Do I have hyperactivity of the orbicularis oris? Will botox/dysport fix my hidden top dry lip? (Photo)

Question

When I press down above my lip, more of my 'dry' lip is visible & i would love this to be permanent. Ive had juviderm b4 but this gave me a trout pout, the thinness stuck out more, it didnt roll up more of my dry lip. Recently an injections nurse put a small amount of Dysport (15units) into the area but the effect was minimal & didnt last long. Want to know if botox/dysport is the best way to correct my hidden top dry lip or if theres another procedure thats better? Id love this fixed ASAP. Thnx

Jason Emer, MD · Answer

Fillers can work to lift/evert the lip if done properly.  You must go to an experienced injector.  however, what I have also found to be very effective for this beyond a lip-lift surgical procedure which I perform, is Ultherapy or Thermage.  These are dermal heating procedures used to stimulate collage growth and have both been found to be effective in lifting and tightening the skin.  Find a cosmetic dermatologist or plastic surgeon with experience in all these procedures so they can give you the best opinion.  I do not feel neuromodulation will help this problem.  I wish you the best of luck, Dr. Emer.

Jo Herzog, MD · Answer

I think that fillers can help with this if they are done properly. You might want to go for a consultation with someone that does a lot of lip fillers. My preference would not be an injection nurse but an experienced dermatologist or plastic surgeon.

Do I have hyperactivity of the orbicularis oris? Will botox/dysport fix my hidden top dry lip? (Photo)

Answers (2)