Laid down after Botox, now uneven smile. Is there something that can be done or should I give it more time? It's been 12 months.

I'm sorry this has going on for so long, but after 12 months I do not believe it is caused by your Botox injections. I think you should see a specialist to figure if you've had a Bell's palsy or another neurologic condition that has caused this to occur. 
Best wishes, Dr. ALDO 

Thanks for your question. Laying down after having a Botox treatment should not have any negative consequences. Additionally, since this happened one year ago, the Botox that was injected at the time has completely worn off. With that being said, it is highly unlikely that the Botox treatment has contributed to an asymmetric smile. I highly recommend that you have a full evaluation by your primary care physician to get to the bottom of the facial asymmetry, especially if you are experiencing any type of facial paralysis. They will be able to review your medical history and run tests to help determine the cause of your concerns. Best of luck.

Unfortunately the facial asymmetry you are noticing has nothing to do with the Botox injections you had. The effects of Botox lasts only for a few months.  Six months at the most, in a few cases a bit longer. I would suggest you see your physician for a thorough evaluation.

Your symptoms are most likely due to something else, not due to the Botox. You should see your general physician for an evaluation and work up.  Botox does not last more than 3 to 4 months and it does not typically affect the cheek when injected into the crow's feet area. 

That would be very unusual, since Botox always wears off within three months.
Generally, if Botox causes any unwanted effect, increasing the movement of the involved muscles will help the Botox wear off faster.  
Your treatment site would then revert to your baseline without permanent sequela.

Hi Swatso1, 
I am sorry to hear you are having this problem, however, this is not something related to Botox. The effect only lasts 3-4 months following injection. I recommend seeing your primary care physician. 
Best, 
Javad Sajan, MD

Botox will wear off after 3-4 months.  It is highly unlikely that the problems you are experiencing are related to the botox.  I would schedule an evaluation with your physician to see if there is another reason for your symptoms.  

It is not possible for Botox to be affecting anything after 12 months so your uneven smile is due to another factor and can be addressed by a board certified dermatologist with Botox and or fillers

First first of all, laying down after a Botox treatment should not make the treatment any worse. The fact that you have an asymmetric smile may have to do with something else. First could be the fact that your smile was always asymmetric and to prove that point I would review your photographs prior to any form of treatment. Secondly it may be something else going on and for that reason you should see a physician who knows you well. You need a comprehensive evaluation if that is the case. Good luck from New York City

Botox lasts an average of 3-4 months. At this point is it very unlikely that your asymmetrical smile is at all related to your Botox treatment.
I recommend that you see your primary physician to see what other condition may be causing this asymmetry.
Best Wishes,
Dr. Sadrian