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

Thank you very much for your question. I’m sorry to
hear that you did not receive good results from your recent Botox procedure.
From your description, it sounds like your Botox injections may been
incorrectly placed, affecting the zygomatic muscle, which draws the mouth up to
a smile. This could affect the  shapes of
your smile, and the movement of your lips or lower cheeks. Unfortunately, there
is no way to undo these side-effects. However, the results from Botox are
temporary and will wear off slowly. In about three to four months, these side-effects
should resolve completely. If you have any further concerns, I suggest speaking
with your Botox provider for further advice.

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.

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. 

Thank you for
your question hopexo. I am sorry to hear about your situation. Botox is
a purified protein used to address wrinkles associated with facial expression such as the crows feet seen around the eyes when one smiles. With any Botox injection there is a risk that the Botox will spread to nearby muscles. In this area it can spread to the nearby zygomaticus muscles in the upper cheeks. If these muscles are relaxed with Botox it can lead to a temporary asymmetric smile. Most people enjoy the results of their Botox treatment for 3-4 months. At that point unintended effects typically also resolve. Please consult with
a doctor for specific recommendations. Good luck!

Your injections were too low and hit the zygomatic muscle. this will wear off but next time be sure you see a board certified dermatologist or plastic surgeon

This happens if the Botox is injected too low and too deep. It affects the zygomaticus muscle. This muscle lips the lips and cheeks. It will take about 3 months to get better.

If your smile is off it is likely that the botox was injected a bit too low and affected your smile muscles. It will take 3-4 months to wear off.

Without a photo it is impossible to tell the effects but it sounds like some of the Botox migrated to the cheek area. This effect should resolve in one to two months.  Best, Dr. Green