Distorted, swollen upper cheeks when smiling after Botox for crows feet.

This is tough to answer without pictures. This may be due to where the Botox was placed. It will dissolve in 3-4 months. In the mean time, Venus Legacy treatments can help soften. See an expert. Best, Dr. Emer

I am sorry that you are having this problem. I have been using Botox for aesthetic purposes since 1991. In my experience, what you are describing may occur when Botox (or the other muscle relaxers, Dysport and Xeomin) are injected too low onto the cheek or if some should diffuse down onto the cheek and affect the muscles of facial expression responsible for smiling and the distortion you are experiencing. While, unfortunately, there no injection to reverse the effects of Botox, the results are happily temporary and last only until the Botox is metabolized away--usually somewhere between three and seven months, given individual variations. In many people, the undesirable effects often improve significantly even after only two months or so. Going forward, you would do well to seek consultation and treatment by a board certified aesthetic physician with expertise in the use of Botox.

Thank you for your question. I am sorry this has happened to you. This is due to your Botox being placed too low below the crow’s feet and paralyzing your zygomaticus muscles (smile muscles). Unfortunately, Botox takes 3-4 months to wear off. I recommend you seek out a new injector.