I'm sorry to hear about the distressing experience you're having with Botox. Based on the information provided, it seems like you've experienced a complication related to Botox injections, specifically affecting the zygomaticus muscles, which are responsible for lifting the cheeks. Here are some points to consider and steps to take: 1. **Understanding the Issue**: Botox works by temporarily paralyzing muscles. In your case, it appears that the Botox has affected the zygomaticus muscles, causing a droop in your cheeks. This can result in a flat appearance of the cheekbone area and an accumulation of tissue near the nasolabial folds, contributing to the appearance of dark lines under the eyes. 2. **Duration of Effects**: Botox effects typically last between 3-6 months. However, in cases where higher doses are used or injections are given too close together, the effects can last longer. Since you received two doses within a short period, it might take a bit longer for the effects to completely wear off. Five months is already a significant duration, but some residual effects might still be present. 3. **Potential for Improvement**: The good news is that Botox effects are not permanent. Given more time, the muscle activity should gradually return to normal. While it is concerning that there has been little improvement in five months, it’s still possible that further recovery could occur. Muscular function and appearance often continue to improve even beyond the typical 6-month period. 4. **Follow-up with Specialists**: Continue to follow up with a specialist, preferably a dermatologist or a plastic surgeon with experience in managing Botox complications. They can provide a more detailed assessment and possibly suggest treatments to help improve the appearance and function of the affected areas. 5. **Supportive Treatments**: In some cases, physical therapy or facial exercises might help expedite the return of muscle function. A specialist can guide you on appropriate exercises if they deem it beneficial. Additionally, there are treatments like microcurrent therapy that some practitioners use to stimulate muscle activity. 6. **Cosmetic Options**: While waiting for the effects to wear off, you might consider non-invasive cosmetic treatments to address the appearance of dark lines and sagging. Treatments such as microneedling, laser therapy, or specific skincare regimens might help improve skin texture and appearance. 7. **Mental and Emotional Support**: Experiencing a cosmetic complication can be very distressing. It might be helpful to speak with a counselor or therapist to manage any anxiety or emotional distress related to these changes in your appearance. 8. **Avoid Further Botox**: Until the current issue is fully resolved, avoid any additional Botox treatments in the affected area to prevent exacerbating the problem. In summary, while the situation is understandably distressing, there is a good chance that the effects will continue to improve with time. Regular follow-up with a specialist and possibly incorporating supportive treatments can also aid in the recovery process.