Submit your question below about any cosmetic procedure to be considered for posting with an answer from one of our board-certified plastic surgeons.
Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
Botox for frown lines and Bells Palsy/facial paralysis history
The short answer is Yes & Yes. Botox is a paralyzing agent. When utilized it is injected in the Non-Affected/ Non-Paralyzed side. It can cause decreased function and much less spasticity. This could result in a very flaccid facial appearance. Please consider a member of the ASAPS for this technically challenging procedure. Best,
Gary R Culbertson, MD, FACS
Yes, Botox is safe to be used to smooth frown lines after Bell's Palsy. It is also safe if you have a facial paralysis on one side. In fact, it is indicated for this diagnosis to weaken the muscles on the non-paralized side to try and make the two sides more similar. Radiesse is also helpful for this. try and make the two sides more similar.
Botox & Bells Palsy – To use Botox to provide symmetry on both the normal and the effected side the Botox injection must be based upon a careful analysis of what has caused the asymmetry. Radiesse is also fine to place on the cheekbone for facial shaping and symmetry as well.