How can crooked lips be fixed? (Photo)

Thank you for your question. You submitted two photos: one with your mouth at rest, and one with you smiling. You’re asking how the asymmetry of one side of your mouth appearing higher compared to the other,can be improved.
I can certainly share with you my approach with patients like yourself in my practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. Lip enhancement is an extremely popular area of concern for patients who come to our practice. All age groups of people are very concerned about lip aesthetics.
What I notice in your photo at rest is not so much one side of the face higher than the other, but rather the way the lip goes upward showing more of the front teeth on the right side versus the left. When you smile, there’s no perceivable difference.
What I suspect is an issue that can be improved but probably not achieving perfect symmetry is to place volume in the pink part of the lip. Lip anatomy is very detailed, and there are different aspects of lip anatomy that can be addressed such as the cupid’s bow, the vermillion border, and the lip roll. As doctors, we try to look analytically at the lip to try to address placement so you get a natural look. One of the biggest concerns people have about enhancing lips is to avoid looking like a duck. That unfortunately is the benefit of certain celebrities and well known people having disproportionate appearance of the lips.
We’re not talking about changing a lot with the proportion of the lip, but rather to fill a deficit. This is something that happens with facial aging, but I’m not saying that’s the case for you, but a relative absence of volume that can be genetic, or from changes. The goal is to place filler to re-inflate or restore the area of concern. Most likely, placement of filler in that particular area will be optimal.
The fillers I describe are in the hyaluronic acid family such as Restylane and Juvederm. The technique I employ is the use of blunt cannulas  so there’s no to minimal likelihood of bruising, and avoiding multiple pokes in the area being treated. A lot of doctors like to do the injections directly into the lip with a needle, but I found placement with a blunt cannula in a strategic entry point away from that part of the lip,  can have very nice results. The before and afters look very good, and patients benefit from not having too much swelling. Lips do swell a little after any injectable filler, but the goal is to try to get close to the ideal goal you want, and minimize the trauma and reactive swelling, which is more about technique than about the anatomic issue.
Looking from the perspective of your anatomy, there’s a volume deficit in that area relative to the other side. Understand that when you smile, everything looks natural and good, so you don’t want to overfill, you want to just achieve improvement. If your goal is improvement, I think fillers are the way to go. I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.

You should start out with 1cc of juvederm filler or restylane filler and go from there. You do not want to overdo too much filler in the lips. It also depends on the look you are going for too. You can always add more filler to the lips if needed. Just remember if you are going to do your lips and you do not want to bruise you should not take any aspirins or anything that will thin the blood since brusing can occur. One syringe is typically $550.

Thank you for your question. Candidates for lip augmentation include individuals looking too correct asymmetrical lips. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,