Asymmetrical smile/thin lips. Would filler fix the asymmetry? (Photo)

Question

So I have an asymmetrical smile that is more open on the left side. I also noticed that when I talk, it goes more to the left side as well. I was wondering how I could even out the two sides because my upper lip goes higher and my lower lip goes lower on the left side. I don't know if this problem is due to my jaw or not but I would really like to fix it. I am also interested in plumper lips so I was wondering if a filler would fix the assymmetry as well. Please help me find a permanent fix.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your post and pictures.Contact the U Michigan Department of Facial Plastic Surgery or Neurology and ask to be seen for Botox injection to correct asymmetry of your smile. I am sure they can help you.Best,Dr. Karamanoukian

Edward Szachowicz, MD, PhD · Answer

Your smile is controlled by muscles which surround the mouth. If there is any weakness in these muscles, your smile may can be asymmetrical. The weakness in the muscle can be related to nerve injury. The good news is that neuro-modulators (such as Botox, Dysport or Xeomin) can easily adjust the strength of the opposing muscle to result in more symmetry.

Francis R. Palmer, III, MD (retired) · Answer

Hi, based upon the attached photos you have a weakness of the left marginal mandibular nerve which normally pulls down the corners of the lower lip.  This is why the right corner of the lower lip dips down farther as that nerve is functioning fully while the left side is not.  The lips are slightly below average in fullness with the upper at about 35 % of the size of the lower lip.  The ideal aesthetic proportion, as outlined in my book on facial beauty, should be 75% upper lip volume compared to the lower lip.  Dermal fillers would be able to increase the size of both lips and the proportion of the upper to lower lip but would not have any affect on the weak left sided nerve and the effect that has on the lower lip.  Hope this helps.

Asymmetrical smile/thin lips. Would filler fix the asymmetry? (Photo)

Answers (3)

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Asymmetrical smile/thin lips. Would filler fix the asymmetry? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.