I had 20 units of Botox in my chin to reduce chin dimples. My lower smile is lopsided. Frozen on one side, droops on the other

Question

Dr. did 5 units on either side of the chin under the nasal labial fold? and 2- 5 unit shots in the front chin. The left side of lip is pulling up and the right side of my lip is pulling down. don't want to go back to Dr. who did it as he is admittedly not very experienced in this area. Is there a Dr in Bergen/Hudson County NJ that can help straighten out my lower lip with a small amount of botox on the unparalyzed side. How soon will this amount botox START to fade away? Will post pic soon.

John Paul Tutela, MD · Answer

Thanks so much for reaching out. It is unfortunate to hear your complication. Botox will start to fade after 2 to 3 months and it is best to wait for its effects to wear off rather than treat the other side.I hope this helps :)

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question CLPJK67. I am sorry to hear about your situation. Botox is a
purified protein used to address wrinkles associated with facial expression. In the lower face Botox can be placed in the mentalis muscle to address dimples on the chin and in the DAO muscle to elevate the corners of the mouth. If the Botox spreads to the nearby DLI muscle it can lead to a temporary asymmetric smile. Side effects resolve in 2 weeks - 4 months. Please
consult with a doctor for specific recommendations. Good luck!

Sean Doherty, MD, FACS · Answer

I am really sorry that you are going through this. In all honesty, I don't think that doing more is the answer. I think you should just let things be. Your smile will improve as the Botox wears off. And obviously, if you plan on trying this again, see an experienced injector like a board certified plastic surgeon. It is always worth the money in the long run.

Shaun Patel, MD · Answer

Sorry to hear about your experience but thanks for sharing your question. Honestly, I recommend that you just give the Botox time to wear off rather than get the opposite side injected. You will see some improvement in your smile over the next 4-6 weeks although it can take 3-4 months for the smile to return to normal. Hang in there. The Botox will wear off.

Edward A. Alvarez, DDS - Account Suspened · Answer

Hello, and I'm so sorry to hear that you have had a bad experience with botox in your chin. Unfortunately, by trying to add more botox to the area you will probably end up with more deviation in your smile. As one side starts to wear off, the other will then look more lopsided. Even if you are "evened" out with more botox, your appearance may not improve. The best advice I could give, is to give the botox time to fade. 5 units of botox is actually quite a small amount for strong muscles that move quite a bit, so it should not be more than 3-5 weeks before you see significant improvement. Best of luck for a speedy recovery!!!
-Dr. Alvarez

I had 20 units of Botox in my chin to reduce chin dimples. My lower smile is lopsided. Frozen on one side, droops on the other

Answers (9)

Answer: Smile asymmetry after Botox injection to the lower face

Answer: Smile asymmetry after Botox injection to the lower face

Answer: Time is the only solution....

Answer: Time is the only solution....

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I had 20 units of Botox in my chin to reduce chin dimples. My lower smile is lopsided. Frozen on one side, droops on the other

Answers (9)

Answer: Smile asymmetry after Botox injection to the lower face

Answer: Smile asymmetry after Botox injection to the lower face

Answer: Time is the only solution....

Answer: Time is the only solution....

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.