A 23-year-old white woman was referred for revision of a left cheek scar, resulting from incisions and drainage of a recurrent facial abscess (Figure 2A). A comprehensive general medical workup had been noncontributory. Culture findings revealed pansensitive normal skin flora. On physical examination, a 2 × 1-cm indurated mass was palpated subjacent to a complex widened scar of the left cheek. A mild amount of purulent material was expressed with digital compression. Under systemic antibiotic therapy and frequent intralesional saline irrigations, the drainage discontinued and signs of inflammation abated. The patient was taken to the operating room for excision of the scar and underlying fibrosed abscess cavity. During surgery, 30 U of Botox were injected into the buccinator and zygomatici muscles. One week after surgery, the sutures were removed. Clinically significant paralysis ensued, and no dynamic tension or distortion of the wound was observed clinically (Figure 2B). Ten weeks after surgery, muscle function had returned completely.