The regular doses of Botox had caused complete muscle wasting in that area and was semi-permanently lost. Her actual problem was with cheek fat sagging. This area (white arrow) had been dragged down by gravity from what used to be youthful upper cheeks, resulting in heavy jowls now.
Answer: Botox and cheek drooping
Botox if injected at the wrong place, or diffusion of the product beyond the treatment area can affect the cheeks muscles and cause drooping.
For all of its positive applications, though, there are places on your face where Botox shouldn't be applied, and your cheeks are definitely one of them. Botox injections in the cheeks have been known to cause inconsistency in facial expressions and, in some cases, even an inability to smile.
Things like excessive sun exposure, smoking, excessive drinking, poor nutrition, and air pollution can all contribute to the advanced decline of collagen and elastin. Taking care of yourself and supplementing your skincare routine with products that target the signs of aging can help.
Sunken cheeks occur when you don't have a lot of tissue (flesh) between your zygoma (the bony arch of your cheek under your eye) and your mandible (your lower jawbone). Both women and men can have them. Sunken cheeks are often attributed to the aging process, which causes you to lose facial fat.
False: Fillers Make Your Skin Sag
The fact is, dermal fillers add such a subtle and healthy amount of volume to the skin, that any skin stretching will be minimal. In fact, if you already have sagging skin or wrinkles, these fillers will take up the space that was once occupied by natural fat.
When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.
Botox can also be incorrectly injected in a way that lowers the natural elevation of the cheeks, leading to the appearance of 'chipmunk cheeks'. Finally, the overuse of Botox around the mouth can result in temporary droopiness.
Headache or flu-like symptoms. Droopy eyelid or cockeyed eyebrows. Crooked smile or drooling. Eye dryness or excessive tearing.
Facial drooping after BOTOX can occur if an excess amount of the product is used in the wrong areas. But, this is rare and it will go away.
In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks. According to Dr. Holman, “It's important to remember that, like Botox treatments, a drooping eyelid is usually temporary.
Fortunately, the effects of Botox are temporary, including side effects such as an asymmetric, crooked, or uneven smile.
The use of fillers in the face to achieve a liquid facelift or to increase the size of your cheek bones will leave some damage behind to your face and in the young patient under the age of 35 it will make you look older.
What is pillow face? Pillow face is a condition that occurs as a result of a person getting over-injected with dermal fillers in their face. This leads to an overstuffed look, which causes the checks and other areas of the face to puff out.
Botox reduces sagging jowls by tightening and lifting the jaw area. This pulls back the excess sagging skin that creates jowls in the first place.
Numerous reports demonstrate that muscle atrophy after botulinum toxin type A treatment occurs and is both reversible and temporary, with current literature supporting the notion that repeated chemodenervation with botulinum toxin likely responsible for both therapeutic and incidental temporary muscle atrophy.
There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.
When some people see their wrinkles form again after the rejuvenating effects of Botox wear off, they assume that the treatment made their wrinkles worse. This isn't true at all. In fact, regular Botox use can actually retrain certain muscles to move less, leading to smoother skin with less Botox over time.
Exercising – Exercising increases the blood supply to all your muscles including your facial muscles and so this can result your Botox to wear off faster.
As top dermatologist David Colbert, M.D. is quick to note, however, too much Botox and filler distorts the face and as a result will make you appear older.
A good injector should know where to never inject.
A qualified, experienced injector should never inject the area near the orbital bone right above the pupil. If Botox is injected here, it can drift down toward the upper eyelid and cause an eyelid droop. This can last from weeks to even months.
“'Some telltale signs of 'Bad Botox' are asymmetry of facial movement, excessive brow elevation and unnatural brow shape, noticeable upper-eyelid hooding, a 'frozen' look, and some lines getting smoother and others looking exaggerated,” explains New York facial plastic surgeon Konstantin Vasyukevich, MD, who offers ...