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

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

Doctor Answers (3)

Show more dry lip

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  • See a Board Certified Plastic Surgeon to assess the proportions of your lips.
  • The photo suggests a lip lift might be helpful.
  • Botox or Dysport will not help - the nurse clearly did not understand lip dynamics.
  • Fillers along the white roll of the lip with roll it up. That plus a little filler in the red lip - and you should have the look you want. Definitely not an injection nurse.
  • If not fillers, a Permalip implant (they are so small you want the large size) 
  • Or you can try fat injections which can look natural but cause severe swelling for about 1 week. Best wishes.

Lip Flattening When Smiling

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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.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 67 reviews

? Botox for bringing out top "dry lip"

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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.

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 13 reviews

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