What can I do about permanent asymmetry in chin caused by Dysport?

Question

I had botched dysport injections in my chin in February 2022. I initially wanted the injection to help with a pull on my mouth, but it caused my chin to be asymmetrical. I went back to the injector to get it evened out so she put more dysport (5units) in the other side of my chin. I’m not sure if she injected more than that or if she just injected it in the wrong spot but it paralysed that whole bottom quarter of my face. I haven’t had any injections since and my face still isn’t as it use to be

Anil R. Shah, MD · Answer

Hi Isabellachau,

I am Sarah, a medical assistant at Aesthetic Skin MD with Dr. Anil Shah in Chicago. I am so sorry to hear about your horrible experience with Dysport injections, but I want to let you know that this isn't always the case and to not be scared about future injections with a more experienced injector. My professional advice would be to wait a couple or few months until the neurotoxin wears off completely and then if you are ever in the Chicago area you should come in to see one of our providers for your next injections. See the link below to book a consultation!

Camille Cash, MD · Answer

I'm sorry to hear of the issues you had with your Dysport treatment.  Though the longevity of the product can vary by patient, it typically wears off after three to four months.  The effects of neuromodulators are temporary.  I've included a video that I hope you find helpful.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

The Aesthetic Edit ATX - Cedar Park · Answer

The injector likely hit the DLI (depressor labia inferioris) instead of the DAO or mentalis. This can create an asymmetrical smile. Normally I recommend just allowing the dysport to wear off if this occurs. Since the other side was also treated and potentially overtreated, I would avoid treating in this area until the muscles completely recover. Some providers, including myself have seen some success with using Upneeq to temporarily increase the muscle activity in the DLI by placing the Upneeq in the mucosa of the lower gums. But, I do think, with time the muscles will go back to normal.

What can I do about permanent asymmetry in chin caused by Dysport?

Answers (4)

Answer: An asymmetrical smile

Answer: An asymmetrical smile

Recommended reading

Everything you need to know about Dysport

Our mission is to create a world where every investment in modern beauty is Worth It.

What can I do about permanent asymmetry in chin caused by Dysport?

Answers (4)

Answer: An asymmetrical smile

Answer: An asymmetrical smile

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Recommended reading

Everything you need to know about Dysport

Our mission is to create a world where every investment in modern beauty is Worth It.