If Botox travels to unwanted place, how long until it wears off?

Dr. Dean Kane Q & A Q. If Botox travels to unwanted place, how long until it wears off? A. ​So sorry for your trouble! ​ ​Botox is a injectible liquid medicine which relaxes the targeted muscle by absorption into the nerve ending and blocking the chemical transmitter to the muscle. The liquid may have creeped or diffused to an adjacent muscle. ​It will also block that muscle similarly but without as much of the targeted amount. Therefore, the adjacent muscle will retain some function with some weakness. ​ The art and science of Botox injection takes talent and skill. Knowledge of the facial muscles and the dynamic balance of the face with the use of muscle relaxer injections is crucial to achieve the desired results. ​ ​Thankfully, this is temporary and you will soon have your smile back. If the muscle was injected directly, expect it to take about 3 months for return of function. ​ ​If the Botox migrated to this muscle, the effect won’t last as long. ​ ​Options including:
  • ​waiting for the nerve to regenerate more neurotransmitter (less than 3 months),
  • ​visualize the activity of the muscle,
  • ​hold back activity of the opposite muscle and try to activate the weakened muscle,
  • ​occasionally, the artful use of filler will improve the appearance.
​ ​Please return to your injector or seek a 2nd consultation with a well experienced and Board Certified Plastic Surgeon, ENT Facial Surgeon or Dermatologist to offer their evaluation and recommendations. ​ ​I hope this is helpful. All the best!
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