Major Increase in Nasolabial Folds After Botox for Crow's Feet

I agree with my colleagues on this one... I am very conservative in the crow's feet area, but might differ in that my dilution concentration is very low and therefore the volume I inject is very small. I target the muscles directly and do not see very much "spread" of Botox into nearby areas. 

I would not recommend any additional injections and would wait for the Botox to wear off at this point.

Dr. C

johnconnorsmd.com

There is very little that you can do at this point.  I would allow the Botox to wear off and refrain from further treatment in the future.  

It appears that you have deep paraconcentric smile folds. These were possible to make when yousmiled before botox in the crows feet but now you are noticing them more. It seems with such a big smile in your photograph that there is virtually  no creasing in the lower eyelid skin. The latter usually persists after Botox crows feet injections and sometimes is even more demonstrable from a compensatory reaction of non-treated muscles. If your muscles near the cheek bone were treated at the lowest crows foot area, then this might cause there to be less lower eyelid lines and less upward elevation of the corner of the lip when you smile. The other lateral cheek muscles may compensate and work harder to create the paraconcentric smile folds. It will go away in a few months or less but you shouldn't have any Botox injected into the cheek to weaken these lines because that will drop your lower face. If you don't smile too wide, your new smile lines probably won't be as evident. it

I would agree with Dr. Kavali's assessment. The Botox can diffuse beyond the area that it is injected and this may have happened in your case. The good news is that it will dissipate with time. The bad news is that it may take3-4 months. Occasionally I have seen the Botox "overshoot" for the first two weeks and then ease off.

Botox can make yourforehead smooth and your brows higher. If you have a lot of lines around your eyes and you get a lot of botox around the lateral orbit close to your cheek, it can make the cheeks lower. It will corrct itself in a month or two. It all depends on how low it was injected. You do have a nice result on your forehead. Maybe try to smile a bit less forcefull and if you want to improve the cheeks, volumize with a filler. It will partially correct your cheek droopiness if injected high and lateral on your cheek,over the zygoma bone area.