I'm underwhelmed by my top lip, corners of my mouth/lips don’t seem plumped enough, and my smile is more lopsided. (Photos)

Question

this is my first time. i've always been self conscious about my long philtrum; my top lip sort of curls under when i speak. i got 4 units of botox above top lip & 1mL juvederm. in my (obviously) unprofessional opinion, the sides of my mouth are too small & my top lip isn’t filled enough. my crooked smile has never bugged me but now it seems more crooked. i know it’s been 3 days, but is this typical? will the product disperse to other corners of my mouth? will my top lip fill out more?

Andrew P. Trussler, MD · Answer

It sounds like and looks like you have a long upper lip with downturned commissures. Fillers can make this scenario worse and they will have a tendency to not last because the upper lip will roll in with the weight of the filler. A lip lift will help shorten the upper lip distance and shape the central lip while a diamond excision on the corners will balance and lift the outer lip. Both can be done in the office under local anesthesia with limited downtime and long lasting effects.

Jonathan Kulbersh, MD · Answer

It will take up to 2 weeks for final results. If you remain concerned, I recommend following up with your injector. If you're unhappy with the final results, the filler can be reversed. Hope this helps.

Tanya T. Khan, MD · Answer

As suggested below, you should allow about 7-10 days for the Botox to kick in. It does look like there can be more volume augmentation to your upper lip, especially to the outer corners. Also consider discussing different types of filler which are best served for the lip region.

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. It takes 1-2 weeks for final results after lip injections and Botox. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Robert M. Tornambe, MD · Answer

queenofkitsch.   I appreciate your concern, but I would wait for two weeks before considering revision. I have never been a fan of Botox to the upper lip because of asymmetry that can occur. In my opinion,  lip augmentation and overall contour improvement can be attained with fillers alone. Try to stay patient and follow up with your injector, who I hope is a board-certified plastic surgeon or dermatologist. Good luck!

I'm underwhelmed by my top lip, corners of my mouth/lips don’t seem plumped enough, and my smile is more lopsided. (Photos)

Answers (10)

Answer: Unhappy with Lip augmentation Results with Fillers (Juvederm, Restylane, Volbella)

Answer: Unhappy with Lip augmentation Results with Fillers (Juvederm, Restylane, Volbella)

Answer: Lip Improvement

Answer: Lip Improvement

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I'm underwhelmed by my top lip, corners of my mouth/lips don’t seem plumped enough, and my smile is more lopsided. (Photos)

Answers (10)

Answer: Unhappy with Lip augmentation Results with Fillers (Juvederm, Restylane, Volbella)

Answer: Unhappy with Lip augmentation Results with Fillers (Juvederm, Restylane, Volbella)

Answer: Lip Improvement

Answer: Lip Improvement

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Recommended reading

Everything you need to know about Botox

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