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My smile has completely changed after Botox on forehead, frown lines, crows feet, & under eyes. Any suggestions?

Dr. Dean Kane Botox Q & A.KaneMatureWMSmall

Q. My top lip doesn’t lift enough. When smiling with lips together it looks normal but when smiling or laughing with lips apart my top lip isn’t lifting so looks like half a smile. My injectant didn’t inject low down on crows feet but could it still have an effect on my smile muscles?

A. Botox is a miraculous drug when used correctly. It is extremely artful and injector dependent on his or her skills.

When Botox or any of the muscle relaxer injectibles is not injected correctly, adjacent muscles may be affected causing relaxation and therefore an imbalance on facial appearance. Your muscle surrounding your lips and mouth are actually connected up into your cheeks. Do you notice when you smile that you develop wrinkles around your eyes? It is because your cheek muscles are an active participant in helping you smile. So if Botox gets injected too low on the upper part of the cheek, the Botox will weaken the muscles that help lift your mouth muscles and stop you from having a full smile.

The good news is that if minor amounts of Botox reached these muscles, the waiting time for the muscles to return to normal function is shorter than the average 3 months. It will also return to full function.

Q. I heard you can use Botox in the lips to reduce lip lines, will this affect my smile?

A. Botox, Dysport and Jeuveau all can be used in the actual vertical lines around the lips to relax the lip muscles and soften the lines. Botox Injections into the lips also are excellent for the “tight lip” person who have very thin lips. The relaxation of the lip allows the muscle to roll out and soften the entire lips. While your smile can actually improve, injections to the lips causes a temporary lack of control and people find they can’t completely sip from a straw, smoke their cigarette or drink from a cup. This experience is very temporary and only lasts 2 to 3 weeks.

If you have any questions you would like to ask of our office you can call us 410-602-3322 or  email: Lauri@DrDeanKane.com and she will be happy to answer any cosmetic questions you may have.

We would love to hear from you.


This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

Give us a call at  410.602.3322  or email Lauri@DrDeanKane.com and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.

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