Botox injected into partially paralyzed face and after 18 weeks, still not back to how it was - advice? (photo)

Question

I am partially paralyzed on the right side of my face due to a benign brain tumor on the 7th cranial nerve. I had decompression surgery in 1997. I complained of wrinkles and my injector, forgetting I was already partially paralyzed injected 2 units under my eyes and 2 units on both sides of chin to soften the wrinkles. Instead I am more paralyzed now and it is over 18 weeks. wearing off but very very slowly. Is this because the muscle is already paralyzed? Will the botox last longer than regular

Alan Gonzalez, MD, FACS · Answer

Hello @Bright325902, thank you for your question. A botox treatment typically lasts between four and six months depending on the organism. A product's duration has nothing to do with whether there is facial paralysis. Making protocols with facial passive current can accelerate the degradation of the molecule. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Cory Bovenzi, MD · Answer

Hi and thanks for the question!
My recommendation is for you to go to a facial nerve center for evaluation by a facial plastic and reconstructive surgeon with particular training in facial nerve rehabilitation and reconstruction. This subspecialized training can help with your asymmetric baseline and how to treat this with options including asymmetric botulinum toxin administration, facial physical therapy, and surgical interventions including nerve transfers, selective neurolysis, tendon transfers, etc. Many techniques available now for facial nerve rehabilitation and reconstruction are state-of-the-art and were not available at the time of your initial illness. I wish you the best of luck going forward!

Botox injected into partially paralyzed face and after 18 weeks, still not back to how it was - advice? (photo)

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Botox injected into partially paralyzed face and after 18 weeks, still not back to how it was - advice? (photo)

Answers (2)

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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.