Crooked smile 6 months after Botox? (Photo)
Doctor Answers 9
Crooked smile still after 6 months
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If the muscle relaxer was more effective in one area than another, this can often be modified
This is an area that we treat very often and can be very effective to improve a smile, turn up the lip, relax the chin, and retrain muscles to do what we want them to do to make our face look good and make our smile optimal. In addition, often we will treat the masseter muscle that can be a cause of square jaw.
However at times, specifically with the corners of the mouth, the product can spread or not be sufficiently injected in one area or another. In addition, all of us are asymmetric both in bone structure and therefore our smile; therefore, if the muscle relaxer was more effective in one area than another, this can often be modified. In general, muscle relaxers last for 3-4 months; in some people, the results seem to last longer. However, if this was an initial treatment, it is most likely that you had a crooked smile to begin with that you were unaware of, and this treatment exacerbated that. There is a recent study that shows that if you exercise this muscle or any muscles that have been over treated, you will more quickly have that muscle working normally again.
So, my advice is to speak with your initial injector and make sure that he or she has seen it because often we can do a touch up if one area is under corrected. If this is due to the muscle relaxer use, then exercise that area. For example, frown. Smile. Frown. Smile. This can reduce the duration of the effect of the muscle relaxer by 50% or more. Thank you for your question and best of luck.
Botox only lasts 3-4 Months
The effects of botox typically will last 4 months, sometimes a bit more. At six months after treatment, there is likely little or no effect of the medication left. Often times, these asymmetries go unnoticed until you really start paying attention to them. Facial asymmetry is really the rule rather than the exception. The muscles that bring down the lower lip are innervated by a branch of the facial nerve that can be damaged by conditions such as Bell's palsy or a benign tumor of the head/neck area. If the asymmetry is new, you should definitely have it investigated. If it has been present all of your life and just not noticed, and it bothers you, you may need additional treatments or to keep up with them on a more frequent basis. Good luck.
Usually, Botox results last 3-4 months and so at this point after your injection, any Botox effect should have worn off. There are many reasons for facial asymmetry including such conditions as Bell's Palsy. It would helpful to see a set of pre procedure photos to determine if you had this asymmetry prior to your treatment.
Asymmetric smile after Botox
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