Deep Horizontal Crease on Upper Lip when Smiling? (photo)

What are the best alternatives to botox in correcting an upper lip horizontal crease? I tried it once and basically, lost movement in my upper lip. I am embarrassed to smile any more. The crease is actually much longer in person than the picture shows, due to lighting. It is immediately noticeable when I smile. The other day, a friend's very young daughter asked me to smile because she wanted to see my "moustache". Help!!!

Doctor Answers (1)

Upper Lip Crease


This horizontal lip crease is not uncommon and occurs due to contraction of a muscle between the nose and upper lip. There are two main treatments for this problem, one surgical and the other injectable Botox. Botox is simple and for 4 months will inhibit contraction of the muscle which eliminates the crease. A surgical procedure to divide the muscle through an incision behind the lip offers a more permanent solution. Before deciding on a surgical procedure I would recommend trying the Botox first to make sure the muscle is the direct cause.

Baltimore Facial Plastic Surgeon
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