Botox caused super round cheeks when I smile and looks weird (Photo)

Question

had botox injections in november on crows feet 6-6 units: weird smile and puffy unevern cheeks when i smiled. effect lasted almost 5-6 weeks. last week i went to a master injector hoping he would give me a botox brow lift. he did 4 injections (10 units each side). he said to elevate brows i needed crows feet injections. i explained my issue two mos before and said it wont happen: results puffy cheeks when i smile. attaching the picture of the needle mark. too low? Will it last longer this time

Jason Emer, MD · Answer

It's difficult to tell from your picture. It is still too soon to tell what your final results may be. Botox results can take up to 1-2 weeks. If you're unhappy with your results, it will dissolve in 3-4 months. In the mean time, Venus Legacy treatments may help soften results. See an expert. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

Unfortunately, the photo provided is not particularly helpful regarding the cheek issue.  However, in general, a Botox "Browlift" is achieved by injecting a microdroplet of the Botox into the outer tail of each eyebrow. This is often done as a final step after treating the crow's feet regions (when these areas actually require treatment), but the crow's feet do NOT need to be treated if only the browlift is desired. As to the weird smile and puffy cheek problem, I strongly suspect that the Botox may have been injected too low on the cheek when the crow's feet were being treated or diffused downward on the cheek and that this may in fact be at the root of the current problem. If so, the smile distortion is only temporary and will dissipate when the Botox wears off, which is usually about 4-6 months following treatment. Following that , I would suggest that you make sure you are actually seeing a board certified aesthetic physician. Best of luck and Happy New Year.

Monika Soni, MD · Answer

Your picture is not clear and it is hard to tell by looking at the picture that you provided. From your description it seems that you are experiencing chipmunk cheeks. Botox results can take up to 2 weeks to settle and can last up to 4 months or even 6 months in rare cases. If you were aiming to achieve brow lift, you do not have to do crows feet. If your provider was treating your crow’s feet and you still ended up with chipmunk cheeks, then the injections were too low. Good luck!

Hardik Soni, MD · Answer

Your picture is not clear and it is hard to tell by looking at the picture that you provided. From your description it seems that you are experiencing chipmunk cheeks. Botox results can take up to 2 weeks to settle and can last up to 4 months or even 6 months in rare cases. If you were aiming to achieve brow lift, you do not have to do crows feet. If your provider was treating your crow’s feet and you still ended up with chipmunk cheeks, then the injections were too low. Good luck!

Melvin Elson, MD · Answer

I cant tell much from the picture but it sounds like you were injected too low and this caused the issue. Also, you do not have to have crow's feet injected to have brow lift. the result you have simply needs to wear off

Botox caused super round cheeks when I smile and looks weird (Photo)

Answers (7)

Answer: Chipmunk cheeks

Answer: Chipmunk cheeks

Answer: Puffy cheeks after Botox

Answer: Puffy cheeks after Botox

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Botox caused super round cheeks when I smile and looks weird (Photo)

Answers (7)

Answer: Chipmunk cheeks

Answer: Chipmunk cheeks

Answer: Puffy cheeks after Botox

Answer: Puffy cheeks after Botox

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Everything you need to know about Botox

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