lopsided smile

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lopsided smile

Postby sarahbarah » Tue Aug 04, 2009 10:55 pm

i recently had botox to the jaw and noticed that it has been harder to smile than usual, and one side does not rise as high as it used to. could this be due to botox? and will it take 5-6 to go back to normal, or is there some intervention that can be done?
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Re: lopsided smile

Postby sarahbarah » Tue Aug 04, 2009 11:12 pm

as an Update, I also realized that the dimples on both sides of my smile are gone. this distresses me a lot. I've heard that masseter paralysis lasts a long time. does the same go for smile muscles and the dimple muscles?
sarahbarah
 
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Re: lopsided smile

Postby sarahbarah » Tue Aug 04, 2009 11:17 pm

Oh, and just to clarify, I am not a patient of yours. I actually tried booking an appt with you but you seem to be booked for many months.
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Re: lopsided smile

Postby dr. lam » Wed Aug 05, 2009 8:52 pm

good news with botox is that all things will revert to normal. however, yes, the masseter does take a long time to revert in many cases. if you trust me in the future, i should be able to get a nice result for you that is very safe. i measure and recheck my measurement 20 times before injecting, and i use calipers. look forward to taking care of you in the future when things improve.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
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Re: lopsided smile

Postby sarahbarah » Thu Aug 06, 2009 12:21 am

so the dimple muscles will also take a long term to revert like masseter muscles?
sarahbarah
 
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Re: lopsided smile

Postby dr. lam » Thu Aug 06, 2009 4:05 am

i have never seen that problem. however, botox done one time should be temporary.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Re: lopsided smile

Postby sarahbarah » Mon Aug 24, 2009 6:43 pm

well my concern is that because of the large dosage, the effects may be permanent. Is there anything to offset this paralysis?
sarahbarah
 
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Re: lopsided smile

Postby dr. lam » Mon Aug 24, 2009 8:58 pm

sorry nothing really. just patience. and optimism that all will be well. look forward to take care of you in the future time. read my blog today. it might help.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
Site Admin
 
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Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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