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.

I am very sorry for your experience, especially because the immobilization of your mouth may impact your ability to earn. Luckily, the effects of the Botox should begin to wear off within the next couple of months. In the meantime, have patience for yourself and try to find a board-certified dermatologist who has verifiable expertise in Botox injection. You may need to interview several before you find someone who gives you confidence. Good luck.

I'm sorry to hear about your poor results.  The Botox may have affected one of the lip depressor muscles.  The good news is that the effect will wear off on its own over time.  I would go back to see your injector to discuss whether any additional Botox should be considered.  However, it might be best to avoid any further Botox for now and let it all wear off because putting more Botox into the wrong place could make the situation worse.  Four units is a low dose and hopefully the Botox effect will wear off quickly for you.BestsDr. Ort

Hello Caprisunshine,Thank you for sharing your question and photos. I am sorry to see/hear you are having such difficulty after your  Botox. Unlike fillers which can be "dissolved" when untoward outcomes or complications are experienced the same does not hold true for Botox. Regarding your overall function at this time most will be able to compensate to some degree as time goes on when untoward effects of the mouth are encountered with specific injections in this area. None of the responses to date or forthcoming will be able to definitively help with the why because we were not involved with the injections but as previous posts have stated migration or less than specific injections into the desired muscle can lead to some of the symptoms you are experiencing. This is by no means permanent and will resolve with time as the Botox wears off. Be well.

This appears that the injection was done improperly and affected the DLI muscles instead of/or addition to the mentalis. There is nothing that can be done other than waiting it out. Moving food around the mouth probably is affected as well. I'm sorry this has happened to you.The good thing is that 4 units shouldn't last the complete 3 months but probably 6 weeks, if this is an accurate number (it seems low).

Thank you for your question Caprisunshine. I am sorry to hear
about your situation. Botox
is a purified protein used to address wrinkles associated with facial
expressions. In the lower face a small amount of Botox can be placed in the mentalis muscle to address dimples on the chin. If the Botox spreads to the neighboring DLI muscle, the result can be a temporary asymmetric smile. Sometimes these rare side effects occur and it is part of the risk when undergoing such treatments. It is important to understand the risks before any treatment. Such side effects normally resolve in 3-4 months. Please consult with a doctor for specific
recommendations.  Good luck!