Why is my smile so weird after chin filler and jaw Botox? (Photo)

Question

I got Juvederm in my chin two days ago and love the results when I'm not smiling, but when I smile my fave looks really asymmetric and strange. I also got 30 units of Botox in each masseter. What's going on? Is it just swelling?

Jason Emer, MD · Answer

Botox takes 2 weeks to work, I suggest you give it time to determine what the ultimate outcome is. Please see an expert if you are still concerned after swelling has gone down.  If you are unhappy it will resolve in 2-4 months on its own. Best, Dr. Emer.

Michael T. Somenek, MD · Answer

After having Juvederm and Botox, it is best to
give the injected areas several days for the filler to settle. With any type of filler, you will have some swelling that could cause asymmetry for a couple of
days. Botox takes several days to take effect and I always have patients wait a full two weeks before considering a touch up. If you are still concerned at that time I would return to your provider to a reevaluation. Best of luck.

William Marshall Guy, MD · Answer

Hello Finallysophia,What you are seeing when you smile is the right lower lip not being pulled as far down as the left side.  This happens because of a nerve that starts just behind your ear and travels over the bottom of the jaw.  It appears it has been affected by the Botox you had to your masseter muscle.  Since the treatment was only 2 days ago, this is likely going to get worse before it gets better.  The reason is it takes about 7-10 days to reach the maximum effect.  The good news is that this result will only be temporary.  The drawback is that other than time for the Botox to wear off (about 3-4 months), nothing will speed up that process.  I hope this helps and good luck.

Jeanine B. Downie, MD · Answer

Hello, I recommend strongly that you wait at least a week before all the swelling goes down.  Unfortunately, some of the Botox may have migrated but it is honestly too early to tell.  I recommend you got back to the doctor that injected you.  Good Luck, Dr. Downie

Darryl J. Blinski, MD · Answer

Both effect on the right marginal mandibular nerve so lip on lower right stays up. Time will allow this to be improved!

Justin Harper, MD - Account Suspended · Answer

Hi there,Since Botox takes a week to work I'd suggest waiting at least that long to evaluate the final results of your treatment. Keep us posted and let us know how things look in a week.

Why is my smile so weird after chin filler and jaw Botox? (Photo)

Answers (6)

More Chin Filler Questions

After Restylane injection on chin, dark bruise, am I in danger? (photos)

I have an uneven chin & smile. When speaking,my chin points left. When my mouth is closed there isn't much asymmetry. (photo)

How much Radiesse should I have for my chin? (photos)

Juvederm chin reaction necrosis vs infection progress (Photo)

Voluma over old chin implant?

Possibility of injecting Juvederm on silicone implant chin? (Photo)

WE SEND PRETTY
EMAILS