Weird upper cheek when I smile after botox? (photo)

one month ago, 6. units each crows feet, 10 glabellar,8 forehead. (30 total). every dynamic line is gone wbut when i smile my cheeks puff up (not symmetrically) and slightly pop out on the outer corner too. i look like a busted rabbit. does this chipmunk effect look like a botox side effect ? i have high cheekbones and full cheeks to begin with but now they look swollen . any solutions?

Doctor Answers 7

Check back with your doctor who can fix this for you.

Check back with your doctor.  A small touchup can help you with this problem.  Slight adjustment are often needed following Botox injection.   The sooner you get it fixed the better. 


Salt Lake City Dermatologic Surgeon
4.1 out of 5 stars 17 reviews

Botox placement

This will resolve with time, usually within 3-4 months, and is a result of placing the injections to low. See a certified dermatologist or plastic surgeon. 

Kaleroy Papantoniou, MD, FAAD
Great Neck Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Unhappy with Botox--Add Venus Legacy

This may be due to the placement of Botox. It will wear off in 3-4 months. In the mean time, Venus Legacy treatments can help soften this. See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Uneven cheeks after Botox

Hello angelique2016,

Thank you for the photo to accompany your question. What you have described would typically result from the Botox at your crow's feet being injected too low and had migrated downward creating this effect. You could also consider using slightly less at the crow's feet next time. Be sure and discuss this with your injector. Be well. 

Paul Pietro, MD
Greenville Physician
5.0 out of 5 stars 3 reviews

Botox side effect

your Botox was injected too low and results in this appearance. be sure you see a board certified dermatologist or plastic surgeon

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 6 reviews

Chipmunk cheeks after Botox

It is the results of Botox being injected too low on the cheeks or too much. It will last the 3 months and there is nothing that can be done. Next time, less Botox on crows and not as low on the cheek will make sense.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Botox and Smile

The Botox probably was injected a little low around your eyes and migrated to your cheeks.  The effect may last up to three months before it resolves.  Best, Dr. Green

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