Weird smile after Botox (Photo)

Question

i had 6 units under each crows feet, 10 glabellar, 8 forehead (i do it every 8 months) one month ago. this time, different provider and my smile looks weird: asymmetric cheek (or whatever asymmetry is exaccerbated) and my already full cheeks puff up and now when i smile they are gianormous! is it misplacement of botox (i had half a syring of filler tooin region of nl folds, may be that?)

Matthew Brace, MD · Answer

Treating the crow's feet area has to be done with consideration to the other muscles in the region. If the crow's feet lines are injected too low the Botox can spread to the muscles that elevate your lip and cause a weakness in your smile. It will wear off in 3 months or so but be sure to see an experienced injector next time to avoid this complication. All the best,

Dr. Brace

James R. Gordon, MD, FACS, FAAO · Answer

Thank for sharing your question and photo. The problem might have occurred from migration of the Botox or inappropriate placement. See your doctor or get a second opinion from another experienced injector.  Good luck,

Monika Soni, MD · Answer

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.

Stewart T. Cayton, MD, FACS · Answer

While this can be caused by too low an injection in the crow's feet, I feel that it is most commonly caused by injecting too DEEP into the crow's feet in the lower region, near where the Zyg. major and minor insert under the orbicularis mm that causes the crow's feet.  Crow's feet injections can be kept very superficial (just under the skin) because of the location of the muscle and how thin it is and they will still have the desired effect without affecting the smile.  This will likely wear off soon because you received such a low dose.
Best of luck in the future!
Dr. Cayton

Hardik Soni, MD · Answer

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.

Weird smile after Botox (Photo)

Answers (10)

Answer: Asymmetric smile after botox to crow's feet

Answer: Asymmetric smile after botox to crow's feet

Answer: Weird Smile After Botox

Answer: Weird Smile After Botox

Recommended reading

Everything you need to know about Botox

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

Weird smile after Botox (Photo)

Answers (10)

Answer: Asymmetric smile after botox to crow's feet

Answer: Asymmetric smile after botox to crow's feet

Answer: Weird Smile After Botox

Answer: Weird Smile After Botox

Browse related questions

Recommended reading

Everything you need to know about Botox

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