What happened to my smile? (Photos)

Thank you for sharing your question and photograph.  Depending on the location of your injections it appears that the Botox used to treat your bunny lines may have been placed too low, causing your upper lip to not raise itself as much as before.  This would account for your uneven smile and lack of upper teeth visibility.  Voice your concerns to your injector, they should be able to best identify the correct issue.  

In the photo is hard to tell what is the reason for the changes on your smile, but it can be from several factors, one is the Botox, that can modify the muscle action, and it may turn out asymmetrical if you got a little more in one side than in the other, or if the Botox got into a muscle that was not the indicated one. Also the fillers on the cheeks, lips, nasolabial folds, makes the area more stiff and there is less space for the muscles to move, so now, the upper lip does not go as high as before, then there is less upper teeth show and your muscles get stronger on the lower part of the face pulling down the lower lip, and now you have more lower teeth show. I will recommend to stop Botox and fillers for a while, so the muscle balance on your smile goes back to your baseline and then your original smile will come back.

This sounds like you may have received Botox in the wrong place and it has interfered with the muscles that control your smile. Rather than going back to your previous injector, I would find a dermatologist with better technique. Please see an expert. Best, Dr. Emer

Thank you for your question. When did you last receive Botox and are you experiencing any lack of mobility in your mouth? If you are an a consistent treatment plan, then the same temporary results should be expected. I suggest that you next consult in person with your board certified facial plastic surgeon. Best wishes,

Thank you for your question. From your photo it appears Botox was used to treat your bunny lines and may have been placed too low. This would cause your upper lip to not raise as much as before and would account for your uneven smile. I recommend having a following up with your injector to discuss your concerns. Best of Luck!

Thank you for your question. From your photo it appears Botox was used to treat your bunny lines and may have been placed too low. This would cause your upper lip to not raise as much as before and would account for your uneven smile. I recommend having a following up with your injector to discuss your concerns. Best of Luck!

It appears that you may have had a little bit too much Botox in your chin area and bunny lines. You did not mention that you were injected in your lower chin area but that may be part of the issue of why your lower lip is slightly pulled down. In addition, I believe that your doctor may have injected too low into your bunny lines and that could have affected your upper lip and dropped your smile somewhat. I suggest you go in to your doctor and show him or her these pictures and have a complete discussion of your smile.Good luck,Dr. Downie

Most likely one or the other or a combination of 1) Botox placed a little too low along side of nose so that it also treated the muscle that raises the upper lip and 2) fillers in the nasolabial fold and lips making those areas stiffer so they so not move quite as easily. Both will improve with time. Alert your injector so he/she is aware  to enhance but keep things natural in the future. 

Thank you for your question AmandaDee. I am sorry to hear
about your situation. Botox
is a purified protein used to address wrinkles associated with facial
expressions. If a person is having pain with smiling I recommend consulting with a neurologist. Cosmetic treatments such as Botox and fillers do not lead to pain when making facial expressions. If Botox for the bunny lines is placed too low it can relax the LLSAN muscle and lead to asymmetry in the upper lip when smiling. If the marginal mandibular nerve is affected with chin injections it can lead to an asymmetry in the lower lip when smiling. These effects are temporary. Please consult with a doctor for specific
recommendations.  Good luck!

I think this is related to the bunny lines injection. If this is improperly done, the upper lip will not raise well. This is because the levator superioris labii alaeque nasi was inadvertently affected.