Can Juvederm Ultra Plus or a thicker lip filler with Russian technique fix a top lip that curls inwards when I smile? (photo)

Question

Can under ultra plus or a thicker filler fix an upper lip that curls inwards when you smile with an open mouth? I’ve done a lip flip with Botox before didn’t last long. If filler with the Russian lip technique can help this problem I want to try it before the actual lip lift.

Jeffrey H. Spiegel, MD · Answer

The Russian lip filler technique is perfect for this very issue, as it helps give the lip vertical lengthening in addition to volume. If that doesn't get the vertical height you desire, a lip lift procedure is the next step up.

Gary M. Horndeski, MD · Answer

I would not recommend this, you need a permanent solution. A lip lift is a much better alternative. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anna Chacon, MD, FAAD · Answer

Juvederm Ultra Plus or other thicker fillers can indeed help address the issue of an upper lip that curls inwards when you smile. The Russian lip technique, which focuses on creating a more defined and lifted appearance by injecting filler vertically into the lip, might be particularly beneficial for your concern. This technique can enhance the structure and volume of the lips, potentially reducing the inward curl when you smile.

However, it is important to consult with a qualified and experienced injector to assess your specific anatomy and discuss your goals. They can provide personalized advice and determine if this approach is suitable for you or if other treatments might be more effective. Additionally, keep in mind that results can vary, and it may take some time to achieve the desired outcome. If you are considering a lip lift in the future, discussing this with your injector can help in planning the best course of action.

Nelson Lee Novick, MD · Answer

I have been performing nonsurgical lip flips, as well as the Russian Technique for lip volume for quite a few years with very gratifying results.
However, at least from the photo provided, it would appear that the longer-lasting results you are seeking can be achieved with the combined use of a Botox Lip Lift AND the use of a low viscosity, cohesive, malleable HA Filler injected along the vermilion border of the upper lip. to better define and accentuate the vermilion.  The combination of the Botox and filler tends to synergistically have considerably more long-lasting, durable results.
You would be wise to consult with a board certified cosmetic dermatologist injection expert and best of luck.

DoctoraVital Med Spa - Cooper City · Answer

When you smile, the orbicularis oris muscle can contract inward, pulling the upper lip in the way you described. Being young and having braces might actually accentuate this muscular response. In your situation, I recommend a straightforward approach without surgery.
Neuromodulators are typically the first option, though they don’t last very long. I suggest combining this with a vertical lip filler technique using Restylane Kysse. This filler can mimic some effects of neuromodulators and, when combined with a lip flip using toxin, can extend the duration of the desired outcome.
Most of my patients return every 8 months for mild touch-ups, often just with the toxin, to maintain their results.
Remember: keep it simple.

Can Juvederm Ultra Plus or a thicker lip filler with Russian technique fix a top lip that curls inwards when I smile? (photo)

Answers (5)

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