Cheek ptosis after Botox. Have I permanently messed up my face by doing this?

Question

FOUR months after botox for crows feet which hit zygomaticus major (confirmed by 2 doctors) i still have a heavy sensation on affected side. Muscle feels limp and dragging sensation. Cannot believe it has not resolved - other times I had botox no probs. Does it last longer on lower face muscles or have I permanently messed up my face by doing this.

Payman Danielpour, MD, FACS · Answer

You will be fine!  It will just take a month or too.  Smile a lot and the botox might wear off faster.

Jason Emer, MD · Answer

There is no way that botox is causing your feeling currently.  It only lasts 2-3 months and is permanently reversible.  I suggest you see a neurologist to ensure nothing else is going on.  Best, Dr. Emer.

Kyle Coleman, MD · Answer

Botox can be a great solution to reduce the lateral canthal lines or crows feet.  However, if injections are carried out too low or too dilute preparations are used, the zygomaticus muscle could be affected creating a non-elevating smile and cheek droop.  Unfortunately, there is nothing that can be done to reverse this.  This effect will resolve over time; however, the duration of effect depends on the amount of units potentially injected into or near this muscle.  Continue to use the muscle and try to smile and this will fade in time.

Steven F. Weiner, MD · Answer

Botox is a temporary drug. The body regrows the nerves that were affected in about 3-4 months. In some people it might take a bit longer, but it will happen. Don't be concerned about it being permanent.

Edwin Ishoo, MD · Answer

Your injection was carried down to low on the crow's feet. This was an operator error. Important to only seek out experienced board certified dermatologist, facial plastic or general plastic surgeons for these treatments to minimize poor outcome. If this is due to Botox, it generally wears off in 3-6 months.

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Cheek ptosis after Botox. Have I permanently messed up my face by doing this?

Answers (7)

Answer: Misplaced Botox will improve...keep your hopes up

Answer: Misplaced Botox will improve...keep your hopes up

Answer: Cheek drop after Botox treatment of Crow's feet

Answer: Cheek drop after Botox treatment of Crow's feet

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Everything you need to know about Botox

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