Smile is ruined from Botox! What went wrong? (photos)
Doctor Answers 10
Botox changed your smile
Facial Asymmetry After Botox
The reason you don't like your smile after Botox injection is likely because one of two reasons. Either some of the neurotoxin that was placed around the side of your nose diffused into the surrounding tissues and has affected your zygomaticus muscles (which bring the angle of your mouth both superiority and posterior, and is one of the most important muscles for smiling) or they injected these muscles directly. Either way, your smile will be off, and look unnatural if paralyzed.
The solution is to inject the zygomaticus muscles on the side of your face that is working to paralyze them and provide symmetry, which can be risky if you don't know where to inject and the landmarks that are used.
The other option is to wait until the effects of Botox wear off, which in my experience can be anywhere between 6-9 months, but everyone is different.
Hope this helps, and thank you for the questions.
Botox around the mouth
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Botox - now my smile is crooked
- Unfortunately your doctor almost certainly injected the Botox around your chin too high - or in a large enough volume for it to spread to muscles on the side.
- As a result, the muscles on one side (depressor labii inferioris probably, the depressor anguli oris possibly) have weakened - temporarily.
- It also appears that the Botox around the nostril may have been injected too low -
- The shape of your smile on one site is changed as well.
- These are difficult to correct - but will go away as your Botox wears off.
- You have a lovely smile to start with - you might just stay with your original smile in the future.
- Always see a Board Certified Plastic Surgeon.
Asymmetric smile following Botox
Thanks for sharing your photos! You do have a gorgeous smile so I am sorry for your concern. The good thing is it will revert in 2 to 3 months.
While injecting your chin, the Botox "spread" just enough on the right to weaken the depressor labii inferioris (DPI) muscle causing the round orbicularis muscle of the lips to lift that side.
You may also regain symmetry with a couple of units of Botox in the DPI on the other side. Discuss this with your injectors as an option.
Don't frown! You have a beautiful smile! All the best!
Botox in the lower face
Your lower lip should improve in time, less than 3 months. Much of it is also how the lip feels to you. Be patient and it should resolve. Hope this is helpful.
Botox caused uneven smile
Botox to the Chin #botox
- It appears that your asymmetric smile may be due to having Botox placed in the depressor anguli oris, or possibly the depressor labii inferioris, muscle on one side but not the other.
- This muscle pulls down on the lower lip.
- By temporarily paralyzing this muscle with Botox, the lower lip on the affected side will no longer move down.
- If you wish to improve your smile to a more symmetric one, you may have Botox placed on the non-affected side's depressor anguli oris/depressor labii inferioris.
- The other option of course is to wait until the Botox wears off over the next 2-3 months.
- Thanks for sharing.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.