First time getting Botox. Once it wears off, if I do it again will I have the same issue? (Photo)

Hello and thank you for your question. Based on your photos, the Botox was likely inadvertently injected into your right risorius muscle. The risorius muscle sits directly above the masseter and helps to create a smile by pulling the corner of the mouth outward and upward. When Botox relaxes this muscle, it will temporarily affect the symmetry of your smile as it limits the ability to smile widely on the affected side. This will improve as the Botox wears off and when injected precisely, it is very unlikely for this to happen again. All the best, Esther Litenatsky AGACNP-BC on behalf of Dr. Ran Y. Rubinstein, MD facial plastic surgeon in Newburgh, NY and Montvale, NJ.

The facial differences that you described such as the folds and inability to fully smile can be related to your Botox treatment. Speak with your injector about your concerns so your future treatments can be adjusted. There is no way to speed up the longevity of the Botox. The results generally fade gradually over three to four months.

It's understandable to feel concerned about these changes following your Botox treatment. Here are some points to consider:

Current Symptoms: The folds and difficulty smiling, along with numbness, could be due to the Botox affecting nearby muscles, which can sometimes happen if the injection diffuses to unintended areas. This can result in temporary changes in facial expressions.

Duration and Reversal: Botox effects typically last 3 to 4 months, and unfortunately, there isn't a reliable method to speed up the reversal. Staying hydrated and maintaining a healthy lifestyle might help, but patience is usually the best course of action.

Future Treatments: It's possible that these side effects may not occur with future treatments, especially if you consult with an experienced injector who can adjust the technique or dosage. Discussing your previous experience and concerns with them can help tailor the approach to avoid similar issues.

Non-Invasive Alternatives: If you're hesitant about trying Botox again, consider other non-invasive options for facial slimming, such as:

Ultrasound or Radiofrequency Treatments: These can help tighten skin and reduce fat.
Kybella: Though primarily used for reducing submental fat, it might be suitable depending on your specific needs.
Facial Exercises: While evidence is limited, some believe that targeted exercises can help tone facial muscles.
Consultation: It might be beneficial to consult with a dermatologist or a cosmetic surgeon who can assess your facial anatomy and provide personalized advice. They can also discuss any potential risks and benefits of alternative treatments.

Remember, every individual's response to Botox can vary, and a thorough consultation with a qualified professional is crucial for achieving the desired results safely.