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It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.
No injectables, no lip lift, no problem. It sounds like you may be a candidate for fat grafting to your lips for more volume. It's a permanent solution, whereas fillers typically last 6 months, and it wouldn't change your philtrum distance.
Dear Reserved7780, it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MD Certified, American Board...