Horizontal cheek line when smiling after dysport. How can I fix it? (Photo)

Question

Hello, I recently received Dysport around my eyes and crows feet. As you can see from my pics one side of my face is great when smiling but the other has this weird ledge under my eye. The doc put 3 shots per side of eye, one at the corner, one a little lower and the third inbetween the middle and corner of the eye, which I think if fairly routine? Is there anything I can do to get rid of that ledge that happens when I smile? Fillers or maybe botox in upper cheek (??) Thanks for your time :)

Kenneth D. Steinsapir, MD · Answer

The muscle that supports the cheek in this area has been relaxed.  It helps the crows feet area but it causes unwanted bunching at the top of the cheek.  The solution is to not treat so low on the cheek next time.  The service will wear off but it will take time.  Hang in there.

Jason Emer, MD · Answer

This is a common complication for incorrect over overdosage of neurotoxins around the eyes. Fractional laser, fractional radiofrequency or microneedling can help.  This will also improve on its own in a few months.  Best, Dr. Emer.

Brian S. Biesman, MD · Answer

If you have concerns about your appearance following treatment with dysport or any other drug or procedure, I strongly encourage you to follow-up with the physician who provided your treatment.that person will be in the best position to help you achieve a satisfactory outcome.

Manjula Jegasothy, MD · Answer

As the Dysport® wears off (-2 months), so will any unwanted result. To avoid rippling of the skin under the eyes, the area can be smoothed with Fraxel® laser, rather than a neuromodulator, such as Dysport®, Botox Cosmetic®, Xeomin®. Since Fraxel® rejuvenation of the eye area is an advanced technique, please consult a board certified aesthetic dermatologist for a consultation.

Samir Shureih, MD · Answer

I do not believe you can do much other than time and waiting till the effect starts to fade.The problem is that the disport requires more volume per injection and that requires an expert injector. The lower portion of your orbicularis muscle is affected by the disport, which causes the wrinkle due to the action of the upper part of the orbicularis muscle. Give it some time, trying to correct would result in worse situation.Both Botox and Dysport are very good drugs. The important part is choosing the right DOCTOR to inject.

Horizontal cheek line when smiling after dysport. How can I fix it? (Photo)

Answers (5)

Answer: Horizontal cheek line when smiling after dysport. How can I fix it?

Answer: Horizontal cheek line when smiling after dysport. How can I fix it?

Answer: Dysport

Answer: Dysport

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Horizontal cheek line when smiling after dysport. How can I fix it? (Photo)

Answers (5)

Answer: Horizontal cheek line when smiling after dysport. How can I fix it?

Answer: Horizontal cheek line when smiling after dysport. How can I fix it?

Answer: Dysport

Answer: Dysport

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Recommended reading

Everything you need to know about Dysport

Our mission is to create a world where every investment in modern beauty is Worth It.