This is a question that I answered for someone who felt they looked different on one side from the effects of botox:

One thing is possible regarding your situation. Sometimes, people don’t notice things about themselves until they actually get something done.  This is a common thing that happens.  When you get something done, like botox, you tend to look at certain parts of your face more closely and notice things that used to be there before.  That is why doctors have become used to pointing things out to people so that this doesn’t happen after the particular procedure.  We are asymmetric for many reasons.  One thing is really interesting though.  When people look at others to asses  beauty we tend  to look at the right side of the person’s face predominately.  This is due to the fact that our right brains appreciate beauty more than the left brain.  Our visual fields are crossed and asymmetric which leads to this phenomenon. You can find this out by searching on the web for visual field pathways in the brain.  Hence, we select one another, from a sexual selection stand point, by concentrating more on the right side of the face.

In terms of the possibility that other facial muscles are working harder to compensate and then subsequently leading to asymmetric muscle movement and size differences, This is a possibility that hasn’t been looked into as much from a scientific standpoint and could be happening.  I would have to see pictures myself to really come to some assesment of the situation.  Botox could help in this regard too.  You could put botox in those muscles that you think are bigger in a very conservative way.  I would talk to your doctor or send me pictures.

I hope that helps!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This is what I answered for someone recently concerning botox:

This is what is listed with the manufacturer as some of the more common potential problems:

Adverse events occurring in approximately 10-20% of the subjects receiving brimonidine ophthalmic solution (0.1-0.2%) included: allergic conjunctivitis (itchy, watery eyes), conjunctival hyperemia, and eye pruritus. Adverse events occurring in approximately 5-9% included: burning sensation, conjunctival folliculosis, hypertension, ocular allergic reaction, oral dryness, and visual disturbance.

Adverse events occurring in approximately 1-4% of the subjects receiving brimonidine ophthalmic solution (0.1-0.2%) included: allergic reaction, asthenia, blepharitis, blepharoconjunctivitis, blurred vision, bronchitis, cataract, conjunctival edema, conjunctival hemorrhage, conjunctivitis, cough, dizziness, dyspepsia, dyspnea, epiphora, eye discharge, eye dryness, eye irritation, eye pain, eyelid edema, eyelid erythema, fatigue, flu syndrome, follicular conjunctivitis, foreign body sensation, gastrointestinal disorder, headache, hypercholesterolemia, hypotension, infection (primarily colds and respiratory infections), insomnia, keratitis, lid disorder, pharyngitis, photophobia, rash, rhinitis, sinus infection, sinusitis, somnolence, stinging, superficial punctate keratopathy, tearing, visual field defect, vitreous detachment, vitreous disorder, vitreous floaters, and worsened visual acuity.

The most common issues are watery and itchy eyes that could indicate allergies, eye burning and visual problems, and eye redness.

The best thing to do is to avoid droopy eyes by injecting the botox / dysport at least 1.5cm above the orbital rims edge above the eye.  This avoid the botox from traveling to the muscle that lifts your eyelid which is responsible for the droopy eyelid that can happen if this muscle is affected.

I hope that helps you in some way!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington