Can Botox be used to lower upper lip?

Botox can be injected in the upper lip at the nasal sill or base of the nose to help lower and relax a short upper lip. These muscles are often addressed at the time of a rhinoplasty and can help reduce the tension on the nasal tip and lip. Botox can easily help to lessen the tension on the upper lip though it will require repetitive injections every 3 months. If the effect is positive with a neuromodulator like Botox, then a more permanent solution could be considered.

If your lip is too high at rest, it is doubtful that Botox will drop it, but the treatment would be very similar to treating a gummy smile. We simply inject the Botox into the muscles that lift the lip so that those muscles relax and can't lift the lip as well. Unfortunately, there is not much tension in relaxed muscles, so I don't expect the Botox to drop a lip from a relaxed position. Sometimes it's worth a try though. Make sure you see a very experienced injector since this type of Botox treatement is unusual, and a very thorough understanding of the facial muscles is mandatory to prevent an unexpected consequence like a crooked smile (you wouldn't like that at all and it would take weeks to resolve).Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers