I went in for Botox about 3 weeks ago: lisp, lower lip movement. (photos)

Question

I had noticed that my chin was looking weird and a slight indent when I smiled. Now 3 weeks later I'm lisping, my lower lip doesn't move and to open my mouth wide to eat a sandwich is nigh impossible, depending on the sandwich. Not to mention the bottom of my chin still looks like an "orange peel".

Michael P. Morrissette, DDS, FACS · Answer

It sounds like some of the Botox that was injected has migrated or was injected in the depressor muscle of the lip... not the angle depressor. The effects of Botox will be gone in 3-4 months. As far as the "orange peel" texture of your chin, I would recommend alternative treatment such as laser, or microneedling and PRP. These will provide long lasting and permanent results.

Carlos Mata, MD, MBA, FACS · Answer

Hello there,Thank you for your question and I'm sorry to hear about your concern.  From your explanation, it seems you wanted botox in your chin but it affected your bottom lip, instead of your chin.  It seems to me that the botox was injected in an incorrect muscle.  Unfortunately, there isn't much that can be done to help the botox wear off faster.  Try to apply heat as often as possible and move your bottom lip by puckering it and hopefully the botox will wear off sooner rather than later.  I also really recommend returning to your provider and discussing your concerns.  Hope this helps.All the best,Carlos Mata, MD, MBA, FACSBoard-Certified Plastic Surgeon

John Bitner, MD · Answer

The Botox is likely the culprit in what it has done to your lower lip.  While Botox for "peau d'orange" is an acceptable treatment, it seems like they either used too much and it migrated to the lip muscles or it was just misplaced in the first place.  Fortunately, it will wear off, for sure, but you will have to deal with this for a few months.  There isn't a treatment that improves things or makes it wear off any faster.

Jason Emer, MD · Answer

This may be due to Botox placement. Botox results will last for 3-4 months. In the mean time, venus legacy treatments will give improvement. See an expert. Best, Dr. Emer

Aldo Guerra, MD · Answer

It appears you have some lower facial weakness after Botox in the chin area. I suggest you speak with your injector to address your concerns.Best wishes, Dr. ALDO

Sean Doherty, MD, FACS · Answer

Well, the good news is that the Botox is working. The bad news is that is was misplaced. Botox typically lasts about 4-6 months so it will wear off with time. I would suggest that you see a different surgeon if you decide to try this again. Best of luck and so sorry that you are experiencing this.

Melvin Elson, MD · Answer

The side effects you are experiencing are due to misplacement of the Botox. Treatment of the mentalis is very simple and should not cause any issues such as this. see your doctor or get a second opinion

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  I'm sorry to hear that you are experiencing complications from your Botox treatment.  Based on your photos and your description, it sounds like your injector likely placed your Botox incorrectly - rather than treating the muscles responsible for a "pebbled" or "orange peel" chin, he/she accidentally injected the muscles that control the actions of the lower lip.  Botox injections in the lower face require very precise placement and exact knowledge of facial musculature and anatomy - I would recommend seeing a cosmetic dermatologist or plastic surgeon for any future treatments.   Unfortunately, there is no way to reverse the effects of Botox after it has been injected.  The effects typically last up to 3-4 months, and you should start to notice gradual improvement over the next several weeks.  I hope you feel better soon.

Lisa Ohman Erhard, MD · Answer

Since it has been about 3 weeks, it is a good time to go back to have a follow-up with the provider that performed the Botox. It does look as though the results were not where you would like them to be and your provider does need to know how it effected you.

E. John Serrao, MD (retired) · Answer

Hello Myrn72, and thank you for your question. Unfortunately, from your description, it sounds like the Botox you received is working like it was supposed to, only problem was that it has been placed in the wrong muscle group. At this point, there is nothing for you  to do but wait until the neurotoxin dissipates in its action. This is temporary and will go away. Please contact your provider and go in for a follow-up. Good luck.
Dr. John Serrao

I went in for Botox about 3 weeks ago: lisp, lower lip movement. (photos)

Answers (10)

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