I had Botox and Sculptra almost 2 years ago. Will my face ever go back to normal? (Photo)

Question

I got Botox and sculptra almost 2 years ago. Then got another vial this year in January in the temples and cheeks. The doctor, I know injected more on the right side. My face has changed so much. I don’t look or feel like myself. I am not sure how or if my face can even be fixed or who I can go to. Now, I’m scare to get anything else in face. Face looks loop side. Also something is happening to my eye. Already checked and MRI shows no thyroid issue.

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for reaching out with your concerns about the changes you’ve experienced following Botox and Sculptra treatments. It's understandable to feel anxious about changes in your appearance, and I'm here to offer some guidance on how you might proceed:

Understanding Botox and Sculptra:
Botox: Typically, the effects of Botox last between 3 to 6 months. Therefore, any residual effects from Botox administered almost two years ago should have resolved by now.
Sculptra: This injectable is designed to stimulate collagen production and can last up to two years or more. Any asymmetry caused by Sculptra could potentially still be present.

Facial Asymmetry:
Assessment by an Experienced Practitioner: It’s important to consult with a board-certified dermatologist or plastic surgeon who is experienced in corrective procedures. They can assess your current facial structure and recommend a tailored approach to address any asymmetry or unwanted changes.
Potential Solutions: Depending on the assessment, treatments could include strategic use of fillers to balance the asymmetry or other non-invasive procedures to enhance symmetry.

Concerns with Eye Appearance:
If you have noticed changes in your eye appearance and an MRI has ruled out thyroid issues, it may be beneficial to consult with an oculoplastic surgeon. They specialize in the eye area and can provide a more focused evaluation.

Emotional Well-being:
Feeling dissatisfied with your appearance can be distressing. Consider speaking with a therapist who can help you navigate these feelings while you explore corrective options.

Next Steps:
Consultation: Schedule a consultation with a specialist to discuss your concerns and explore possible corrective measures.
Avoiding Further Procedures: Until you feel comfortable and have a clear plan with a trusted professional, it might be wise to hold off on additional cosmetic treatments.

Warm regards.

I had Botox and Sculptra almost 2 years ago. Will my face ever go back to normal? (Photo)

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