A doctor responded "You could have volume loss from Botox but I think the more important consideration is that you do not seem to be pleased with what Botox does." I was not informed whatsoever that Botox in my crows feet area would at all migrate to lower tissues causing my cheeks to drop and be constricted, or volume loss in my temples and cheeks. Wouldn't it be good practice for every doctor administering Botox and Dysport to inform the patient that these effects could potentially happen?
December 9, 2015
Answer: Does Botox cause cheek ptosis and volume loss? Cosmetic doses of Botox in the Crow's feet area will not cause volume loss in the cheek or temple. If the Botox is placed too deeply or too low or too medial it can cause the cheek to drop or the smile to be asymmetric. Thankfully, this effect will be temporary. Unfortunately, it sounds like you've had a bad experience and don't trust the advice of your injector. I think it would be helpful for you to seek a second opinion and have someone evaluate your results and give you specific advice about how to proceed. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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December 9, 2015
Answer: Does Botox cause cheek ptosis and volume loss? Cosmetic doses of Botox in the Crow's feet area will not cause volume loss in the cheek or temple. If the Botox is placed too deeply or too low or too medial it can cause the cheek to drop or the smile to be asymmetric. Thankfully, this effect will be temporary. Unfortunately, it sounds like you've had a bad experience and don't trust the advice of your injector. I think it would be helpful for you to seek a second opinion and have someone evaluate your results and give you specific advice about how to proceed. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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Answer: Botox disappointment causing cheek ptosis and volume loss Dear whatisbeauty:So sorry for your disappointing results!The use of Botox and similar injectable muscle relaxers are art and science. The molecule is the same, the dilution and injection sites will be different. Injection techniques and the understanding of the anatomy and muscle balancing is the art behind the talent and skill of the injector. There is a small diffusion of any substance injected into the skin and other tissues. This is to be taken into consideration by the injector. The skin is tethered to the underlying fat and muscles by many fibrils and if the muscle is taught, it will "firm up the skin". If the muscle is relaxed, so will the overlying skin sag with gravity. Nuances in injection technique are not to inject deep near the inferior and outer lateral orbital rim as the muscle balance of the cheek will relax and displacement of the fat or volume loss may appear. I would suggest obtaining a second opinion from a talented and skillful Board Certified Plastic Surgeon who understands the art and science of injectables prior to laying fault to one of the most used, safe and efficacious drugs benefiting patients in the world. I hope you will have a better result next time. All the best and Happy Holidays!
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Answer: Botox disappointment causing cheek ptosis and volume loss Dear whatisbeauty:So sorry for your disappointing results!The use of Botox and similar injectable muscle relaxers are art and science. The molecule is the same, the dilution and injection sites will be different. Injection techniques and the understanding of the anatomy and muscle balancing is the art behind the talent and skill of the injector. There is a small diffusion of any substance injected into the skin and other tissues. This is to be taken into consideration by the injector. The skin is tethered to the underlying fat and muscles by many fibrils and if the muscle is taught, it will "firm up the skin". If the muscle is relaxed, so will the overlying skin sag with gravity. Nuances in injection technique are not to inject deep near the inferior and outer lateral orbital rim as the muscle balance of the cheek will relax and displacement of the fat or volume loss may appear. I would suggest obtaining a second opinion from a talented and skillful Board Certified Plastic Surgeon who understands the art and science of injectables prior to laying fault to one of the most used, safe and efficacious drugs benefiting patients in the world. I hope you will have a better result next time. All the best and Happy Holidays!
Helpful
