Xeomin injected into the buccinator. It has completely atrophied and my cheeks are sunken and have fallen. Will I ever recover?

Hi. I'm sorry this happened to you. Atrophy is definitely an effect any time Xeomin, Botox, or Dysport is injected into your muscles. Thankfully, your muscles will recover and normalize after a few months. This is for certain, as long as you don't get any more neuromodulator injections into those areas.If you would like a more immediate result, I suggest a filler such as Juvederm or Restylane, which can immediately increase volume and will last for several months. Hopefully it will be enough to "bridge" the time between now and when your muscles normalize.I hope this helps!

Fortunately (in this case), the effects of neuromodulators, such as Botox, Xeomin and Dysport, are temporary.  They typically last from about 6-9 months, though sometimes longer.  As such, simply waiting out the normal and natural weakening of the Xeomin that was injected in your is the best course.  It will resolve on its own.However, if you truly have muscle atrophy, then it sounds like something more than a response to Xeomin.  You should contact your internist, let him or her know what happened, and expect to undergo some medical tests to see what else might be causing that, because it's most likely not the Xeomin.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100