Botox's Gone Wrong (On my Chin and Jaw)? (photo)

In November 2012.I had Botox on my chin 4 units ( to make my chin longer said the doctor) and 30x2=60 units for jaw reduction . Two days after I had it, my mouth, chin , smile looked funny. I have been having a stroke-like smile since then. Is it going to be recovered ? It has been over 3 months now, I am very worried . Thank you to the doctors who kindly give me some advice.

Doctor Answers 13

Botox in chin

The botox probably hit your DAO muscles which will cause your lip to raise when the muscle is paralyzed. It may take 4-6 months to improve.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Botox's Gone Wrong (On my Chin and Jaw)?

Thank you for your question.  You may of had botox injected into one of the right DAO muscle causing your upper lip to elevate causing asymmetry.   Rest assured, the botox will wear off in the next month.  

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 109 reviews

Botox for the chin and jaw.

Your uneven smile will gradually return to normal, but it may take another month or so.  Make sure your doctor knows the result you have had so he can adjust your next treatment.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox to jaw gone wrong

Great photos - thanks for providing those. The big issue with Botox near the chin and around the mouth is that just the tiniest bit too much, or even a mm or two difference in injection site, and you can have issues with eating, drinking, talking, smiling, etc. In extreme cases, one side of the mouth will drop and it will resemble a stroke. While it is absolutely not permanent, it is still going to be frustrating. This is when we are all very lucky that Botox isn't permanent. It will go away, with time, but since you had 60 units and I'm not sure exactly which units were put where, it may last up to 6 months.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Crooked smile

If the depressor labii inferioris is inadvertantly weakened with chin botox injections, the weakened side (the right side in your case) will rest higher upon smiling. That is because the muscle that normally pulls down that side of the lip is weakened. The way to correct this is to inject the depressor labii inferioris on the unaffected side (left side in your case) to even out your smile so that both muscles are weakened. That being said, since you've waited 3 months, it may be safer to hold off on any more injections in the area. That way, you're not constantly chasing one droopy side with another.

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

#Botox complication

the number of units used to correct the jawline and the chin (60 units) is on the high side in my opinion. the greater the number of units used the longer it will take for the Botox to wear off. its not permanent. just be patient

Misbah Khan MD, FAAD, FACMS
New York Dermatologic Surgeon
4.9 out of 5 stars 28 reviews

It will get better...but don't do that again

Botox is a muscle paralyzing agent and will have that affect on any muscle set.  While some people may do this to you and think that it is a good is not.  The soft tissue in that part of your face is not well compartmentalized and the drug can migrate in unpredictable ways and assymetric directions.  Your results speak for themselves and you will simply have to be patient.  Massaging that area may help it resolve quicker, but regardless, it will wear off. 


As you are aware, there are many people injecting botox with little background or be careful and get what you pay for.

K. Dwayne Fulks, MD
Chattanooga Plastic Surgeon
5.0 out of 5 stars 1 review

Botox for Jaw Reduction

You provide many pictures and from what I can gather from these, with the progression of time, there is asymmetry of your smile with droopiness of your lips which was not there prior to Botox for jaw reduction. If this asymmetry was not present before the injection, it is temporally related to Botox injection, and it should resolve over time. It will take 3-6 months as a large # of units of Botox was used (as is standard for jaw reduction). Be patient.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Botox and crooked smile

Your treatment will wear off in ~3 to 4 months and those unpleasant side effects will go away. Be sure to follow up with your provider so they can see what's happened with your treatment.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Unintentional mimetic muscles treated with Botox

You should notice your lip depressor function and your smile symmetry return very soon.  As you noted, muscles that were not the intended target were treated with Botox, but it should wear off this month since you are already 3 months from treatment.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.