Botox 90 days ago caused cheek ptosis - please advise (Photos)

Question

90 days ago had Botox on crows feet by facial PS. 3-5 days later cheeks felt tight and could barely smile. Right cheek has seemed to get much better but there is a deep indent (shelf) on left cheek when I smile. C bone area looks very flat at rest. Worsen of nasolabial fold too. Got second opinion from PS- she said cheek ptosis and zygomaticus was affected. 3-6 months. Do you agree with this? I'm so distressed. Could there be permanent paralysis? Cheek isn't lifting past shelf.

Anna Petropoulos, MD, FRCS · Answer

Hello mswashingtondc! Thank you for your question, this complication from injections for crows feet is such a hassle for the patient! This can be a result of injection accuracy and/or facial anatomy variations. Thankfully, botox metabolizes. Since it has already been 90 days, it has likely already improved slightly though probably very gradually. It should continue to improve. It's difficult to say exactly how long it will take for full resolution, but the estimate of 3-6 months is reasonable. Moving forward, you may need to skip the lower crows feet injection point. I hope this helps! Genie Alexander RN BSN, for Dr. Anna Petropoulos MD FRCS, Center for Classic Beauty, Boston & Danvers, MA.

Camille Cash, MD · Answer

I'm sorry you are having issues from your Botox treatment.  The effects from your treatment are not permanent.  They should gradually fade over the next three to four months, though sometimes they can last a bit longer.  I've included a video I hope you find helpful.

Botox 90 days ago caused cheek ptosis - please advise (Photos)

Answers (2)