Non surgical/non filler way to correct a low smile line? (photo)

Question

The corners of my mouth do not raise and my upper teeth do not show enough when I smile or open my mouth. I have already received lip fillers in the past to fix some asymmetry but when I smile it’s the same. Is there any real way to fix this? I have had complications with surgery in the past so I would rather not go through that.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Lip fillers will only improve red lip volume but will not help elevate the lip to show more tooth, in fact it will only lower the lower lip border.  Surgery is your best option.

Michelle Lai, MD · Answer

Hi,  Dermal filler is the best option but the result might not be optimal. 
Try to consult for BTA injection to help to reduce the movement of the side which has a higher level of the lip when smiling. 
It’s a very tedious job! Please get a board-certified aesthetic doctor!! 
Good luck

Onir Spiegel, DDS, PhD · Answer

One very effective treatment to a low smile line is a corner lip lift procedure which is a fast in-office procedure. The results are amazing and worth fllying for to get it done!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,Have a consultation with a certified physician and discuss doing the lip flip.  This would be an easy in office procedure.Best of luck...

Non surgical/non filler way to correct a low smile line? (photo)

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