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If you don't like the depth between your philtral columns, you could have hyaluronic acid fillers placed between them and strategically to make your cupid's bow more symmetric and smooth. Hope this helps!
I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.Best Wishes,Gary Horndeski, M.D.
The primary causes of upper lip incompetence are either skeletal (tall upper jaw) or soft tissue (short upper lip). Based on your photos, you may have a combination of the two. Flaring of the upper teeth can also contribute. Orthognathic Surgery (corrective jaw...
There is no issue or interaction in treating someone with bulimia with hyaluronic acid based fillers, even if you were to slip up.
Lets give it a try! Fillers could be a good solution. Scar tissue has a way of making lip augmentation a bit less predictable. Sometimes the scar acts as an internal baffle however you don't know until you try. Should it be an unacceptable result you can melt the filler...