Lower Lip Got Paralysed from Botox

the muscle relaxation you have from the Botox is temporary. It has never been permanent I'm glad to tell you. Unfortunately there is nothing I know that can speed up the resolution of the Botox effects. Trying to exercise the muscles does not help. You will see significant muscle activity return in 12 to 16 weeks after the Botox.

Hi lhas.  Unfortunately, exercising the mouth will probably not help the Botox wear off more quickly.  The duration of Botox injections does have a correlation with the typical amount of movement in an area.  For example, the Botox we inject in the upper lip for smoker's lines wears off very quickly for two reasons.  The first is because we do not use that much of it (4-6 units) and the second reason is that there is a lot of movement in this area, smiling, chewing and talking.  This usually leads the Botox to break down more quickly than in other areas of the face.

This is true with the chin as well.  So, while we do not think it will help a great deal to exercise this area, our experience has been that the duration for Botox in the chin is shorter than in other areas of the face and that you should have full movement back within 6-8 weeks.  Hope this helps and good luck.

Fortunately the effects of Botox are temporary.

Patients with existing partial or full facial paralysis are very challenging. It is often a balancing act that may not be perfect the first time. It is simply not possible to make the face symmetrical during animation and repose if one side is not functioning normally.

Seeking a fine surgeon or dermatologist and sticking with them will often yield very nice results in patients with facial paralysis.

Hi Ihas,

Your side effect from your recent Botox injection will be temporary, hopefully not too lasting as the doses used in the cheek are not very strong usually.  Sorry that you have to put up with the temporary side effects.  This is another example of how the injection of Botox is an art and patients should make sure that they choose their injecting physician most carefully.  Good luck and be well.

Dr. P

This effect will be temporary.  While BOTOX can last 4 months, typically these types of side effects are much shorter lived because the effect is the result of a small does of agent that happens to get to the wrong place.  I personally feel that BOTOX treatment around the mouth to adjust the smile is a high risk procedure and fillers to accomplish this is a much safer alternative.

The good news is that this weakness is temporary and should resolve over the next several months. You may start to see improvement in 6-7 weeks after injection. You should definitely make your plastic surgeon aware of the results of your Botox treatment and express your concerns to avoid having to go through this again.

As the responders to your question state, it is not permanent. But you should discuss with your doctor the logic in where the Botox was placed and why. Off label use of Botox is common (Botox placed in areas not cleared by the FDA)  but this is usually OK because the injections are well thought out by the practitioner as to what the results should be. This doesn't seem to have happened (discussion or expected results).

Injecting Botox around the mouth has much more risk than in the upper 1/3 of the face where it is most commonly used. I always tell my patients of the risks and potential rewards.

Best news is it will wear off over the next few months. Sorry this happened to you but yes you should have been informed this could occur. 

The relaxation of muscles after Botox injectionds lasts approximately 3 months.  There is no really good way of decreasing the duration of Botox effects. 

Exercising the area regularly may shorted the duration of Botox effect somewhat.

Lower face Botox injections can be very beneficial but also tend to have a bigger potential for side effects and must be performed by a board certified dermatologist or plastic surgeon with proper training and experience in injecting Botox in the lower face.  However, even in the best hands, unwanted side effects do happen.