I had botox and filler injected into my cheeks and under eye. Now I smile like a chipmunk. What can I do? (Photo)

Question

I had under eye fillers and botox done early in May. Two weeks later, the doctor injected my cheekbones with juvederm and voluma. He also injected a bit of botox into my cheek area near the nose, now when I smile the whole cheek area will freeze and I look like a chipmunk. The doctor said its because of the botox and has been giving me Titan face treatments to soften the fillers and increase heat in my face to try to get the botox to go off faster. What can I do to regain my normal smile?

Larry S. Nichter, MD, MS, FACS · Answer

You can dissolve the fillers Juvederm Ultra and Voluma with Vitrase, unfortunately you have to wait out the Botox for the next 10-14 weeks. Be patient, the good news is, non of this is permanent.  #botoxandfillers   #crookedsmile  #unwantedresults

Jason Emer, MD · Answer

Botox can cause asymmetrical smile and that will last up to 3 months. I suggest you see an expert if you are concerned.  Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. Your before photos do not show any problems; having any procedure performed was probably not needed. Always make sure your doctor is conservative and will tell you when nothing is required. You are best just waiting until everything goes away.Good luck,

Bernard Tan, MBBS, MRCSB · Answer

Hi!
Botox lasts for 3-4 months so you should be regaining your usual smile soon. Energy based device treatments may speed up the process
All the best!

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  I am very sorry to hear about your experience.  I would suggest that you consider dissolving some filler with Vitrase.  Please allow for about 12 weeks for the Botox to wear off in your cheeks.  In the meantime, warm compresses, massage and facial exercises may help you to regain muscle activity more quickly.  I would advise you to see an experienced injector for an in-person reevaluation in order to fully address your concerns and to determine the best course of action.  Best wishes!

I had botox and filler injected into my cheeks and under eye. Now I smile like a chipmunk. What can I do? (Photo)

Answers (9)