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

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!

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 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.

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.