Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

Question

I had Botox injected into the depressor Septi muscle to prevent my nose from drooping when I smile. In the picture attached, I showed where it was indicted. Each injection was 3 units. I haven’t seen the effects yet, as it’s only been one day, but I’m having a lot of anxiety that it is going to do something weird to my mouth in a week. The reason is because I’ve looked online and every video showed only the middle objection. Not the two on the side. Should I be worried?

Scott Trimas, MD · Answer

It is likely that you will not have too much too worry about as it appears to have elevated the tip of your nose. Even if some botox does head to the upper lip region, it is a small quantity and any side effects will be short lived.

Nelson Lee Novick, MD · Answer

I have been using Botox for lifting drooping tips for nearly twenty years. In general it takes only a few units to achieve the lift and most often, as you correctly noted, it is achieved by injection centrally only. That being said, injection in the side locations that you indicated in the photo are not likely to lead to any real untoward reaction, given the relatively small doses you indicated that were used. Over the past fifteen years or so, I have combined the use of centrally injected Botox with the use of a filler with good lift, such as Restylane Lyft (which is my go-to for this in my NY office) and Hyabell Deep, which is my first choice in my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizing fillers are available. Botox combined with filler in my experience tends to yield a synergistic effect that prolongs the four to six month Botox effect and the six to eight month filler effect to a year long effect when the two agents are used. Filler, like Botox is best injected centrally under the columella. Given what you have written, you would do well to be patient and wait two weeks before assessing the effects of your current treatment. Make sure that you are consulting with a board certified aesthetic physician. Best of luck.

Jonathan Kulbersh, MD · Answer

It can take up to 2 weeks for final results with Botox. I would wait a full 2 weeks before assessing results. However, try not to worry, it is unlikely to cause drooping based on your photos. Hope this helps.

Jason Emer, MD · Answer

It's too soon for final results. Botox results take 1-2 weeks. If you're unhappy with your final results, they can be softened with venus legacy and thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  It is unlikely that anything negative will happen with the injections you posted.  If they were placed out further to the side of your nostrils it may have resulted in some dropping of your upper lip.  Allow your results to mature for 2 weeks and then revisit your results.  Hang in there.

Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

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Answer: Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

Answer: Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

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Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

Answers (10)

Answer: Botox/Xeomin/Dysport--Results Take 1-2 weeks

Answer: Botox/Xeomin/Dysport--Results Take 1-2 weeks

Answer: Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

Answer: Botox in depressor Septi for drooping nose, 1 day post, should I be worried about my mouth going weird? (photos)

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.