 52 and never had any struggles with my smile until I have had Botoxinjected in my chin a couple of times for the orange peel affect. The last time I had it in my chin was over a year ago and my smile has not come back. When I smile, I look like I have a severe underbite because my bottom teeth are no longer exposed & my smile is completely lopsided if I put my teeth together. Even when I speak my mouth still doesn’t function correctly. What could be causing this long term effect? :(

Jonathan Kulbersh, MD · Answer

Thank you for your question. Being that the effects of Botox Cosmetic injections only last an average of 3-4 months, it is unlikely to have caused the smiling issue you’re describing. You may benefit from receiving injectable dermal fillers alongside Botox treatments to volumize the shallow contours around your mouth and improve the appearance of your smile. I recommend that you schedule an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess the reason for your asymmetry and select the best combination of treatments for you.

Camille Cash, MD · Answer

Botox can impact the way your smile appears, but the effect would be temporary.  Typically Botox results last 3 to 4 months and fade gradually.  Although some patients report their results lasting longer, it is doubtful the effect would be present after a year.  I encourage you to speak with your injector about your concerns.

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. Although botox generally wears off in 4-6 months in most people, botox can last a long time in some people, even up to a year. Botox is not known to change your facial dynamics permanently. Keep an eye on it and if it still hasn't gone away after another 6 months, go back to your surgeon and see what your options are. Please see a board-certified surgeon for best results. Best of luck to you! 
Sincerely, James Fernau, MD FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

There would be no long term effects with the Botox in the chin.  Perhaps you may want to see an an Orthodontist/Dentist for some X-rays or an evaluation.

Best of luck!

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My smile is lopsided. Did Botox cause this?(Photo)

Answers (4)

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