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Botox Altered my Smile, Caused my Cheeks to Drop and Created Horizontal Ridges Under my Eyes

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Botox Altered my Smile, Caused my Cheeks to Drop and Created Horizontal Ridges Under my Eyes

Jesshere
$450
I'm 34. I've gotten botox several times over the past 3 years. Typically I get my forehead, glabella area and crows feet injected.
In June, my regular injector was all booked up for the month and so, impatiently approaching a vacation, I tried an injector at a local medspa (who came highly reviewed on yelp). I told her I wanted all of the above AND since I'd heard that the DAO muscle could help lift the corners of my mouth, I requested that as well. She did 50 units total.
About a week and a half later, I was on vacation with my friend. He said "smile" for a picture - followed by "stop making that face". I thought I was smiling.. When I saw the pictures, it looked like I was disgusted. This is when I knew something was wrong.
The injection took place July 23, today is August 6th and I can tell you I have barely left my house since returning from that vacation. I am so embarrassed. My smile is shortened, and doesn't turn up like it used to.
My cheeks have dropped and my face no longer has a heart shape (looks heavier on the bottom of my face) and cheeks no longer appear to go up and out. There are also these indentations on my cheeks that weren't there before. I've also developed horizontal bag-like ridges under my eyes that look bizarre.
PLEASE someone tell me what likely happened. And most importantly, will my cheeks and smile go back to normal? I am worried about muscle atrophy in my cheeks (and have spent at least $3000 in filler finally getting them lifted to where I wanted). Now this.
Here are pictures, showing before and afters of my profile taken one month before the botox injections (in May) and the 6 weeks after injections (august). The notable differences are in my cheek contour, my smile and under eye "ledges".
At this point, I absolutely hate my face and avoid looking in the mirror. I cringe at the thought of ever getting botox again.
Please help.

Replies (5)

August 7, 2021
So sorry this happened to you. Rest assured though, the Botox will wear off. My regular injector also it's not available and I went to a med spa my friend recommended to get Botox. She did a terrible job, and left me with wrinkles under my eyes and actually not enough Botox in my forehead so my face looked wonky. I am mediately booked an appointment with my regular injector when I got back and he was able to fix it with additional Botox. I would call your regular injector and explain what happened. I might be able to fix it a bit with more Botox. Worse comes to worse it will wear off. Sorry this happened to you
August 8, 2021
Botox will wear off and your muscles will firm up again. I had it in my neck for a medical procedure from a long standing muscle spasm due to a car accident. 3 weeks after over 150 units of Botox, I woke up one day to find my neck was so weak that I couldn’t lift my head up off a pillow without using my hand to pick my head up! I freaked out, went to the ER asking for an antidote! The doc said around 3 weeks is peak effectiveness/weakness, and it will start to wear off through the next few months. I had to wear a cervical collar for a few weeks, but the Botox started wearing off and I was back to “normal” by like 2 months later, so around 3 months from Botox. Mine was an extreme case, lotsa units, but I just wanted you to know it will get better. Hang in there!!!
August 8, 2021
Same thing happened to me under the eyes. Never agin will I try Botox around my eyes
August 8, 2021
I do it all the time around my eyes with great results. You just need to go to a good injector who knows what he or she is doing
August 27, 2021
So sorry this happened to you! I am going through a very very similar situation right now. Barely leave the house. One side of my face looks "normal", the other looks puffed out and assymetrical. Cheek looks flat and stretched out. It has been 2 months for me, hopefully it will get better with time. Spent so many hours on here googling :(
November 26, 2021
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