I used a different injector in April, the botox in my DAO migrated & my smile became lopsided – more when I grimaced than with a natural smile, and there was a shift in my closed mouth alignment. It’s still slightly lopsided. Are the chances of botox migrating increased because it happened before? Is my smile still lopsided because my muscles think it’s the new normal? Can I go back to my regular injector yet?
September 10, 2024
Answer: DAO Botox Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. If Botox in your depressor anguli oris (DAO) muscles has migrated and caused a lopsided smile, it’s understandable to be concerned about both the migration and the persistent asymmetry. Botox migration can occur if the product spreads beyond the intended muscle area, leading to uneven effects. While it is not always a direct result of previous migration, it can happen, particularly if the dosage or placement was not ideal. The asymmetry in your smile may persist because the affected muscles could be responding to the altered balance as a new “normal,” but this typically resolves as the Botox wears off and the muscles regain their normal function. The effects of Botox generally last around 3 to 4 months, so some persistence in lopsidedness is likely due to the ongoing influence of the toxin. Returning to your regular injector, who is familiar with your facial anatomy and previous treatments, could be beneficial. They can assess the current situation, provide targeted adjustments, and help address the lopsided appearance. It’s best to wait until the Botox effects from the previous injector have fully worn off before proceeding with any new treatments. This ensures that your regular injector can accurately evaluate the situation and make informed decisions about restoring balance and achieving your desired results. I hope this helps and best of luck!
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September 10, 2024
Answer: DAO Botox Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. If Botox in your depressor anguli oris (DAO) muscles has migrated and caused a lopsided smile, it’s understandable to be concerned about both the migration and the persistent asymmetry. Botox migration can occur if the product spreads beyond the intended muscle area, leading to uneven effects. While it is not always a direct result of previous migration, it can happen, particularly if the dosage or placement was not ideal. The asymmetry in your smile may persist because the affected muscles could be responding to the altered balance as a new “normal,” but this typically resolves as the Botox wears off and the muscles regain their normal function. The effects of Botox generally last around 3 to 4 months, so some persistence in lopsidedness is likely due to the ongoing influence of the toxin. Returning to your regular injector, who is familiar with your facial anatomy and previous treatments, could be beneficial. They can assess the current situation, provide targeted adjustments, and help address the lopsided appearance. It’s best to wait until the Botox effects from the previous injector have fully worn off before proceeding with any new treatments. This ensures that your regular injector can accurately evaluate the situation and make informed decisions about restoring balance and achieving your desired results. I hope this helps and best of luck!
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Answer: Is Botox more likely to go wrong? I’m sorry to hear that you had this response. I would first wait until the Botox has completely worn off before doing anything else. The migration should not be more likely a second time because it occurred the first time. As for the muscles “thinking its the new normal” - like all muscles they will compensate for a deficiency. The body will recruit from adjacent muscles to do the job. Whether this happened in your situation is impossible to know from the photos.
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Answer: Is Botox more likely to go wrong? I’m sorry to hear that you had this response. I would first wait until the Botox has completely worn off before doing anything else. The migration should not be more likely a second time because it occurred the first time. As for the muscles “thinking its the new normal” - like all muscles they will compensate for a deficiency. The body will recruit from adjacent muscles to do the job. Whether this happened in your situation is impossible to know from the photos.
Helpful
