My smile has completely changed after Botox on forehead, frown lines, crows feet, & under eyes. Any suggestions? (photo)
Doctor Answers 8
Change of smile after getting Botox under eye and crows feet related to Zygomaticus muscle
Botox affecting the smile
When this happens, it's typically from treatments of frown lines, usually lower, outer injections.
When these are done, they need to be done with extreme caution and usually with a technique referred to as microinjections.
This involves injecting directly into the skin with very small doses, using multiple small injections.
Because the zygomaticus muscle is deep to the orbicularis (crow's feet muscle), this technique can minimize the deeper muscle being contaminated.
Do follow up with your provider to see what he or she has to say about the outcome.
Best of luck,
Mats Hagstrom, M.D.
Botox changed my smile
You might also like...
It could be the Botox
You'll have to wait and see how the smile changes over the next few months. If it starts to slowly return to normal, you know that it was possibly the Botox. If you don't see it returning, you may want to consider seeing a doctor to eliminate any other possible health issues. But it is likely a result of your treatment in some way.
I wish you all the best with this,
Dr. Jerome Edelstein
My smile has completely changed after Botox
Botox is a miraculous drug when used correctly. It is extremely artful and injector dependent on his or her skills.
Thank you for sharing your photos. When Botox or any of the muscle relaxer injectibles is not specifically targeted, adjacent muscles may be affected causing relaxation and therefore an imbalance on facial appearance. It appears that the muscles of your eyelids, your right lower lip and your cheeks received a dose of Botox during your injection session causing your eyelids and upper lip to drop and your right lower lip to raise.
The good news is that if minor amounts of Botox reached these muscles, the waiting time for the muscles to return to normal function is shorter than the average 3 months. It will also return to full function.
You may consider discussing the eyelid droop with an ophthalmologist as there is a eye drop than can help if seeing is a problem. You may also consider widening the area of placing your lipstick to camouflage the reduction in lip opening.
If you have concerns with your injector, consider another opinion by a well experienced, Board Certified Plastic Surgeon or ENT Facial Surgery injector to review these problems.
I wish you the best!
Altered Smile After Botox
Can't smile well after Botox to forehead, crows feet, and frown lines.
and/or zygomatic muscles. I would expect your smiling concerns to improve sooner than your overall Botox effect wears off at the main sites treated. I would speak with your injector. Best regards.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.