I have some asymmetry on my top lip, I've had lip injections but one side doesn’t lift, would Botox on that side help? (Photos)

Question

My lips are still swollen from getting them done 4 days ago and this time I had some bruising as you can see. The side with the bruising is the side that doesn’t seem to lift or get rounder so I am contimplating doing the “lip flip” but would getting this done on both sides just keep the asymmetry?

Rod J. Rohrich, MD · Answer

The swelling you are experiencing is normal four days post injections.  I tell my patients to ice the area for 2-4 days to minimize swelling and bruising - all should subside in 7-10 days.  If the problem persists, Botox on the side in question could help lift this area.  Be sure your injections are performed by a board certified plastic surgeon or dermatologist with experience and expertise with injectables and knowledge of facial anatomy.

Robert M. Tornambe, MD · Answer

pmurray9.   I appreciate your concern, however Botox is not the answer for your issue. You simply need a little more lip filler material injected to the left side in the proper location. I recommend that you return to the Doctor who injected you. Best of luck.

Monika Soni, MD · Answer

Thank you for your question. I recommend waiting 2 weeks for all swelling to resolve before fixing any asymmetries you may have. You may simply just need a little more filler injected to the left side to even out your lips. It is common to need touch ups when injecting the lips. I recommend following up with your injector to address your concerns. Best of Luck!

Rachel Bognet, MD · Answer

Thanks so much for sharing your photos. I personally have a lot of luck with perioral Botox. The orbicularis oris is a circular muscle responsible for pursing and overtime causing inward turning and thinning of lips. Because your issues seems to be not enough eversion of the left lateral upper lip, 2-3 units of Botox can improve that. It’s also very inexpensive and low risk. Typically the Botox only lasts 2-3 months around the lips.  I agree with other physician though as well to wait till swelling goes down.  Regardless, you’re lips still look amazing!

Robert Sleightholm, MD · Answer

Thanks so much for your photos and question. I recommend that you wait 2 weeks prior to making any decisions to correct any asymmetries you may have. At that time, most swelling and bruising should have subsided and then you're okay to concentrate more on the side with less volume/border. Touch ups are common when doing lips and sometimes optimal results are achieved in 2 stages. All the best!

Gary Gesualdi, MD · Answer

There are two possible ways to correct this.  Either with touch up with filler or Botox or possibly both.
Good luck and be great if can post pics after treatment and let us know how it turns out.
Gary Gesualdi, MD
Chattanooga, TN

Leonard Grossman, MD · Answer

I would definitely not use botox in your lips as it may create more problems than anything else. I would speak to your treating physician and see if microinjections touch ups of a filler can help to create more symmetry. Good luck from New York City

I have some asymmetry on my top lip, I've had lip injections but one side doesn’t lift, would Botox on that side help? (Photos)

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