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

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.

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!