Concern of facial paralysis or smile alteration from Botox in masseter

Question

I had 13 units of Botox injected in each side today (26 total) - after reading on here about facial paralysis and smile alteration, I am a bit concerned. If this were going to happen, how long would it take? I'm so mad - I usually go to my skilled injector dermatologist but decided to try a new clinic today near my house. I usually get 60 units, so I'm hopeful the chances of 26 having a big effect are slim? My dr usually does one deep injection. Today she did 4 small

Alexander Rivkin, MD · Answer

Hi and thanks for your question. 26 units is a relatively small dose, especially for someone who usually gets 60 units. Unless you noticed that the person was injecting you in a very different place than usual, I think it should be OK. Actually, injecting into 4 places is more effective than injecting a large bolus of Botox into one spot. Where people run into trouble is if they inject too far towards the middle of the face. If your smile is affected, you would see signs of it within the first week after injection. Judging from the amount she injected, I would not be too worried if I were you.

Jason Emer, MD · Answer

It is unlikely that your botox treatment for masseter reduction will alter your smile negatively or result in facial paralysis. Techniques can vary, with some doctors using one injection over multiple. Placement is key to getting good results. Botox results take 1-2 weeks. If you're unhappy with your final results, venus legacy treatments can help soften. Best, Dr. Emer

John Tang, MD · Answer

For Botox injections the placement of the injections as well as the amount of Botox determine the overall outcome of the treatment.  On average, I would say that I would normally use 10-20 units of Botox in each side of the Massenter injecting in 2-3 sites.  Every injector has there own style and preference.  So far, it sounds reasonable so I would wait 1-2 weeks to see what happens and not worry too much about it.

Monika Soni, MD · Answer

If you received your injection by experienced and certified provider then they should know to avoid hitting risorius muscle to avoid smile paralysis. However, your dosage is small and it should not affect it. On the other side, strategic injection with four small injections is more favored by me than one deep injection. If you are not noticing anything odd in the following few days, then you will be fine. If you have concerns, contact your provide rand express your concerns. Good luck!

Hardik Soni, MD · Answer

If you received your injection by experienced and certified provider then they should know to avoid hitting risorius muscle to avoid smile paralysis. However, your dosage is small and it should not affect it. On the other side, strategic injection with four small injections is more favored by me than one deep injection. If you are not noticing anything odd in the following few days, then you will be fine. If you have concerns, contact your provide rand express your concerns. Good luck!

Concern of facial paralysis or smile alteration from Botox in masseter

Answers (9)

Answer: However, your dosage is small and it should not affect it.

Answer: However, your dosage is small and it should not affect it.

Answer: Botox for Masseters

Answer: Botox for Masseters

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Concern of facial paralysis or smile alteration from Botox in masseter

Answers (9)

Answer: However, your dosage is small and it should not affect it.

Answer: However, your dosage is small and it should not affect it.

Answer: Botox for Masseters

Answer: Botox for Masseters

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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.