Botox - lower lip crooked. Is it possible that the injector hit a nerve?

Question

I got botox in my chin about 5 months ago and it impacted my bottom lip. The right side of my lip appears to poke out when I talk or smile. When I smile the right side is positioned further downwards than the left. It’s not straight. Kind of looks like the right side is being pulled by an invisible thread. If botox was causing the issue, the effects should’ve dissolved by now. Is it possible the injector hit a nerve or something and permanently damaged my lip?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Andrew Miller, MD · Answer

Botox makes muscle relax, and there is muscle that pulls your bottom lip down. If the botox makes it muscle not work normally, you will see asymmetry. This will resolve as the botox wears off. Be sure you are going to an expert injector for the best results.

Camille Cash, MD · Answer

Botox effects are temporary, lasting typically three to four months.  The product effects wear off gradually.  If you have not seen improvement since your injection I encourage you to return to your injector for an evaluation.

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. A face to face consult and examination is always best however in this scenario it sounds as though some botox has affected one of the lip depressors- maybe the DLI. This can take some time to resolve - sometimes a little longer than 6 months. Please always seek treatment from a trained medical professional for any cosmetic treatment. Best wishes

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your description, you appear to be suffering from partial paralysis of the musculature of your lower lip. The botox toxin usually metabolizes within 4-6 months after injection....in some, shorter...in some, longer. A direct physical injury to the nerve from the small botox needle is unlikely.Be patient...consider performing facial exercises daily in front of a mirror to strengthen the oral muscles which have been inactive for awhile. Give it more time...If there is no resolution within 6 more months, further investigation is required.Best wishes...

Botox - lower lip crooked. Is it possible that the injector hit a nerve?

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Answer: Botox and lip shape

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Answer: Unilateral lower lip muscle weakness 5 months after botox injection

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Botox - lower lip crooked. Is it possible that the injector hit a nerve?

Answers (5)

Answer: Botox and lip shape

Answer: Botox and lip shape

Answer: Unilateral lower lip muscle weakness 5 months after botox injection

Answer: Unilateral lower lip muscle weakness 5 months after botox injection

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Recommended reading

Everything you need to know about Botox

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