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Dysport wrong injection points causing a crooked smile, will it go back to. normal?

Yes, this should resolve. A crooked smile after Dysport usually happens when the product affects the muscles that pull the corners of the mouth (depressor anguli oris, zygomaticus, or risorius) unevenly, either from injection placement or diffusion into a neighboring muscle. Since Dysport works by temporarily blocking nerve signals to muscle, the asymmetry fades as the effect wears off. Timing varies by dose and individual metabolism, but most people see improvement well before the full effect is gone, and it should be back to normal within a few months at the outside.

In the meantime, follow up with the injector who treated you. Sometimes a small, precise touch-up on the stronger side can rebalance the smile while you wait for the rest to fade. Avoid the temptation to have more product added broadly to fix it, since that can prolong the issue. If you're not already being followed by a board-certified physician experienced in facial anatomy, that's worth arranging for this and any future treatments.

Clinical Context

Some facial asymmetry exists before treatment, and relaxing one side can make it more visible. Comparing to photos taken before your Dysport helps distinguish this from a true injection effect. Mild unevenness from diffusion or placement typically improves as the product wears off over weeks to months. Your injector can examine the specific muscles involved and determine whether watching and waiting or a small corrective touch-up makes more sense for your situation.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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