Correction crooked smile after Botox - advice? (photos)

Question

Doctors, please your advice?! After my lip lift went wrong and I have to wait three months to correct it, I wanted my mouth corners lifted. (I looked like a sad Pierrot after a TIA) The board certified PS treated my chin, mouth corners and platysmal bands. On which side and in which muscle I need botox to correct my crooked lowerlip smile? My confidence isn’t great anymore, so I want to understand it myself. Please write; on the picture left/right otherwise I’ll get confused. Thanks in advance!

Jason Emer, MD · Answer

This requires an in-person evaluation. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer

Leslie Pickens, MD · Answer

The Botox will gradually wear off.  This is an area of constant motion which is in your favor which my speed its metabolism.  Unfortunately, there is no antidote but hang in there and it will eventually return to normal.

Jennifer Scaljon, MD · Answer

With using photos only and not a personal evaluation, this is my best estimate of the situation: One side is treated more and creating a heavy upper lip, while the other side appears to be stronger and pulling to that side. All in all, both sides must be treated to prevent unopposed pulling toward the side of the stronger muscle. I would be hesitant to add more Botox to that stronger muscle, for fear of making both sides that heavy. I would recommend muscle exercises of "big smiles" and "pursing the lips to whistle or to drink out of a straw. I am hoping that will strengthen the muscle that appears to be sagging and contributing to the asymmetric smile. After that, tincture of time. I know it is hard to wait, but Botox has it's time limitations and this will resolve.

Correction crooked smile after Botox - advice? (photos)

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Correction crooked smile after Botox - advice? (photos)

Answers (3)

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