Third Botox injection in the DOA muscle, still no results (Photo)
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Doctor Answers 10
Botox in the DOA's
How lift your smile #marionettelines #juvederm
I do like like botox in the DAO, I usually used 2U at each injection session. But typically stop after a total of 4U(the DAO is not a very strong muscle. The other technique I like to use when improving downward turned corners of the mouth is filler injections. Typicall I used Juvederm Ultraplus XC into the corners of the mouth. I approach from a superior lateral to inferior medial direction as I pull the corner of the mouth up I inject into the corner of the lip at the vermillion border as well as perpendicular to the melolabial fold (corner of lip to jawline) This acts as a kick stand and help to lift the corners of the mouth. You may also want inject botox into your mentalis muscle. It appears that is is hyperactive in one of our photos and give a peau d'orange appearance or orange peel look when flexed. by injecting about 5 units it will relax that muscle and give a smoother appearance. I too like sculptra but for a better lifting effect of the cheek and corner of the mouth, I find that voluma works better in my hands
3 treatments of Botox to DAO and still not responding
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After 3 attempts at Botox in the DAO without results, you need to see another doctor
Botox Treatment for Downturned Smile
Filler vs. Botox for DAO
Injectible filler is great for the marionette lines.
If you haven't gotten the results you need from DAO Botox alone, it may be helpful to add a little injectible filler into the marionette's lines to add volume into this area. As far as being able to make a frown goes, there are more muscles than the DAO that contribute to frowning. The problem is that trying to add Botox to all these muscles would cause oral incompetence which is functionally and socially disruptive.
I think filler is the safest option.
Careful with botox around the mouth
My recommendation for marionette lines is filler.
Best of luck.
- Dr. Bryson Richards
Using Botox to treat the DAO muscle
DAO muscle not responding to botox
Based from your photos and your statement, you probably need a combination of filler to reduce the marionette lines and botox to relax the muscle. As for the botox, there are 2 main reasons shy it may not be working, the target muscle was not hit, or the dose may not be enough.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.