Slight Asymmetry After the Botox – Dysport Injection?

Question

Two days ago I've had an injection of disport to treat my crows feet wrinkles.I've started to notice that the left side of my face has become more pronounced as thus the cheek on my left side appears to be “chubbier”. This asymmetry seems to show more when I smile. The difference is not too obvious. Nevertheless, I would estimate that the asymmetry is around 10% and it does make me feel uncomfortable. Is there a way how I can make the “swollen” cheek to calm down? Thank you

Michael I. Echavez, MD · Answer

I would agree that you should wait some more time before evaluating your final result from the Dysport treatment to your crow's feet 2 days ago. If you still notice some asymmetry after a week or so, I would contact your treating physician. Often, there are slight touch ups that can be done to give improvement.

Donald B. Yoo, MD, FACS · Answer

Dysport will start to take effect in a day or two, but may take up to 7-10 days for full effect.  Muscles on one side of the face may respond at a different rate from the other side, so as the Dysport takes full effect you may notice improved symmetry.  Follow up with your physician in 2 weeks, as it's usually possible to perform a "touch-up" at this time if you still feel there is asymmetry.

Sam Naficy, MD, FACS · Answer

It may take 7-10 days to see the full effects of Dysport or Botox.  If after this time you still notice some asymmetry, I would recommend that you follow-up with your provider.

Jonathan Kulbersh, MD · Answer

In general, it can take up to a week for the Botox/Dysport to take effect. You
	may be experiencing some swelling from the injection itself which will lead to
	the chubby appearance in your cheek. In general, the side effects of
	Botox/Dysport are as follow:

	1) Light bruising
	2) Swelling
	3) Redness

	As of now, there is not much you can do to calm the swelling down. This is
	something that will resolve over the next 1-2 weeks. I would recommend giving
	it some time and then reevaluating. I hope this helps, and best of luck.

Dara Liotta, MD, FACS · Answer

As others have said, it takes 7-10 days to see the full effect of Botox and Dysport. Asymmetries at this time may also be due to some asymmetric swelling after the injections. If you still feel that there are asymmetries after two weeks, revisit your injector. there may be some touch-ups that they can do.

F. Victor Rueckl, MD (in memoriam) · Answer

The full affects of Botox and Dysport can take up to 10 days to see. Don't worry about the asymmetry until that point because certain muscles will respond faster than others. Give it 10 days and then return to your injector if anything doesn't seem right.

Slight Asymmetry After the Botox – Dysport Injection?

Answers (6)