What can be done about mid face/inner cheek area weirdly bunching up on smiling? (Photo)

What likely happened is that the Dysport weakened a muscle around your eyes called the orbicularis oculi. This muscle helps support the lower eyelid and keep the fat pads under your eyes in place. When that muscle is relaxed too much, it can make those fat pads look more visible or “puffy.”...

In my opinion, Botox would not help to minimize a small buffalo hump. A buffalo hump is normally composed of excess fat and Botox will not have any effect on fat. There are other options to treat a buffalo hump, including liposuction.

Thank you for providing photos along with your question. Botox results should only last between 3-4 months. To address puffiness or under-eye bags, you may consider fillers to restore volume and even out your under-eye area. You may also consider “jelly roll” Botox which targets the slight bul...

Thank you for your question and photo. The deep-set wrinkle you’re referring to may benefit from a small amount of hyaluronic acid dermal filler. These formulas can volumize shallow contours and smooth lines by adding volume to lift the targeted area of the skin. I recommend scheduling an i...

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...