Trouble smiling after botox and huge upper cheeks when I smile (I look like a cartoon) (Photo)

It's difficult to tell from your photo, but it may be that you were injected to low. This will resolve in 3-4 months. In the mean time, venus legacy treatments may soften results. See an expert. Best, Dr. Emer

Your Botox was placed to inferior on the crows feet and the Botox affected your cheek muscle. When this happens your cheek sags which creates a puffy look when you smile and causes your smile to be uneven. Next time tell your injector about the tendency for this to happen so the injections will be placed higher in the crows feet area. This effect should wear off over the next 2-3 months. Best wishes.

Thank you for your question! You got so called chipmunk cheeks. This can be easily corrected with fillers or you may want to simply wait it out as the results should only last a few months. Best of luck! 

I'm sorry to hear about your experience.  It seems that the dose used for you was appropriate however, the product affected the muscles of your smile, which are located  under the eye bone and at the top of the cheek bone. It may be your anatomy, or how the Botox was prepared, or how it was injected.  I'm sorry it happened but the good thing is that it is not permanent and will resolve in 3-4 months or even sooner. I suggest you see your provider again and have them evaluate your face and make a note in your file to stay slightly higher for injections next time around. Since, this is the second time it happened, which is rather unusual, I highly suggest you inform your providers as doctor's learn from patients and if you had ad adverse effect you should have a discussion with your doctor as how to prevent in in the future rather than trying a different doctor. Hope you feel better soon. Best, Dr.Avaliani

You got so called chipmunk cheeks. This can be easily corrected with fillers or you may want to simply wait it out as the results should only last a few months. Good luck! 

This is due to improper technique of the injection. If the Botox is injected to low, it can diffuse into the zygomaticus muscle and affect your smile. There is nothing that can be done currently to make it get better faster other than waiting for it to wear off. If the Botox reconstitution is in a large volume, there is more diffusion as well. Also, if too much Botox was injected, it can perhaps cause this. 

It looks like the botox was placed too low. the muscle that helps you smile attaches here and if botox relaxes this muscle it can effect your smile. I would discuss this with the doctor who did the injection. They may want to alter their technique/placement of the botox. 

If the Botox was placed too low around the eyes, the zygomaticus muscle could have been affected resulting in the cheek ptosis. I would probably see someone more experienced with Botox. Unfortunately, board certification does not necessarily guarantee experience with a particular injectable treatment in all cases. 

Thank you for your question and picture. I am sorry to hear you are having issue with botox. Botox if injected around the eyes area can affect the smile.  I recommend following up with your provider for a proper post-procedure evaluation. Good luck,