Did my botox travel down my cheek? (Photo)

I had botox done 7 days ago. I noticed that when I smile my left cheekbone looks really puffy and when my face is relaxed it's better but still slightly puffy. Is this from the botox?

Doctor Answers 4

It takes 2 weeks to see the full effects of Botox.

Thank you for your question,

It takes 2 weeks to see the full effects of Botox. After the 2 weeks if you are still concerned, schedule a follow up with your injector to discuss your concerns.


Toronto Plastic Surgeon
4.9 out of 5 stars 458 reviews

Facial asymmetry after Botox injection

While the time course you describe is consistent with changes related to Botox effect, more information such as the dose, placement, etc. would be needed to answer your question most accurately.  I would return to the physician who administered your injections to get a better understanding of what might be causing the changes you notice.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Did my botox travel down my cheek? (Photo)

Very possible you had BOTOX spread effect. Best to see the injecting doctor again to examine you to just be sure... 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Did Botox travel down cheek?

You did not mention what area of your face was treated with Botox, but if it was around the eyes, then it is possible that Botox could affect your cheeks.  The Botox does not necessarily travel down, but if it is placed below the eyes, it can prevent the cheek from raising as high as normal when you smile and this can make the cheek look fuller or more puffy.  This effect can be prevented by keeping the Botox just on the sides of the eyes and not placing any below the eye.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.