What's wrong with my smile? How can this be improved? (Photo)

Question

I'm feeling insecure . There is always a horizontal crease above upper lip when smiling. Can it be due to proclined teeth or due to muscle overactivity?

Raffy Karamanoukian, MD, FACS · Answer

Non-surgical options for cosmetic dermatology and plastic surgery continue to improve with time. Botox injections and Volume fillers continue to be at the forefront of cosmetic rejuvenation given their high safety profile and efficacy. Facial fillers are used to volumize areas of premature hollowness or wrinkling, whereas Botox is used to reduce hyperactive facial muscles around the eyes, forehead, and chin.

Understanding the various attributes of each filler and Botox option can be discussed in detail during your consultation in our Beverly Hills or Santa Monica offices. Rest assured that we will provide you with exceptional attention to detail and professionalism. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and concerns — I completely understand how noticing a crease like this can make you feel self-conscious. What you’re describing and what’s visible in the photo is a horizontal crease above the upper lip that appears when smiling, and there are a few possible factors contributing to it:

Citrus Aesthetics - San Diego · Answer

First, thank you for sharing this. You’re not alone in noticing this, and it’s a very common concern I see in practice

Albert Yang, MD · Answer

Hello, that area is likely due to the muscle Levator Labii Superioris Alaeque Nasi (LLSAN)
Couple unit of botox in that area could help

What's wrong with my smile? How can this be improved? (Photo)

Answers (4)

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