Why is my smile not symmetrical? Can I ever have a symmetrical smile? (Photos)

Question

i don't care what others think but i want a pretty smile that is the same on both sides. when i don't smile with my teeth it doesn't show up but when i smile with my teeth even if i don't smile hard it shows. see the difference? is that a dimple? can i get rid of it?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you consult with a board certified facial plastic surgeon because you seem like an ideal candidate for lip augmentation through fillers and lifting. The corner lip lift uses tiny incisions above the outer corners of the mouth to subtly raise and even the overall mouth contour.
Best wishes,

Jason Emer, MD · Answer

You would get a nice improvement with lip fillers. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical lip. Nova threads can be used to improve lift and shape. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Robert M. Tornambe, MD · Answer

baby22805.  Your asymmetry is only apparent when you smile, so correction must be done with great care because your lips are quite attractive when in repose. I recommend correction with a filler like Juvederm Ultra plus by an experienced injector very conservatively because over correction will cause another asymmetry. If you like the result, then you can consider fat transfer for a longer lasting result. Seek out a board certified plastic surgeon or dermatologist with lots of experience treating lips. Good luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Each person has subtle asymmetries comparing the right and left sides of their face and body and yours is likely due to the strength and activity of your lip muscles.  Depending on what your lines look like when not smiling you may be able to narrow the differences with a small amount of dermal filler along the deeper crease site.  Hope this helps.

Victoria Dobbie, BDS · Answer

Hello your lips look perfectly symmetrical. I understand it is the way your skin creases that is different on each side and this is what you do not like. I would examine your occlusion and the relationship of your jaws to understand were this difference in muscle tension is being created. Botox can be very successful for relaxing the muscle movement around the mouth and softening asymmetries.

Steven F. Weiner, MD · Answer

This is actually an easy fix. I love the new product Restylane Refyne for this. It is injected somewhat differently in my hands. I inject with serial depots in the dermis. You should be very happy with this correction. Refyne has flexibility so it moves during expression, also called XpreHAn technology. The other fillers don't do as well in this area because they are more particulate, and don't move well with expressions.

Christian N. Ford, MD · Answer

Thank you for your excellent question and for sharing your photograph.  Please keep in mind that even the most aesthetically beautiful face will have minor asymmetries.  Fillers can often be used to improve facial asymmetry with excellent results.  Please be sure to see an expert injector for an in-person consultation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps best wishes!

Val Lambros, MD, FACS (retired) · Answer

my experience over 30 some years is that searching for asymmetry is a twisting dark sinkhole of frustration. The all too human problem is that there becomes a hyper sensitized perception of the area in question that becomes almost difficult to see much less treat. Typically you do something that make the area a little better and a little worse, usually only visible to the person looking. The end point is making something that only you can see overtreated to the point where it  becomes visible to everyone.

Rita Rakus, MBBS - Account Suspended · Answer

Thank you so much for your question. A minimal asymmetrical smile is not unusual, as the London Lip Queen I often try to straighten out the simile with a small amount of filler, placed strategically in the corner of the mouth.  Very occasionally if there is extra muscle tension on one side of your smile we may add a drop of Botox to relax the muscle. We often review you 2-3 weeks later to add the finishing touches for fine tuning if required. I hope this helps.

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