Can one get Botox to soften an overactive muscle in the cheek?

Question

I noticed in photos since I was a child that when I smile big, my right cheek crinkles like an accordion whereas my left cheek is normal with only the nasolabial fold creasing during a large smile. Can I get a micro dose of Botox in my right cheek so that it doesn’t accordion like that or would I risk my smile too much? If so, how many units would be safe?

Aditya Sood, MD, MBA, FACS · Answer

Good question. This would be an off label use of the product, but it is possible to use the neurotoxin on a specific cheek muscle to help with your smile related issues. If you go to a non surgeon injector, you will get the simple answer of no its not possible. Anywhere from 4-8 units should do it.

Camille Cash, MD · Answer

If you have an overactive muscle a small amount of Botox may improve your concerns, however it could also lead to an asymmetric smile.  I encourage you to begin by visiting with a board certified plastic surgeon near you.  After an examination and discussion of your concerns the appropriate treatment can be recommended.

Monica Boen, MD · Answer

As a neuromodulator, Botox is designed to work on overactive muscles. However, use of the product in this area would be off-label. Another option might be well-placed dermal fillers on the side of the face that requires correction. No matter what treatment you choose, make sure you work with a board-certified dermatologist with expertise in injectable fillers to ensure an optimal outcome from your procedure.

Sacha Obaid, MD · Answer

Thank you for your question! Even though, Botox in this area would be considered off label, it could be used depending on what specific muscle is contributing to the asymmetry. You would want to be assessed by an experienced injector. Best of luck to you!

John L. Burns Jr., MD · Answer

This would be considered an off label use of botox and I'd suggest being cautions.  Incorrect placement of botox in this area could result if a crooked smile.

Can one get Botox to soften an overactive muscle in the cheek?

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Can one get Botox to soften an overactive muscle in the cheek?

Answers (8)

Answer: Botox to soften cheek

Answer: Botox to soften cheek

Answer: Botox

Answer: Botox

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Everything you need to know about Botox

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