After 4 units of Botox in my chin I cannot speak and smile is dragging down, what can help? (Photos)

It seems that your botox may have migrated and affected a different muscle.  Unfortunately this will have to wear off and may take 3-4 months.

Unfortunately Botox lasts about 3-4 months and there is no reversal like there is for dermal fillers. It appears that some of the botox has migrated and diminshed the contracture of the depresor Labii Inferioris muscle  and the opposite side is unopposed, giving you this problem. If it is truly a problem of migration, the effects of the botox may not last the full 3-4 months. I think that it is likely that you will see a return to normal in a shorter period of time.

Unfortunately, thissounds as if the injection was too close to the muscles that move your lip and you will need to wait untilthe Botox wears off within the next three to four months.  It will improve over 4-6 weeks. Best, Dr. Emer

Thank you for your question and for adding photos whichhelps us out a lot. Unfortunately there is not much you can do at this point.The botox will start to wear off in about 2-3 months (maybe sooner with only 4 units) and everything shouldreturn to normal. Trying to add more to correct it at this point is something Iwould not suggest doing. This is uncommon, but certainly can happen if thebotox was injected too high or too far laterally. The treatment seems to haveaffected your deperssor labii inferioris muscle in additon to the mentalis which is where it was intended.  It is unfortunate, but is 100% correctable with sometime.  Give it some time.

Hi Capri. Thank's for providing the before and after pictures. It seems that your Botox has involved the muscle that sits adjacent to your chin muscle which has subsequently affected your smile. This can be due to migration of the Botox or poor injection technique. I wouldn't do anything more to try and correct it at this point. Fortunately, once the Botox starts wearing off in the next 2-3 months things will go completely back to normal. Best wishes.